• ALSO® Course Questions

    How can I find an ALSO course to attend? 

    Search for ALSO Provider Courses in AAFP Global Search.

    Search for ALSO Instructor Courses in AAFP Global Search.

    What topics does the ALSO Provider Course include?

    ALSO offers a robust training program with 14 core curriculum topics included in the online component of the course, six of which are also included as hands-on workstations during the live component of the course. In addition, there are five optional chapters.

    ALSO Provider Core Chapters:

    • Safety in Maternity Care (lecture presented at live course)
    • Late Pregnancy Bleeding
    • Preterm Labor and Premature Rupture of Membranes
    • Intrapartum Fetal Surveillance
    • Hypertensive Disorders of Pregnancy*
    • Labor Dystocia
    • Malpresentations, Malpositions and Multiple Gestation*
    • Assisted Vaginal Delivery*
    • Shoulder Dystocia*
    • Postpartum Hemorrhage*
    • Maternal Resuscitation and Trauma*
    • Cardiac Complications of Pregnancy
    • Venous Thromboembolism in Pregnancy
    • Maternal Sepsis

    *Also included as a workstation at the live course

    ALSO Provider Optional Chapters:

    • Third and Fourth Degree Perineal Lacerations
    • Diagnostic Ultrasound in Labor and Delivery
    • First-Trimester Pregnancy Complications
    • Cesarean Delivery
    • Birth Crisis

    What does the one-day, blended learning format look like?

    The ALSO Provider Course has both an online component and a live component. Sponsors are given a unique course URL to share with their registrants. Learners use it to access and purchase (with course code) the online course, which they complete at their own pace prior to the live course. After completing the live course, learners have access to a letter of participation and a wallet card in their AAFP account.

    What are the advantages of the one-day, blended learning format?

    The one-day, blended learning format reduces the time learners and faculty spend away from patient care. This approach also allows content to be absorbed at the learner’s chosen pace and lends itself to increased retention of the information. We created the blended learning format in response to course evaluations and feedback that repeatedly requested more flexibility in the ALSO course. A new team-based, simulated learning opportunity involving group testing on obstetrical emergency scenarios has also been added.

    What does the online component of the ALSO Provider Course cover?

    Prior to the live course, learners are required to review the ALSO provider manual, which is provided as a downloadable PDF. They are also required to watch recorded video lectures with slide presentations for all of the 14 core chapters. Video demonstrations by ALSO course faculty are presented for the six topics included as hands-on workstations at the live course:

    • Hypertensive Disorders of Pregnancy
    • Malpresentations, Malpositions and Multiple Gestation
    • Assisted Vaginal Delivery
    • Shoulder Dystocia
    • Postpartum Hemorrhage
    • Maternal Resuscitation and Trauma

    Four online case studies are also included in this component of the course: (1) Intrapartum Fetal Surveillance, (2) Hypertensive Disorders of Pregnancy, (3) Late Pregnancy Bleeding, and (4) Labor Dystocia. Gaming technology is used to reinforce memorization of mnemonics taught throughout the ALSO course.

    What does the live component of the ALSO Provider Course cover?

    Safety in Maternity Care is the only lecture given during the live course. It is presented at the very beginning of the course. All of the other core chapters are recorded video lectures with slide presentations that learners watch online prior to the live course.

    During the live course, learners’ application of knowledge is assessed at six hands-on workstations:

    • Hypertensive Disorders of Pregnancy
    • Malpresentations, Malpositions and Multiple Gestation
    • Assisted Vaginal Delivery
    • Shoulder Dystocia
    • Postpartum Hemorrhage
    • Maternal Resuscitation and Trauma

    In addition, interactive group discussions are held on case studies focused on eclampsia, labor dystocia, and intrapartum fetal surveillance. The live course concludes with group testing on seven different obstetrical emergency scenarios.

    Why does the ALSO Provider Course offer group testing instead of individual testing?

    Research on adult learning has shown that adults learn more effectively when working together to solve problems. The ALSO course incorporates an interprofessional education approach so that all health care team members learn the same standardized approach to apply during obstetrical emergencies. Group testing recreates scenarios that physicians and other health care professionals who provide maternity care encounter during real-life situations with their patients. Learners must apply their knowledge of ALSO content while communicating effectively as a team, as well as demonstrating adequate debriefing after the event.

