Safest Choice Learning Collaborative 2023-2024
FASD ECHO Training Boston Medical Center/PROOF Alliance
For health centers serving prenatal through adolescent patients
Recruitment for February 2024 Prenatal Cohort is now closed. Check here for future training.
Alcohol use during pregnancy is the leading preventable cause of birth defects and neurodevelopmental problems in the U.S. The SAFEST Choice Learning Collaborative, a partnership between Boston Medical Center and Proof Alliance, aims to reduce prenatal alcohol exposure and improve outcomes in children with a suspected or diagnosed FASD.
Since 2021, we have trained approximately 40 clinics from 9 states† using virtual education to engage healthcare teams in the Northeast and the Upper Midwest.
Costs of participation are covered through a cooperative agreement with the Health Resources and Services Administration (HRSA).
Clinics will participate in Prenatal and/or Pediatric trainings.
The Prenatal trainings cover screening and counseling about the risks of alcohol use during pregnancy.
The Pediatric trainings cover identification and care of children and adolescents with a suspected or diagnosed FASD.
By becoming a SAFEST Choice Learning Collaborative participant, each health center will receive:
Free continuing education credits (physicians, nurses, psychologists, social workers, certified counselors) and MOC Part 2 credits
(some of the content can be used to fulfill the new DEA substance use disorder training requirement)
Access to a diverse, interprofessional team of national experts in the fields of FASDs, addiction, maternal medicine, developmental pediatrics, and more (https://safestchoice.org/about-us/)
A health center stipend
The Pediatric training began September 2023 and will run through January 2024.
Prenatal training will take place from February 2024 through June 2024.
Health centers may participate in one or both trainings.
Each session will provide a brief lecture by experts, case-based learning and collaborative problem-solving.
Participating clinics are encouraged to invite all appropriate clinic staff who will be involved in implementation of FASD prevention and care including physicians, advanced practice providers, nurses, other medical personnel, behavioral health staff, and paraprofessionals such as community health and outreach workers.
No minimum number of annual prenatal or pediatric patients required
No clinical data reporting is required by participating clinics
†The first clinic participant in Maine was the St. Croix Regional Family Health Center, Janice Small FNP, Princeton, ME 2021.
The second cohort completed training April 2023, including: Andrea Tracy MD, Edmund N. Ervin Pediatric Center Augusta; Sunee Lovely MD Passamaquoddy Health Center Princeton; and Deborah Hagler MD Mid Coast Pediatrics Brunswick.
This third pediatric cohort includes Alyssa Goodwin MD, Stellar Pediatrics, Topsham.
Thank you, Dr. Goodwin!
Watch here: Previous Maine Provider Participants share their experience(minute 34:45)
Feedback from participants in SAFEST Choice Learning Collaborative
“Alcohol use and pregnancy is pervasive, and SAFEST Choice empowered me to promote positive changes in my pregnant patients. Knowing about the problem of prenatal alcohol exposure is important, but SAFEST Choice went beyond the epidemiology and taught me various skills to effectively engage with my patients surrounding the theme of prenatal alcohol use.”
“…more information [and] more substantive than expected…very glad we signed up.”
“I enjoyed the case presentations from my peers, which helped me feel less alone in the challenges of my practice.”