The LARC Mentoring Program (LMP) seeks to increase access to long-acting reversible contraceptives (LARCs) by broadening clinicians’ skills to insert and remove LARC devices and to provide counseling on all contraceptive methods. Before March 2020, the LMP training model consisted of in-person, hands-on trainings to teach clinical skills. When in-person trainings were no longer viable, the LMP team developed a virtual, hands-on Intrauterine Device (IUD) Insertion practicum for providers in New Mexico in collaboration with the Beyond the Pill program from the University of California, San Francisco. From December 2020 to February 2021, 15 health care providers from rural and urban counties (Bernalillo, San Juan, Dona Ana, Eddy, Quay, Lea, Lincoln and McKinley) across the state have participated in the training, which involves didactic teaching as well as interaction with a pelvic model under guidance from an experienced clinician over Zoom. Participants receive all training materials via mail and then follow step-by-step instructions for technical set-up. LMP trainers provide one-on-one guidance on the insertion and removal of each type of IUD and modify instruction based on participant needs. While initially developed as a method to continue training providers during the COVID-19 pandemic, this model could also help address disparities in rural health care providers’ access to continuing education opportunities into the future. Pre- and post-training evaluation data is currently being collected to assess changes in participant knowledge, competency, and experience with the learning platform. Evaluation data will be used to inform further development and improvement of this training model.
Andersen, Andrea; Jennifer Robinson; Erin Rayburn; Anna White; Rachel Sebastian; Irene Cantu; Franceska Alexander; Naaima Zaidi; Cynthia Harper; and Elizabeth Yakes Jimenez. "Providing Virtual Intrauterine Device Insertion and Removal Training During COVID-19: A Sustainable Solution For Rural Provider Access." (2021). https://digitalrepository.unm.edu/hsc_2021_pediatric_research/1