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Part of the Primary Care Initiative, the Health Workforce Pilot Project (HWPP) #171 is a California-based, multi-site, six-year study of advanced practice clinicians—nurse practitioners (NPs), certified nurse-midwives (CNMs), and physician assistants (PAs)—as providers of early aspiration abortion care. Operating under a mechanism of the California Office of Statewide Health Planning and Development (OSHPD), HWPP #171 is a pilot project of 50-60 advanced practice clinicians (APCs) who are being trained in abortion care and provision at health facilities around the state, using ANSIRH’s Early Abortion Training Workbook. Currently in the final year of the project, ANSIRH’s HWPP Project staff are in the process of analyzing and publishing the training and practice evaluation data on the safety and effectiveness of NPs, CNMs, and PAs as abortion providers. For a look at findings, please review the HWPP Study Results.
The results of this pilot project are being made available to the California legislature, health professional organizations, and state regulating bodies to promote evidenced-based legal and regulatory decision-making in regards to the provisions of abortion care by NPs, CNMs and PAs. The results are also being shared with reproductive health advocates nationwide to expand the pool of abortion providers to include all clinicians with appropriate education, training and skill.
The HWPP training plan consists of didactic education and “hands on” clinical experience, along with knowledge testing and periodic clinical assessment with the goal to train nurse practitioners, certified nurse-midwives and physician assistants to competence in all aspects of early aspiration abortion care.
Nurse practitioners, certified nurse-midwives, and physician assistants train at participating sites that have extensive experience in abortion provision and training. Each trainee completes didactic and clinical training (to competency standards) in first-trimester aspiration abortion under the supervision of a physician trainer at a designated training site.
The physician trainers are experienced providers currently offering abortion services at an institution participating in the project. In order to conduct training, all physician trainers are required to have performed at least 200 procedures and to have an excellent safety record. All trainers will have received formal “train-the-trainer” instruction prior to training NPs, CNMs and PAs at their own institution.
This study has been approved by the Committee for Human Research at UCSF and operates as a pilot project under the Health Workforce Pilot Program (HWPP) a mechanism of California’s Office of Statewide Health Planning and Development (OSHPD).
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