RE: Resolution has been pulled for debate - please pray for passage

[Guest guest]

Friends,

My resolution has been pulled for debate on the floor of the congress. Therefore I will need to speak out in favor of it. Please pray that I have the words to speak out clearly and strongly in favor of women and men learning more about their fertility, so they can appropriately plan for their families. Then, pray the congress will vote in support of this resolution. Thank you!

Marguerite Duane

To: "nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Tuesday, September 13, 2011 11:21 PMSubject: RE: Education abut NFP comes beore the Congress tomorrow moning

Dear Friends,

The substitute resolution to support the teaching of natural family planning methods will come before the Congress Wednesday morning at about 9am. See the bolded, underlined section below. Again, I hope that it will be passed as is, beause this means we will have made significant inroads within a major professional medical organization. Until then, I appreciate your continued support and I will keep you posted!

Sincerely,

Marguerite

To: "nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Tuesday, September 13, 2011 3:19 PMSubject: RE: Support about FAM/NFP - A defeat .. but please keep the positive thoughts and prayers coming

Dear Colleauges,

I am sad to report that the Academy has passed the following resolution regarding supporting policies to provide coverage for family planning drugs. See below:

RESOLVED: The American Academy of Family Physicians (AAFP) support policies and

legislation that would require public and private insurance plans to provide coverage for

family planning drugs and supplies that are FDA approved, including those for sale over the-counter.

We are now discussing the following resolution - unrelated to NFP issues, but perhaps of interest to some of you:

RESOLVED, That the American Academy of Family Physicians (AAFP) support full civil marriage quality for same-gender families to contribute to overall health and longevity, improved family stability and to benefit children of Gay, Lesbian, Bisexual, 1 Transgender (GLBT) families. Again, I appreicate your thgouhts and prayers

SIncerely,

Marguerite Duane

To: "nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Tuesday, September 13, 2011 9:54 AMSubject: RE: Support about FAM/NFP - PROGRESS

Dear Friends,

The reference committee has come out with their recommendations and I believe we have made some positive progress. Specifically, the reference committee has recommended adoption of the following substitute resolution:

RECOMMENDATION: The reference committee recommends that Substitute Resolution No.

25 607 which reads as follows be adopted in lieu of Resolution No. 607:

26

27 RESOLVED, That the American Academy of Family Physicians (AAFP) AAFP solicit and

28 support the development of updated CME programs and patient information resources on

29 evidenced-based reproductive health topics, including natural family planning methods,

30 and be it further

31

32 RESOLVED, That the American Academy of Family Physicians (AAFP) include natural family

33 planning methods’ counseling as a core skill in the Recommended Curriculum Guidelines for

34 Family Medicine Residents: Maternity and Gynecologic Care, AAFP Reprint 261.

35

36 CONSENT

While it is not perfect, it is a step in the right direction. However, we still have one more hurdle. The resolution will need to be passed by the AAFP Congress of DElegates this afternoon. Therefore, I ask for your continued prayers in this regard. Specifically, I will pray that it does NOT get withdrawn from the consent calendar for further debate, but rather gets passed as is. If this does get passed it will most likely be referred to the AAFP Commission on Education, where we do have supporters. Then it will be incumbent upon us to translate this resolution into reality by developing and offering CME and working with residency programs to train residents on how to counsel patients about natural family planning

So, thank you and thank you for your continued support!

Sincerely,

Marguerite

To: nfpprofessionals Sent: Monday, September 12, 2011 9:06 PMSubject: RE: Support to speak the truth about FAM/NFP - an update

Good work! Be sure of my prayers for the reference committee. It seems odd that one even has to fight this battle, when NFP has been recognized as a legitimate method in both domestic and foreign government appropriations since the 80’s. .

Hanna

From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of MargueriteSent: Monday, September 12, 2011 7:22 PMTo: nfpprofessionals Cc: nfpprofessionals yahooSubject: Re: Support to speak the truth about FAM/NFP - an update

Dear all,

I provided my testimony this afternoon and was grateful there were others who also spoke out in support of it as well. Of course, there were those opposed to it citing the supposed lack of effectiveness and the fact that this should not be required for residents. Therefore, for those of you of faith, please continue your prayers that the reference committee recommend passage of the resolution by the Congress.

Thank you!

