information technology, designing and implementing quality measures andstandards for SRH care, and creating incentives to expand and diversify SRHworkforce and optimize access to care.

O37

REFRAMING MESSAGES FOR TEENS TO INCREASEINTEREST IN LONG-ACTINGREVERSIBLE CONTRACEPTIVES

Brown Benjamina, Wellisch LawrenbaDepartment of Obstetrics and Gynecology, University of Chicago MedicalCenter, Chicago, IL, USAbDepartment of Pediatrics, Comer Children's Hospital and the University ofChicago, Chicago, IL, USA

Cress Chelsea, Forcier Michelle

Long acting reversible contraceptives (IUDs and implants — also knownas LARC) are the most effective forms of reversible contraceptionavailable today, yet they remain underutilized, especially by youngwomen. The discussion will begin with a review of the literature onadolescents' contraceptive attitudes and needs and on evidence-basedcounseling strategies. Then, results of a prospective, qualitative studypiloted with 10 patients at the Comer Children's Hospital adolescentmedicine clinic will be presented. The study asked teens to identify themost important messages they obtained from a structured contraceptioncounseling session. Respondents identified the unique benefits of LARCmethods and the fact that not all contraceptives are equally effective asamong the key lessons learned. This study and participants' own clinicaland research experiences will serve as the nidus for a discussion of whatinformation matters most to teens during contraceptive counseling; how torestructure counseling sessions to promote LARC; how to present criticalinformation, such as failure rates, in patient-centered, developmentally-appropriate terms and how to overcome challenges in the counselingsetting. The session will be a dialogue between presenters and participants,and participants will be invited to pose their own questions and sharepersonal experiences throughout the presentation.

O38

TRAINING THE NEXT GENERATION OF MALEREPRODUCTIVE HEALTH PROVIDERS

Wu Justinea, Carole JoffebaRobert Wood Johnson Medical School, New Brunswick, NJ, USAbAdvancing New Standards in Reproductive Health (ANSIRH), Oakland,CA, USA

Leeman Lawrence, Turok David, Pickle Sarah

The number ofmale students seeking careers in women's health is dwindling,with a concomitant rise in the number of female providers. This trend is alsoreflected among abortion providers, such that most male providers are“greying” and most female providers are part of the “new generation”. Theextent to which these trends can be attributed to differences in trainingexperiences between men and women is unknown. Cross-sectional studiessuggest that male students are more likely to get “kicked out” of agynecological exam.Male students are also more likely to report lower levelsof experience in women's health skills compared to their female counterparts.The reproductive health community currently lacks formal policies to guidetraining that involves gynecologic exams and procedures that may beconsidered invasive to women, and the special dilemmas associated withmale trainees. Participants will collectively propose next steps and strategiesfor enhancing the educational experience for all trainees while respectingpatient autonomy and informed consent, in a way that minimizes genderdisparity in the field of reproductive health and abortion care.

O39

INTEGRATING SCREENING, EDUCATION AND COMMUNITYREFERRAL FOR INTIMATE PARTNER VIOLENCE,REPRODUCTIVE/SEXUAL COERCION AND REFERRAL INMAINE'S FAMILY PLANNING SYSTEM

Tinkham Kini-AnaFamily Planning Association of Maine, Augusta, ME, USA

Clinicians fromMaine's family planning systemparticipated in a year-long qualityimprovement program to improve the response to intimate partner violence andpromote healthy relationships for adolescents. The Family PlanningAssociation ofMaine embraced Futures Without Violence's Project Connect clinical guidelinesand tools to provide universal education on safe, consensual relationships, as wellas models for trauma informed responses to the disclosure of relationship abuse.Stories from the field will demonstrate use of this intervention. Resource tools andclinical guidelines will be available and discussed.

O40

PREGNANCY OPTIONS COUNSELING TRAINING AS APARADIGM FOR TEACHING TRAINEES ABOUTCOUNSELING PATIENTS

Amico JenniferAlbert Einstein College of Medicine, Bronx, NY, USA

Wang Lin-Fan, Bennett Ariana, Gold Marji

Clinicians providing reproductive healthcare often counsel patients on waysto improve their health or change their health behaviors, and empower themto make decisions. Pregnancy options counseling uses open-ended questionsand reflective listening to assist patients in making choices. This paradigm isalso useful for other scenarios where there is a need to understand patients'desires, frame discussions and help them make decisions about theirreproductive health.In this interactive discussion, participants will observe the presentersrole-play pregnancy options counseling, and the group will discuss theirobservations about the clinician-patient communication. The participantswill break up into small groups to apply options counseling strategies todifferent reproductive health cases. The large group will reconvene todiscuss the cases, as well as which skills and knowledge can be broughtto their home institutions. Participants and presenters will share howcounseling is currently taught to trainees at their clinical sites or trainingprograms. The presenters will facilitate a discussion about thecomplexities and challenges of involving trainees in pregnancy optionscounseling. The session will end with a reflection on the content andstructure of the presentation.

O41

PROMOTING PARTNERSHIPS BETWEEN WOMEN'S HEALTHAND DOMESTIC VIOLENCE PROGRAMS: LESSONS LEARNEDFROM VIRGINIA'S PILOT SITES

Crawford LaurieDivision of Prevention and Health Promotion, Virginia Department ofHealth, Richmond, VA,USA

Micklem Ruth, Shaffer Anya

Participants in this session will view a presentation containing adescription of the need for partnerships between domestic violence andwomen's health programs, an overview of Virginia's Project Connect pilotsites, including the resources and challenges specific to each communityand various models employed for providing on-site health services in each

305Abstracts / Contraception 88 (2013) 297–318