ALSO® Course Questions


ALSO staff (program questions)
1-800-274-2237, ext. 7506

Member Resource Center (invoice, AAFP ID numbers)

What topics does the ALSO program include?

ALSO offers a robust training program with 11 core curriculum topics. There are also five additional optional chapters.

ALSO Provider Core Chapters:

  • Safety in Maternity Care
  • First-Trimester Pregnancy Complications
  • Vaginal Bleeding in Late Pregnancy
  • Preterm Labor and Premature Rupture of Membranes
  • Intrapartum Fetal Surveillance
  • Labor Dystocia
  • Malpresentations, Malpositions and Multiple Gestation
  • Assisted Vaginal Delivery
  • Shoulder Dystocia
  • Postpartum Hemorrhage
  • Maternal Resuscitation and Trauma

ALSO Provider Optional Chapters:

  • Third and Fourth Degree Perineal Lacerations
  • Diagnostic Ultrasound in Labor and Delivery
  • Neonatal Resuscitation
  • Cesarean Delivery
  • Birth Crisis

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

The ALSO Provider Course has both an online and a live component. Sponsors are given a course code to share with their leaners. Learners will access and purchase (with course code) the online course and complete it at their own pace prior to the live course. After completion of the live course, they will have access to the letter of participation and wallet card in their personal AAFP identification (ID) 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. The approach also allows content to be absorbed at the learner’s chosen pace and lends itself to increased retention of the materials. ALSO created the blended learning format in response to course evaluations and feedback repeatedly requesting a course that allows more flexibility. A new team-based, simulated learning opportunity through group testing scenarios has also been included.

Can I teach the live portion of the optional chapters in one day?

The optional sessions will extend the time needed to teach the ALSO course. Depending on how many optional sessions the course director chooses to include, the time to teach the live portion of the course may need to extend to the following day.

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

It includes the ALSO provider manual PDF that learners are required to review prior to the live course. They are also required to watch recorded lectures with slide presentations of all chapters. Two online case studies are included: preeclampsia and late pregnancy bleeding. Video recorded workstation demonstrations by ALSO course faculty are presented on maternal resuscitation, postpartum hemorrhage, malpresentations, shoulder dystocia, and assisted vaginal delivery, with gaming technology to reinforce memorization of ALSO mnemonics taught throughout the course.

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

Safety in maternity care is the only lecture taught at the very beginning of the live course. All other required sessions have video recorded lectures that the learner will watch online, prior to the live course. The learner’s application of knowledge is assessed at various skill workstations throughout the day. These workstations include shoulder dystocia, malpositions, emergency breech delivery, assisted vaginal delivery, maternal resuscitation, and postpartum hemorrhage. Interactive group case study discussions are held on the topics of eclampsia, labor dystocia, and intrapartum fetal surveillance. The live portion of the course concludes with group testing on seven different obstetrical emergency scenarios.

Will learners be prepared to demonstrate their knowledge of ALSO content if there are no lectures? 

Yes. Sponsors who have held one or more courses in this new format report that learners who had successfully completed the online prework came to the course better prepared and more confident of their skills than learners in past courses.

Why does the course offer group testing instead of individual testing?

Adult learning principles prove that adults learn more effectively when working together to problem solve. ALSO incorporates an interprofessional education approach so all health care team members learn the same standardized approach to apply during obstetrical emergencies. Group testing recreates scenarios that maternity care providers encounter during real-life patient care situations. Learners apply their knowledge of ALSO content while communicating effectively as a team, as well as demonstrating adequate debriefing after the event.

How do I find an ALSO course to attend? 

You will find all available courses by visiting the ALSO course page on the AAFP website. After you find a course you would like to attend, contact the course coordinator listed next to the course for further information and to register.

Are there different testing requirements for physicians, nurses, midwives, or physician assistants?

The ALSO course is designed to be applicable to all professions, and testing is based upon knowledge and application of the standardized ALSO content. Therefore, testing elements are applicable to all.

Is ALSO training commonly part of or required in family medicine residency programs?

Yes. In a survey conducted by the ALSO Advisory Board in January 2007, more than 80% of all family medicine residency programs reported that ALSO provider training was a required element in their program. New Accreditation Council on Graduate Medical Education (ACGME) requirements have emphasized the use of simulated team training to demonstrate competency in approaching emergency responses. The ALSO Provider Course is an effective means to ensure all residents can demonstrate emergency obstetrical techniques and team safety behaviors.

I am an OBGYN, why should I take training conducted by family physicians, and how do I know it is evidenced 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. This expert editorial team is comprised of perinatologists, obstetricians, midwives, nurses, as well as family physicians to encourage a comprehensive, yet standardized approach to obstetrical emergency training.

What are the mnemonic reference cards?  

These 3x5-inch individualized laminated cards allow learners to mix and match what obstetrical emergency mnemonics they would like to hang on their badge as a quick reference during an obstetrical emergency.

Does ALSO currently qualify for any MOC Part IV activities?

Yes. ALSO courses meet conditions for Maintenance of Certification (MOC) Part IV for obstetricians through the American Board of Obstetrics and Gynecology (ABOG). However, due to different requirements through the American Board of Family Medicine (ABFM), the course is not currently available for the ABFM's Family Medicine Certification requirements.

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

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

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

The AAFP is approved as a provider of continuing nursing education (CNE) by the KSBN. To report nursing contact hours, course sponsors must ensure that the course roster is complete. Each nurse must sign the roster each day they are present in the course. Those with no signature will not be reported to the KSBN as completing the course. Sponsors should scan and upload the course roster to their course dashboard prior to submitting after the live course.


ALSO staff (program questions)
1-800-274-2237, ext. 7506

Member Resource Center (invoice, AAFP ID numbers)