Bring TEAMM to your site

We take on a limited number of sites each year and choose them based on where training will have the greatest impact: sites serving patients with few alternatives, programs training future clinicians, and teams positioned to change practice beyond their own walls. When you reach out by filling out our brief application, we will start a conversation about fit.

Training is free for selected sites, funded by our sponsors. There is no cost to your health system or department for the training series or the follow-up support.

What a training series involves

TEAMM typically works with a site for 12 to 18 months, though this varies by each site’s goals and constraints. After a site is selected, we work with the primary champion to:

  1. 1 Identify site goals and the existing barriers and facilitators to early pregnancy loss service implementation
  2. 2 Identify and work with an interdisciplinary group of co-champions at your institution
  3. 3 Prepare for practice change by developing protocols and working through equipment needs
  4. 4 Schedule and conduct a series of on-site trainings over 1–2 mutually agreed days
  5. 5 Provide remote follow-up technical assistance as you work toward your implementation goals

What change looks like

Every team we train ideally reaches the same starting point: patients get a clear diagnosis at the visit and a conversation about all three options, so they leave knowing what to expect from whichever one they choose.

Where teams go from there depends on the setting:

An emergency department provides medication management on the spot, and coordinates with OB/GYN for patients who want a procedure.
An ED builds a pathway for OB/GYN to perform aspiration in the department, rather than patients waiting for an OR.
The whole team, including nursing, medical assistants, and front desk staff, knows enough about early pregnancy loss that patients get consistent, informed responses at every point of contact.
A rural clinic manages miscarriage on site, so patients don't travel hours to a referral center for care that can be provided competently where they are.
An OB/GYN or family medicine practice moves aspiration out of the operating room and into the clinic.
A team becomes able to diagnose, counsel, and provide all three options independently.


What we ask of you

A site champion

Someone who will coordinate on your end, convene the right people, get the buy-in needed for practice change, identify barriers and address them with persistence, and carry the work after we leave. Practice change isn't possible without one.

Time from your team

Engaging with TEAMM to work on changing practice is often a 12-18 month commitment from start to finish. Training sessions are most effective when the whole team can attend. We will work with you to identify the most important participants.

Making the case internally

Most champions need to bring this to a department chair, medical director, or nursing leadership before anything is scheduled. This deck lays out the evidence for ED-based miscarriage management, including the 2024 ACEP policy statement, outcome data for medication and procedural management, and what implementation involves. Feel free to adapt it to your own setting outside an ED.


Apply for training at your site

Sites apply through a short application. We review applications on a rolling basis and follow up with a call to talk through your goals and whether a training series is the right fit.

Start your application
Questions first? Email teamm@uw.edu.