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Female Genital Cutting (FGC): A Training Curriculum for Healthcare Providers
The Female Genital Cutting (FGC): A Training Curriculum for Healthcare Providers program is a web-based series of videos designed to provide health and service providers with training on providing care for female genital cutting (FGC)-affected women and girls.


Female Genital Cutting (FGC): A Training Curriculum for Healthcare Professionals


Activity Description
The Female Genital Cutting (FGC): A Training Curriculum for Healthcare Providers program is a web-based series of videos designed to provide health and service providers with training on providing care for female genital cutting (FGC)-affected women and girls. This program will take approximately 45 minutes to complete.

This activity will address the following topics related to female genital cutting:

• Practice and Prevalence
• Types
• Legal and Ethical Dimensions
• Health Consequences 
                • Counseling
• Best Practices
• Voices from San Diego
• Resources 


This provider training is brought to you by the UC San Diego Center for Community Health Refugee Health Unit in partnership with the Dunya Collaborative, Family Health Centers of San Diego, John Hopkins School of Nursing, and Arizona State University. The mission of the UC San Diego Center for Community Health is to transform health and wellness in diverse communities by improving health equity. The Refugee Health Unit, housed under the UC San Diego Center for Community Health, is the first of its kind in San Diego County where public health professionals’ work with refugee-led organizations, ethnic community based organizations, and agencies to prevent and reverse health disparities based on the social determinants of health.

Target Audience
This module is designed for health care professionals that treat FGC affected women and girls, including primary care physicians, nurse practitioners, physician assistants, psychologists, therapists, scientists/researchers, surgeons, and other healthcare providers wishing to be more culturally sensitive and aware when working with FGC-affected patients.

Method of Participation
This activity will take approximately 45 minutes to complete, and is broken down into topic for ease of viewing. Videos are delivered via a streaming platform in the optimal format for your viewing device. This program is available free of charge. 

Video files are captioned for accessibility, and a comprehensive list of resources are available for download within the activity.

Educational Objectives
Following completion of this educational activity, learners should be able to:

Recognize and describe the history, sociocultural context, epidemiology, classification schema, of FGC on women and/or  girls' health.
• Recognize FGC affected children through appropriate clinical screenings. 
• Discuss the physical impact of FGC (including short and long term morbidity) 
• Describe gynecological, obstetric, psychological outcomes as well as the psychosexual outcomes of FGC. 
• Recognize and describe the various health complications of FGC on girls' health through the lifespan. 
• Identify the indications for defibulation, and recite the steps for appropriate pre-procedural counseling. 
• Determine best methods to screen patients and talking points to those who have been affected by FGC in a culturally appropriate way to avoid patient compliance issues. 
• Discuss the legal and ethical implications in screening, and caring for FGC affected populations, including when to report an FGC case. 


Statement of Need
In order to fully understand how comfortable providers are with caring for women and girls who are affected by FGC, and as part of the training development process, a provider training survey was conducted.

Family Health Centers of San Diego (FHCSD) were selected by the US Department of Health and Human Services Office on Women's Health to address the gaps in female genital cutting (FGC) and FGC related health care services for women and girls living in the United States

The UC San Diego School of Medicine Center for Community Health has been subcontracted to help develop an evidence- and community-based health care and prevention program in relation to FGC.


Accreditation
The University of California, San Diego School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation
AMA:
 The University of California, San Diego School of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME or a recognized state medical society. Physician assistants may receive a maximum of 0.75 hours of Category 1 credit for completing this program. 

Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credit™ (report up to 0.75 hours of credit and list "CME Category 1" as the provider number).


