Nicole Visit 2: A 23-Year-Old Female Presenting for a Follow-Up Visit and to Switch Contraceptive Methods


Nicole Visit 2: A 23-Year-Old Female Presenting for a Follow-Up Visit and to Switch Contraceptive Methods

Topic: Gynecology
Relevant Terms: Birth Control, Contraception
Primary Audience: Physicians; Pharmacists; Physician Assistants; Nurse Practitioners; Nurse Midwives and other professionals.
Launch Date: 12-Aug-10
Credits: 0.5 AMA PRA Category 1 Credit
0.5 ACPE contact hour
0.5 NPWH contact hour
(including 0.25 pharmacology hour)
Expiration Date: The accreditation for this activity has expired.
Curriculum Name: Virtual Clinic

Learning Objectives

Upon completion of the activity, participants should be able to:

  1. Recognize gaps in contraceptive use that lead to increased risk for unintended pregnancy and identify patients' key life circumstances in order to deliver patient-centered care
  2. Explain reasons for unpredictable menstrual bleeding or spotting related to hormonal contraception and recommend methods to regulate bleeding
  3. Develop individualized strategies for provision of contraception in order to maximize patients' satisfaction with method and adherence


    Kathleen Besinque, PharmD, MSEd, FASHP
    Associate Professor
    Director of Experiential Programs
    University of Southern California School of Pharmacy
    Los Angeles, CA
    Linda Dominguez, RN-C, NP
    Nurse Practitioner
    Southwest Women's Health
    Albuquerque, NM
    Rameet Singh, MD, MPH, FACOG
    Assistant Professor of Obstetrics and Gynecology
    University of New Mexico
    Albuquerque, NM
    Disclosure Policy Statement

    All individuals in a position to influence the content of this activity must disclose relevant financial relationship(s) with commercial interests and the nature of the relationship. A commercial interest is defined as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by or used on patients.

    Faculty Disclosures

    • Rameet Singh has no affiliations to disclose
    • Linda Dominguez is a consultant and speaker for Teva, Wyeth and Merck
    • Kathleen Besinque is on the Pharmacy Advisory Board and is on the speaker's bureau for Duramed/Barr and Wyeth

    Staff/Consultant Disclosures

    • Deborah Kurnik, Ellen Cohen,  Cert.Ed., Dip.Ed., CCMEP, Beth Jordan, MD, Camille Harris, MPH, Amy Swann, MA, Shana Brown, MPH, Rebecca Sager and Wayne Shields have no affiliations to disclose.

    Credit Designation

     The Association of Reproductive Health Professionals is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. ARHP designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

    Nurse Practitioners and Nurses
    : This educational activity has been approved by the Continuing Education Approval Program of the National Association of Nurse Practitioners in Women's Health for up to 0.5 contact hours, including up to 0.25 pharmacology hours. Credit can be applied toward the nursing continuing requirements of most professional organizations and State Boards of Nursing.

    Pharmacists: The Association of Reproductive Health Professionals (ARHP) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program provides 0.5 contact hours of continuing education credit. The assigned universal program number for the Cases in Contraception program is 0463-0000-10-004-H04-P

    : A certificate of participation will be issued indicating that this activity is accredited for up to 0.5 hours of AMA PRA Category 1 Credit.

    How to Receive Credit or a Certificate of Participation

    • Read the learning objectives and disclosures
    • Participate in the activity
    • Complete the post-test and activity evaluation
    • You must score a 70% or higher on the post-test and activity evaluation
    • Statement of credit will be available to print from your user history page

    ourse Viewing Requirements

    Internet Explorer (v6 or greater), or Firefox

    Commercial Support

    This project is funded through an educational grant from Schering Plough Corporation.

    All site content, except where otherwise noted, is licensed under a Creative Commons Attribution License (