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Table 1 Simulation Scenarios and Objectives

From: Facility-based simulation as a programmatic tool for implementing a statewide contraceptive initiative

Scenario 1: IUD Counseling and Provision

Patient summary: New patient visit for contraceptive counseling who is FPE-program eligible. Patient is nervous upon arrival to clinic. Patient ultimately selects a copper IUD

Cognitive Objectives

Technical Objectives

Behavioral Objectives

1. Know FPE eligibility criteria including classifying undocumented clients and mixed-status relationships

2. Understand the principles of person-centered counseling

3. Identify the range of contraceptive methods available

4. Understand the different types of IUDs and their mechanisms of action and side effects

5. Identify when same-day appointments are advisable

6. Classify client as FPE eligible

7. Demonstrate person-centered counseling

8. Elicit client’s contraceptive priorities

9. Demonstrate IUD pre-insertion counseling

10. Utilize the FPE eligibility job aid

11. Effectively communicate patient history to other members of the team

12. Establish rapport with client

13. Maintain patient confidentiality

Scenario 2: IUD Removal and Emergency Contraception

Patient Summary: Return visit, patient desires IUD removal, and emergency contraceptive RX given. Patient strongly desires shift to barrier method

Cognitive Objectives

Technical Objectives

Behavioral Objectives

1. Know FPE coverage of methods

2. Understand the principles of person-centered counseling

3. Identify the range of contraceptive methods available

4. Understand the different types of IUDs and their mechanisms of action and SEs

5. Identify when same-day appointments are advisable

6. Understand the use of EC, types of EC and mechanism of action of each

7. Demonstrate person-centered counseling

8. Elicit client’s contraceptive priorities

9. Demonstrate respectful IUD removal

10. Demonstrate EC counseling

11. Open communication between provider and client

12. Establish rapport with client

13. Maintain patient confidentiality

14. Communication free of provider bias regarding method choice