R
elease Date: September 20, 2019
Expiration Date: September 19, 2020



Faculty

Kristin Brownell MD, MPH
Faculty, Family Medicine Residency Program,
Family Health Centers of San Diego
Dunya Women's Health Collaborative
University of California San Diego Center for Community Health
University of California San Diego School of Medicine
San Diego, California

Bethlehem Degu, MPH
Family Health Centers of San Diego
San Diego, California

Crista Johnson-Agbakwu, MD, MSc, FACOG, IF
Founder & Director, Refugee Women's Health Clinic
Obstetrics & Gynecology, Maricopa Integrated Health System
Research Assistant Professor, Obstetrics & Gynecology,
University of Arizona College of Medicine Phoenix
Assistant Research Professor,
Southwest Interdisciplinary Research Center
Arizona State University
Phoenix, Arizona

Amina Sheik Mohammed, MPH

Senior Director Health Equity and Policy
Founding Director Refugee Health Unit

University of California San Diego Center for Community Health
San Diego, California

Khwala Suleiman-Qafiti, MD, MAS, FAAP
Chief, Pediatrics
Medical Director, Pediatric Development Services
Family Health Centers of San Diego
Voluntary Clinical Professor of Pediatrics
University of California San Diego School of Medicine
San Diego, California

Nicole Warren, PhD, MPH, CNM, FAAN
Assistant Professor
Johns Hopkins University School of Nursing
Johns Hopkins Hospital
Baltimore, Maryland

Sierra Washington, MD, FACOG
Associate Clinical Professor of Obstetrics, Gynecology, and Reproductive Sciences
University of California San Diego School of Medicine
San Diego, California

Reem Zubaidi, MPP
Health Policy and Communications Coordinator

University of California San Diego Center for Community Health
San Diego, California 

Narrator

Rachel Fox, MS, MA
Doctoral Student, Communication, Science Studies, and Critical Gender Studies
University of California San Diego
San Diego, California


Balance and Objectivity of Content

It is the policy of the University of California, San Diego School of Medicine to ensure balance, independence, objectivity and scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. All conflicts of interest will be resolved prior to an educational activity being delivered to learners through one of the following mechanisms 1) altering the financial relationship with the commercial interest, 2) altering the individual's control over CME content about the products or services of the commercial interest, and/or 3) validating the activity content through independent peer review. All persons are also required to disclose any discussions of off label/unapproved uses of drugs or devices. Persons who refuse or fail to disclose are disqualified from participating in the CME activity. Participants will be asked to evaluate whether the speaker's outside interests reflect a possible bias in the planning or presentation of the activity. This information is used to plan future activities.

Disclosure
The following faculty have no relevant financial relationships to disclose: Kristin Brownell MD, MPH, Bethlehem Degu, MPH, Crista Johnson-Agbakwu, MD, MSc, FACOG, IF, Amina Sheik Mohammed, MPH, Khwala Suleiman-Qafiti, MD, MAS, FAAP, Nicole Warren, PhD, MPH, CNM, FAAN, and Sierra Washington, MD, FACOG.

The CME staff, meeting planners, editorial staff, planning committee, peer reviewer, and CME committee reviewers do not have any relevant financial relationships to disclose.

The views and opinions expressed in these activities are those of the faculty and do not necessarily reflect the views of the University of California San Diego.


Cultural Competency
This activity is in compliance with California Assembly Bill 1195 which requires CME courses with patient care components to include curriculum in the subjects of cultural and linguistic competencies. Cultural competency is defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals or organizations to care effectively for patients from diverse cultures, groups, and communities. Linguistic competency is defined as the ability of a physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct communication in the patient's primary language. Cultural and Linguistic Competency was incorporated into the planning of this activity. Additional resources on cultural and linguistic competency and information about AB1195 can be found on the UC San Diego CME website at http://cme.ucsd.edu. Additional resources related to the content of this activity are available for download after program registration. 


Support

Funding provided by the Office of the Assistant Secretary of Health (OASH) Office of Women's Health (OWH) Grant ASTWHI60039-01-00



UC San Diego School of Medicine
9500 Gilman Drive, MC 0947, La Jolla, CA 92093-0947
Phone: (858) 534-3940 • Fax: (858) 534-1896
E-mail: ocme@ucsd.edu • Website: http://cme.ucsd.edu

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Type:     Internet Activity (Enduring Material)
13 Registered Users