ACTIVITY TITLE: Nurses in REI Communication, Knowledge, and Skills (NRCKS)

CREDIT DESIGNATION STATEMENT

The American Society for Reproductive Medicine designates this enduring material for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release Date: July 8, 2022

Expiration Date: July 8, 2025

Estimated Time to Complete Activity: 4.5 hours

Program Description: NRCKS is hybrid program for early career REI nurses consisting of 8 online learning modules and optional interactive live and recorded sessions provided by the ASRM Nurses’ Professional Group. The interactive sessions include “Ask the Expert”, practical cases and soft skills training. The focus of the program is teaching communication, knowledge, and skills.

Program Features: Micro-modules, short engaging didactics by content experts, immersive 3D models, interactive elements, vivid and descriptive videos, immediate reinforcement of learning, and case scenarios for practical application.

EDUCATIONAL OBJECTIVES AND COURSE OUTLINE

Module Description:

Module 1: In Module 1 content experts Drs. Eve Feinberg, Ruben Alvero, and Ranjith Ramasamy discuss the female and male reproductive anatomy and physiology. This module is a recap for incoming nurses before proceeding into REI topics.

Module 1 has four learning objectives:

·        Define Infertility presented by Dr. Feinberg

·        Female Anatomy presented by Dr. Feinberg

·        Male Anatomy presented by Dr. Alvero

·        Infertility Workup

o    Male workup presented by Dr. Ramasamy

o    Female workup presented by Dr. Feinberg 

Module 2: In this module content expert Dr. James Wren discusses the causes and treatment of male infertility. Module 2 has four learning objectives:

·        Examine the indications for male infertility assessment presented by Dr. James Wren

·        Understand the initial investigations in a male infertility assessment presented by Dr. James Wren

·        Differentiate obstructive from non-obstructive azoospermia presented by Dr. James Wren

·        Understand the causes of male infertility presented by Dr. James Wren

Module 3: In this module content experts Drs. Erica Johnstone and Marcelle Cedars will discuss the common causes of ovulatory dysfunction, tubal and pelvic factors causing female infertility and explore the effect of aging on ovarian function and fertility.

Module 3 has four learning objectives:

·        Describe the causes of infertility presented by Dr. Erica Johnstone

·        Describe the common causes of ovulatory dysfunction as a cause of female infertility presented by Dr. Erica Johnstone

·        Discuss tubal and pelvic factors causing female infertility presented by Dr. Marcelle Cedars

·        Explore the effect of aging on ovarian function and fertility presented by Dr. Marcelle Cedars

Module 4: In this module, content experts Drs. Rachel Weinerman and Jorge Chavarro will describe the menstrual cycle, common endocrine disorders, and lifestyle factors that cause infertility.

Module 4 has three learning objectives

·        Understand the menstrual cycle presented by Dr. Rachel Weinerman

·        Under the causes of endocrine disorders presented by Dr. Rachel Weinerman

·        Under the impact of diet and lifestyle on infertility presented by Dr. Jorge Chavarro

Module 5: In this module, content expert Dr. Paul Lin explores the fundamentals of endometriosis and discusses the importance of early diagnosis and management.

Module 5 has five learning objectives:

·        Examine the causes of endometriosis presented by Dr. Paul Lin

·        Describe the symptoms of endometriosis presented by Dr. Paul Lin

·        Understand the treatment options for endometriosis presented by Dr. Paul Lin

·        Understand need for surgery for endometriosis presented by Dr. Paul Lin

Module 6: In this module content experts Dr. Anne Steiner will define ovarian reserve, clinical implications, and assessment.

Module 6 has four learning objectives:

·        Causes of infertility presented by Dr. Anne Steiner

·        Define ovarian reserve presented by Dr. Anne Steiner

·        Ovarian reserve and clinical implications presented by Dr. Anne Steiner

·        Describe approaches for assessment of ovarian reserve presented by Dr. Anne Steiner

Module 7: In this module, content expert Dr. Blake Evans explores indications for intrauterine insemination (IUI), procedure for IUI, risks of multiple pregnancy and strategies to minimize multiple gestation associated with infertility treatment.

