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Related Experiment Video

Updated: May 22, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

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Midwives and abortion care: a model for achieving competency.

Amy Levi¹, Evelyn Angel James, Diana Taylor

¹University of California, San Francisco, Obstetrics, Gynecology, and Reproductive Science, 1001 Potrero, 6D-29, San Francisco, CA 94920, USA. LeviA@obgyn.ucsf.edu

Journal of Midwifery & Women'S Health

|May 19, 2012

Summary

A new training program successfully equips nurse-midwives, nurse practitioners, and physician assistants to provide first-trimester uterine aspiration. This competency-based model increases access to safe abortion care by training skilled providers.

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Area of Science:

Medical Education
Reproductive Health
Surgical Procedures

Background:

Access to safe first-trimester abortion is limited by a shortage of qualified healthcare providers.
Historically, women's reproductive health has included pregnancy termination, necessitating safe and accessible options.

Purpose of the Study:

To develop and evaluate a competency-based training model for uterine aspiration.
To increase the number of certified nurse-midwives, nurse practitioners, and physician assistants providing first-trimester abortion care in California.

Main Methods:

A curriculum combining self-directed learning and supervised clinical practice (minimum 40 procedures).
Training completion assessed via written exam and clinical competency evaluation in patient comfort, completeness, speed, and problem identification.
Competency monitored daily and finally by trainer and trainee.

Main Results:

38 trainees completed the program, achieving competency in an average of 6 days.
The training model effectively develops clinical skills for uterine aspiration.
Complication analysis was used to ensure clinician safety.

Conclusions:

A competency-based curriculum for uterine aspiration can significantly expand the pool of first-trimester abortion providers.
This model offers a viable training pathway for experienced clinicians, including nurse-midwives.
Increased provider availability has the potential to improve access to essential reproductive healthcare services.