• 4th Trimester: Optimizing Postpartum Care

    Online CME

    The U.S. has seen an alarming rise in maternal mortality and morbidity, particularly among people of color.

    Support for birthing patients doesn’t end at delivery. Make a positive impact on patient health and practice growth by incorporating a 4th trimester model of care.

    This on demand course offers innovative strategies for a healthier and safer postpartum period, including:

    • How both delivering and non-delivering physicians can offer prenatal guidance and postpartum care
    • Mental health care during the perinatal period
    • Optimizing breastfeeding support
    • Patient-education resources in English and Spanish

    Includes a special session on billing for pregnancy complications and non-obstetric medical issues during the global period. 

    Includes two sessions in Spanish plus Spanish-language patient education resources.


    AAFP Member: $295
    New Physician: $245
    Student or Resident: $195
    Other Health Care Professional: $295
    Nonmember: $385

    A Role for All Family Physicians in the Fourth Trimester Model of Care: Overview and Case Studies
    Emily Briggs, MD, MPH, FAAFP

    Anticipating Postpartum Needs and Establishing a Plan
    Drew Miller, MD, FAAFP, Tiffany Bryant

    Billing for Pregnancy Complications and Non-Obstetric Medical Issues During the Global Period
    Lee Dresang, MD

    Co-Managing High Risk Pregnancy Transitions
    Wael Mourad, MD, MHCM, CHCQM, FAAFP

    Coordinating Mental Health Care During the Perinatal Period
    Beth Oller, MD, FAAFP

    Essential Resources for Delivering Optimum Care: Preconception Through End of First Year Postpartum
    Vanessa Villacorta Sierra, MD

    Introduction to the Fourth Trimester Model of Care
    Lee Dresang, MD

    Leveraging Non-Medical Staff and Community-based Organizations to Provide Optimal Care in the Fourth Trimester; an Urban FQHC Perspective
    Vanessa Villacorta Sierra, MD

    Optimizing Breastfeeding Support in the Fourth Trimester Model
    Scott Hartman, MD, FAAFP

    Osteopathic Approach to the 4th Trimester
    Sarah James, DO, FACOFP

    Physician Panel: Challenges and Strategies to Overcome Barriers to Whole Person Care
    Emily Briggs, MD, MPH, FAAFP, Jennifer Buckley, MD, Marie Ramas, MD, FAAFP

    Physician Panel: Incorporating Fourth Trimester Care in Diverse Practice Settings
    Zita Magloire, MD, Beth Oller, MD, FAAFP, Marie Ramas, MD, FAAFP

    Physician Panel: Shared Decision Making and Patient Centered Care
    Nichole Chaisson, MD, MPH, Jennifer Buckley, MD

    Physician Panel: The Fourth Trimester: Gateway to Future Health
    Mark Loafman, MD, MPH,  Marie Ramas, MD, FAAFP, Zita Magloire, MD, Wael Mourad, MD, MHCM, CHCQM, FAAFP

    Promoting Community and Health Equity Through Group Visits
    Wendy Barr, MD, MPH, FAAFP

    Reflections Session*

    Resources for Patients at High-risk for Complications
    Erin Corriveau, MD, MPH, Faith Butler, MD, MPH

    Setting the Tone for Success Early in Pregnancy for Better Postpartum Outcomes
    Jennifer Frost, MD, FAAFP

    Spanish Essential Resources for Delivering Optimum Care: Preconception Through End of First Year Postpartum
    Vanessa Villacorta Sierra, MD

    Spanish Introduction to the Fourth Trimester Model of Care
    Lee Dresang, MD

    Strategies to Support Patients with Adverse Pregnancy Outcomes
    Nicole Chaisson, MD, MPH

    *Enhance your patient care today and earn up to 2 additional AAFP Prescribed credits for when you complete the Translation to Practice® (t2p®) process.

    Upon completion of this CME activity, you should be able to:

    • Explain three changes to practice recommended in ACOG guidance bulletin 736.
    • Summarize trends in Maternal Mortality and Morbidity in the United States.
    • Conceive of two ways the Fourth Trimester Model of Care could provide opportunity for growth in your practice.
    • High-speed broadband connection required for online access.
    • Latest version of FirefoxSafari, or Chrome on Windows or Macintosh computers or tablets.
    • Latest version of Adobe Reader.

    The AAFP has reviewed Fourth Trimester CME and deemed it acceptable for up to 13.25 Enduring Materials, Self-Study AAFP Prescribed credit. Term of Approval is from 6/14/2023 to 6/14/2026. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The American Academy of Family Physicians designates this Enduring Materials for a maximum of 13.25 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    CME activities approved for AAFP credit are recognized by the AOA as equivalent to AOA Category 2 credit.

    Following this CME activity, participants will have the opportunity to earn an additional two Prescribed credits for participation in each Translation to Practice® exercise. Information on Translation to Practice® will be shared within the activity.


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