Module 7 has four learning objectives:

·        Explore indications for intrauterine insemination (IUI) presented by Dr. Blake Evans

·        Describe procedure for IUI presented by Dr. Blake Evans

·        Understand risks of multiple pregnancy presented by Dr. Blake Evans

·        Describe strategies to minimize multiple gestation associated with infertility treatment presented by Dr. Blake Evans

Module 8: In this module content expert Dr. Irene Souter discusses the incidence of pregnancy loss and describes the etiology.

Module 8 has five learning objectives:

·        Pregnancy loss and spontaneous miscarriage presented by Dr. Irene Souter

·        Understand the etiology of pregnancy loss presented by Dr. Irene Souter

·        Describe ectopic pregnancy presented by Dr. Irene Souter

·        Understand multifetal reduction and indications presented by Dr. Irene Souter

TARGET AUDIENCE

This educational activity is designed for early career or entry-level nurses and nurse practitioners in reproductive endocrinology and infertility.

ACGME COMPETENCY

Medical Knowledge Patient Care

SUCCESSFUL COMPLETION REQUIREMENTS

Successful completion of this activity requires the learner to:

·        View the course overview page.

·        Complete a 15-question baseline assessment. Learners should note any pre-exam questions answered incorrectly for clarification during module study.

·        Participate in the interactive activity: audio/video content presented by content experts, interactive learning opportunities, formative assessments, case scenarios, self-learning through 3D immersive exploration, presentation that can be advanced, stopped or reversed as desired.

·        Complete a post-exam after each module, scoring a minimum of 75% in 3 attempts.

·        Complete the evaluation survey.

·        Print certificate of completion.

DISCLOSURES FOR PLANNERS AND FACULTY PLANNERS

Chevis Shannon, DrPH, MBA, MPH, MERC- Nothing to disclose Sarah Ramaiah, MSEd – Nothing to disclose

Jessica Goldstein, RN - Nothing to disclose Eve Feinberg, MD - Nothing to disclose

Paul Lin, MD - Direct stockholder: Alto Pharmacy, Medical Advisory Board: Win Fertility Jennifer Wood, RN, BSN – Nothing to disclose

CONTENT EXPERTS AND CONTRIBUTORS

Eve Feinberg, MD - Nothing to disclose

Ruben Alvero, MD – Scientific Advisor: Hanna Life, Orchid Bioscience; Strategic Advisor: Parity Health Ranjith Ramasamy, MD – Grant Recipient: Acerus Pharmaceuticals

James Wren, MD – Nothing to disclose

Erica Johnstone, MD – REI Division Member: American Board of Obstetrics and Gynecology Marcelle Cedars, MD – Grant recipient: Ferring Pharmaceuticals

Rachel Weinerman, MD – Nothing to disclose Jorge Chavarro, MD – Nothing to disclose

Paul Lin, MD - Direct stockholder: Alto Pharmacy, Medical Advisory Board: Win Fertility Anne Steiner, MD – Nothing to disclose

Blake Evans, MD – Nothing to disclose Irene Souter, MD – Nothing to disclose

Jennifer Knudtson, MD – Nothing to disclose Andrey Dolinko, MD – Nothing to disclose

CONTENT DESIGN AND DEVELOPMENT

Sarah Ramaiah, MSEd – Nothing to disclose

CONTENT REVIEWERS

Eve Feinberg, MD -Nothing to disclose Hugh Taylor, MD – Nothing to disclose Jessica Goldstein, RN - Nothing to disclose

Michelle Landrum, MA, MEd, EdS – Nothing to disclose

It is the policy of ASRM to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. All faculty/speakers participating in this activity are required to disclose any relationships they may have with companies whose products or services could be mentioned, allowing participants to determine the objectivity of the presentations. The content and views presented in this activity are those of the faculty/speakers and do not necessarily reflect those of ASRM. Any discussion of the off-label, experimental, or investigational use of drugs or devices is not allowed. The disclosure statements were reviewed by the CME Subcommittee and the Executive Program Committee of ASRM, and any perceived conflicts of interest were resolved in accordance with the ACCME’s policies and Standards of Integrity and Independence in Accredited Continuing Education.

STATEMENT OF SUPPORT