Reproductive Health Care

Reproductive health is an important element of the full-spectrum family medicine. CAFP has long-standing policy supporting the full complement of reproductive health services, including availability of insurance coverage for those services, over-the-counter (OTC) access for contraceptive medication, access to Long-Acting Reversible Contraceptives (LARC) and vasectomy, pregnancy termination, as well as education and training.

The average American woman becomes sexually active at age 17 and wants two children. She will spend approximately 4 years of her sexually active reproductive life either pregnant or trying to get pregnant, and 25+ years trying to avoid pregnancy.

Working with a diverse expert panel of family physicians, we have created a Reproductive Health Care Initiative that offers a full range of education and training to support you and your practice teammates in providing essential reproductive health services to your patients.

LEARNER SELF-ASSESSMENT

You are encouraged to participate in this online assessment. The knowledge and attitude assessment will give you a sense of practice gaps and assist you in planning educational interventions to close the gaps. Colleagues from every state will be participating, and you’ll be able to see where you fall in the scoring. The assessment also includes the correct answers and all citations and rationales. The LSA is sponsored for .25 AAFP Prescribed or AMA PRA Category 1 credits™ and is free to all health care clinicians.

GO TO ASSESSMENT

LIVE & ENDURING EDUCATION

This initiative, which began in 2018 and will be concluding at the end of 2020, is anchored by a series of live and enduring activities, including presentations at state AFP chapters, and NP and PA partner organizations. The 45-60 minute case-based curriculum was developed by a team of practicing family physicians and is designed to enhance your comfort, confidence and competency in counseling patients on reproductive health life planning. To date, we've reached over 5,100 learners at 26 live and 9 virtual activities across the country and plan to offer the 45-60 minute sessions throughout 2020. 

This online activity, Reproductive Health: Cases and Conversations, accredited for 4 CME credits, includes cases that represent the wide range of patients in your practice and offer you an opportunity to reflect on your skills and knowledge related to reproductive health. The curriculum and cases focus on the eight competencies developed by the project's Expert Advisory Panel and highlight the variety of reproductive issues experienced by primary care providers.
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MAINTENANCE OF CERTIFICATION

CAFP, in partnership with Interstate Postgraduate Medical Association, has developed an ABFM Part IV Improving Performance in Practice module. This module is designed to increase the use of One Key Question® for reproductive health planning, enhance physician-patient communication, and improve team approaches to care. The module is approved for ABFM Part IV credit, includes 30 AAFP Prescribed credits upon completion and is based on a team-approach [AMA PRA Category 1™ credit also is available]. The Part IV module is appropriate for any family physician, family medicine resident or other primary care physician plus your teammates. 

Questions? Contact Jerri Davis at jdavis@familydocs.org.

GO TO MODULE

YOUR EXPERT ADVISORY PANEL

CAFP’s Reproductive Health Initiative has been designed with an expert panel composed of family medicine experts, education and outcomes specialists, and practice team members. The panel’s work includes ongoing review of current literature to enhance understanding of research, guidelines, competencies and public health issues; development of a set of reproductive health competencies; implementation of the live and enduring activities; support for the Learner Self Assessment and MOC modules; and faculty training. Our many thanks to this group of dedicated individuals.

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Tools + Resources

A Review of Long-Acting Reversible Contraception Methods and Barriers to Their Use article in Wisconsin Medical Journal (WMJ). WMJ is a peer-reviewed, indexed scientific journal published six times a year by the Wisconsin Medical Society.
Health Care Barriers to Provision of Long-Acting Reversible Contraception in Wisconsin article in Wisconsin Medical Journal (WMJ). WMJ is a peer-reviewed, indexed scientific journal published six times a year by the Wisconsin Medical Society.

 

OneKeyQuestion: One Key Question® supports women’s power to decide by helping to transform their health care experience. The notion behind One Key Question® is simple: it asks all health providers and champions who support women to routinely ask, “Would you like to become pregnant in the next year?” From there, the provider or champion takes the conversation in the direction the woman herself indicates is the right one, whether that is family planning, preconception health, prenatal care or other needs.

 

Bedsider Providers is an online birth control support network for women ages 18-29, which helps clinicians and patients find the method of birth control that’s right and learn how to use it consistently and effectively.

 

The Reproductive Health Access Project (RHAP) works directly with primary care providers, helping them integrate abortion, contraception and miscarriage care into their practices so that everyone can receive this essential health care from their own primary care clinicians.

 

US Medical Eligibility Criteria (MEC) for Contraceptive Use: The Centers for Disease Control and Prevention MEC includes recommendations for using specific contraceptive methods by women and men who have certain characteristics or medical conditions.

 

MEC Summary Chart

 

Apps and Online Services (Android and IOS): Several contraception apps and online services have been developed to assist clinicians and patients with decision-making, access and use. This story from NPR offers information and features the apps and services below:
https://www.nurx.com/
https://www.lemonaidhealth.com/
https://www.reproductiveaccess.org/resource/contraceptive-pearl-new-contraceptive-point-care-app/
https://www.uptodate.com/contents/contraceptive-counseling-and-selection

Connect with your local CAFP chapter

Find fellow family physicians in your neighborhood.
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cafp@familydocs.org
(415) 345-8667
1520 Pacific Avenue, San Francisco, CA 94109
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