How We Work

TEAMM teaches full-spectrum EPL care through a multi-faceted and systems approach: didactic, experiential, and hands-on learning for the entire healthcare team involved in patient care. To do this, we offer tailored training interventions to clinical sites, which include these training sessions:

  1. "Early Pregnancy Loss Management: What  Everyone Needs to Know." This session includes a didactic plus papaya workshop and is designed for the entire site team.
  2. "Early Pregnancy Loss Implementation: How to Get it Done." This session engages staff in a facilitated conversation detailing the steps of practice integration, covering things like protocols, equipment, clinic/ER flow and patient counseling. It is designed for a select group of providers and support staff at each clinical site.

After site trainings, TEAMM offers follow-up technical assistance tailored to a site's specific needs in order to make implementation of services a reality.

"I guess before the class I was very skeptical about how this was going to fit into emergency department practice, and then when I left I was actually pleasantly surprised about how this is very feasible and potentially something that could benefit a lot of patients that we see."

- Emergency Medicine MD

TEAMM uses a systems-based approach to incorporate high quality miscarriage management into a variety of settings. We recognize that practice change happens at all levels of the clinic, which is why our trainings are designed for your entire team including:

  • Nurses and Medical Assistants
  • Advance Practice Clinicians
  • Physicians
  • Social Workers
  • Front desk/administrative staff
  • Billing staff
  • Patient support staff (medical assistants)
  • Health educators
  • Clinic managers
  • Lab technicians
  • Anyone else who plays a valuable role in the day to day operations of your practice

High-quality outpatient miscarriage management is possible in a wide range of clinical settings from office-based clinical practice to the emergency room. Former TEAMM intervention sites include:

  • Emergency departments
  • Residency programs
  • Advanced practice clinician academic training programs
  • Federally qualified health centers
  • Academic medical centers
  • Primary care and specialty clinics

"I thought it was effective, very helpful. I completely understand why you all included everyone, now it makes perfect sense, but so many times these trainings occur with only MDs, and we have a hard time figuring out on our own how to translate that into practice. But the fact that you incorporated everyone to begin with facilitated everything immensely, including emergency medicine."


To apply to be a TEAMM site if your clinical site is located outside of Washington State, please fill out this brief application to be considered for our next review.

To apply to be a TEAMM site if your clinical site is located in Washington State, please email This email address is being protected from spambots. You need JavaScript enabled to view it..