Dr. Tracey A Parnell Director Communications and Development. Birth of the RRM Profession

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1 Dr. Tracey A Parnell Director Communications and Development Birth of the RRM Profession

2 Why do we need this? Why now? What is proposed? Evolution of the RRM Clinician Certificate/Diploma Course outline and objectives Discussion

4 Reproductive Medicine has evolved two divergent approaches Suppressive, destructive or circumventive (conventional reproductive medicine) Restorative, cooperative (RRM)

5 Recognizes and supports women and couples right to use fertility or cycle charting of their choosing If needed, supported by educated and affirming doctors who can use the information to help restore or optimize natural reproductive function.

8 Believe that optimizing or restoring reproductive function is better medicine and better health

9 RRM is an evolving branch of reproductive medicine

15 Why now?

16 Vision 2020 Development of RRM Certificate or Diploma Series of Courses to show proficiency in RRM RRM Ovulation Induction Cycle Normalization Pregnancy Support and RRM Management RRM Menopause RRM Ultrasound Perinatal Palliative Care Adolescent RRM RRM Research

17 Certificate For integrated practice family, medicine or general OBGYN Diploma Certificate courses plus Includes practicums

19 6 Steps of Curricular Design UCSF University of California San Francisco Dr. Lynn Keenan Clinical Professor of Medicine UCSF Fresno Program Director Sleep Medicine Teaching Scholar Program Dr. Tracey Parnell MRM UNSW Assistant Clinical Professor UBC Postgrad curriculum courses

20 Problem Identification and Needs Assessment Targeted Needs Assessment Goals and Objectives Educational Strategies Implementation Evaluation and Feedback

21 Health Care Need Increasing demand for RRM not suppressive approach Many RRM clinicians not confident in an array of approaches for ovulation induction and cycle normalization Women have to search wide and far No universal standard training

22 24% of women interested or using a fertility app Mostly rhythm or calendar algorithms dressed up in fancy program Doesn t work, all NFP/FA bad rep Cultural message embedded Can t get pregnant? IVF partners Got pregnant? Oops. Abortion referral Sell data

23 Huge opportunity to reach out to new and interested audience Non-chemical Green/Ecologically friendly Empowering Natural

24 Few courses on Ovulation Induction in RM None focus on restorative approach Academic courses focus on ART RRM courses are method specific, short courses covering a vast array of information Foundational Understanding for RRM

25 Builds on methods used in RM but from a restorative approach Evidence based Accessible globally Integrated into case based Establishes standards for Ovulation Induction and Cycle Normalization in RRM

Confident and proficient in all methods of ovulation induction Recognize, classify and treat the multiple etiologies of anovulation from an RRM approach Recognize ovulation is important to good

27 Confident and proficient in all methods of ovulation induction Recognize, classify and treat the multiple etiologies of anovulation from an RRM approach Recognize ovulation is important to good health not just pregnancy Employ multiple approaches to treating ovulatory dysfunction, in a multitude of disorders including infertility Familiar with multiple charting methods appropriate for RRM

28 Academic model Semester with approximately 60 contact hours Assigned reading Cohlen et al Ovulation Induction Evidence Based Guidelines Supplemental Reading

30 Lecturers Represent multiple methods University appointments International collaboration Experts in their field

31 Evaluation Quizzes Forum participation Project Final exam

33 Physiology Week 1 & 2 Genetics WHO Classification Diagnosis COH v OI v RRM OI Monitor OI Success Chart/Lab Complications WHO Class 1 Gonadotropins Endometriosis Novel treatments First 10 Classes WHO Class 2, PCOS 11 WHO Class 2 Lifestyle 12 WHO Class 2 Antiestrogens WHO Class Insulin Mgt Surgical Interventions Gonadotropins WHO Class 3 Other endocrine CAH,Thyroid, prolactin Long term complications ART Building an RRM Team Second 10 Classes

36 Health coaching is the use of evidence-based skillful conversation, clinical interventions and strategies to actively and safely engage client/patients in health behavior change

Evolution of the NFP/FAB Method Teacher. Dr. Tracey A Parnell Director Communications and Development

Evolution of the NFP/FAB Method Teacher Dr. Tracey A Parnell Director Communications and Development Why do we need this? What is proposed? Role of the Coach Chronic Condition model How will it help me