    Are there different testing requirements for physicians, nurses, midwives, and physician assistants (PAs)?

    No. The ALSO Provider Course is designed to be applicable to all health care professionals who provide maternity care, and testing is based on knowledge and application of the standardized ALSO content. Therefore, testing requirements are the same for all course participants.

    Is ALSO training commonly offered or required by family medicine residency programs?

    Yes. New Accreditation Council for Graduate Medical Education (ACGME) requirements have emphasized the use of simulated team training to demonstrate competency in responding to emergencies. The ALSO Provider Course is an effective way to ensure all residents can demonstrate emergency obstetrical techniques and team safety behaviors.

    I am an OB-GYN. Why should I take training conducted by family physicians, and how do I know it is evidence based?

    Although the ALSO program is owned and operated by the AAFP, its content is developed by a multispecialty and interprofessional team of medical editors, authors, and peer reviewers. In addition to family physicians, this expert team includes perinatologists, obstetricians, midwives, and nurses to encourage a comprehensive, standardized approach to obstetrical emergency training. 

    Do ALSO courses currently qualify for any MOC Part IV activities?

    The ALSO Provider Course - Live portion meets the conditions for Maintenance of Certification (MOC) Part IV for obstetrician learners through the American Board of Obstetrics and Gynecology (ABOG). 

    Is ALSO approved to offer continuing nursing education (CNE) or continuing education units (CEU)?

    Yes. The AAFP is approved as a provider of CNE by the Kansas State Board of Nursing (KSBN). The online course is approved for nursing contact hours applicable for advanced practice registered nurse (APRN), registered nurse (RN), and licensed practical nurse (LPN) relicensure. The live course hours depend on each ALSO sponsor’s agenda. Please note that ALSO is an advanced level course and may not be suitable for general CNE.

    What must ALSO sponsors submit for nurses to be awarded continuing nursing education (CNE) or continuing education units (CEU)?

    To report nursing contact hours to the Kansas State Board of Nursing (KSBN), ALSO sponsors must ensure that the course roster is complete. All nurses must sign the roster each day they are present in the live course. If a nurse does not sign the roster, the ALSO sponsor will not report this individual’s completion of the course to the KSBN. After the live course, sponsors should scan and upload the course roster to their course dashboard prior to submitting it to the KSBN.

    May learners who cannot attend the live course due to an emergency attend one at a later date? 

    Although learners are expected to attend the ALSO Live Course on the date(s) for which they registered, we realize emergencies happen. However, the ALSO Online Course is an AAFP product that includes the entire ALSO provider manual as a downloadable PDF. Once a learner has accessed the online course, this is considered a purchase and it cannot be “returned.” 

    Learners who cannot attend the live course for which they registered should check with the course sponsor. Most sponsors have a cancellation policy. Possible options may include the following:

    • Since the learner will remain on the sponsor’s invoice, the sponsor may collect $120 from the learner to pay for the online product that is now accessible through the learner’s AAFP account. The learner will be subject to additional fees if they sign up with another sponsor to attend the ALSO Live Course at a later date.
    • If the learner registers for another ALSO Live Course, the AAFP can transfer their purchase to the new course. The learner must register for the course first and then email also@aafp.org with the new course information (sponsor, date, city/state). We will transfer their online progress to the new live course. The learner must attend the new live course before the release of a new ALSO content edition, which happens every three years. This will ensure that the content of the online course the learner completed matches the content of the live course. 

    What are the ALSO mnemonic reference cards?

    These 3x5-inch laminated cards allow learners to mix and match obstetrical emergency mnemonics they want to hang on their badge to use as a quick reference in emergency situations.


    ALSO Department (dashboard and status inquiries)
    Email also@aafp.org
    (800) 274-2237, ext. 7506
    (For efficiency, please do not contact individual staff.)

    Member Resource Center (orders, invoice, AAFP ID assistance)
    (800) 274-2237
    Email aafp@aafp.org