MargueriteSent from my iPhone

Marguerite, We are all extremely proud of you. May God bless you and your efforts. Steve Koob

To: nfpprofessionals From: kdpoehailos@...Date: Mon, 12 Sep 2011 13:50:41 +0000Subject: Re: Support to speak the truth about FAM/NFP - an update

Marguerite, I just sent a prayer request through the Diocese of Richmond NFP Facebook group--thus adding 100 teachers, priests, promoters to the cause for you. Keep us posted. God bless, D. Poehailos, MDNFP Coordinator, Catholic Diocese of Richmond VA

To: nfpprofessionals Sent: Monday, September 12, 2011 8:29:04 AMSubject: Re: Support to speak the truth about FAM/NFP - an update

Friends,

I just introduced the resolution to promote education about fertility awareness methods at the opening session of the Congress of Delegates. It required a 2/3rds vote to EVEN be considered by the Congess and it barely passed! Thankfully, though it did, so now I will be able to present testimony at the reference committee. However, this morning's vote reaffirmed that this is not going to be easy; therefore, I appreciate your support, especially this afternoon, between 1 and 4pm when I will be giving testimony. I will kepp you posted

Sincerely,

Marguerite

To: nfpprofessionals Sent: Sunday, September 11, 2011 1:13 AMSubject: Re: Support to speak the truth about FAM/NFP

Marguerite,I will definitely be praying for you, especially for your courage to speak out. It is so difficult being the lone voice in the wilderness but these things have to be said. If we are silent, we lose.God Bless you!Peggy

Dear Friends and Colleagues,On Monday I will introduce a resolution at the American Academy of Family Physicians Congress of Delegates, with the following resolved clauses:RESOLVED, That the American Academy of Family Physicians (AAFP) solicit and publish updated, accurate patient information about the individual fertility awareness based methods of family planning on FamilyDoctor.org, and be it furtherRESOLVED, That the American Academy of Family Physicians (AAFP) support the development of CME programs about fertility awareness based methods of family planning, and be it furtherRESOLVED, That the American Academy of Family Physicians (AAFP) include fertility awareness counseling as a required core skill in the Recommended Curriculum Guidelines for Family Medicine Residents,

Maternity and Gynecologic Care, AAFP Reprint 261I request your prayers and positive thoughts as I hope to promote more education about these methods in mainstream medicine. While this resolution is not very controversial, there are a number of other resolution coming forward that make me realize this may not be a very open community to this information. For example, two resolutions seek to make FDA approved forms of oral contraceptives that are available over the counter, be made available for free without a prescription. Another is resolves that all community health centers should be required to provide all FDA approved forms of contraception. Hopefully, I will have the courage to speak out about the potential harms of such actions, which is why I am asking for your support.Thanks in advance,Marguerite Duane

[Guest guest]

And, Nurse Practitioner programs usually include NFP training, at least education on the basics.It has been surprising to give a presentation to a group of FPs and IM-Peds Drs who did NOT know anything about it, while the NPs in the audience did. From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of Pavela, L., M.D.Sent: Wednesday, September 14, 2011 10:25 AMTo: nfpprofessionals ; Hanna Klaus; Steve KoobCc: Pearl Huang; Marguerite DuaneSubject: RE: RE: Resolution has been pulled for debate - please pray for passage The main argument for teaching FP residents about NFP is that they are going to encounter patients who use the method once they are in practice. I use the medical literature to back up my claim that it is a legitimate method with scientific basis. I then use a story about a local staff FP who rudely dismissed a couple out of hand when they presented there charts to him. He subsequently had no credibility with this couple and with a large segment of their friends. He basically looked very foolish to them. I state it is important that physicians at least know about the basic fundamentals of the methods, and be aware of the resources in their community for referral of these patients. NFP couples are definitely a minority of the population, are not going away, and they will encounter them. Physicians don’t personally have to agree with the methods, but they must be aware. It might be likened to the teaching of the whole panoply of alternative medicine, so prevalent in our society. Therefore, it should be a part of the education process in residencies. Pavela, MDInternal MedicineMayo Clinic Health SystemsLa Crosse, Wisconsin From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of Marguerite DuaneSent: Wednesday, September 14, 2011 8:56 AMTo: Hanna Klaus; Steve Koob; nfpprofessionals Cc: Pearl Huang; Marguerite DuaneSubject: RE: Resolution has been pulled for debate - please pray for passage Friends, My resolution has been pulled for debate on the floor of the congress. Therefore I will need to speak out in favor of it. Please pray that I have the words to speak out clearly and strongly in favor of women and men learning more about their fertility, so they can appropriately plan for their families. Then, pray the congress will vote in support of this resolution. Thank you! Marguerite Duane To: " nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Tuesday, September 13, 2011 11:21 PMSubject: RE: Education abut NFP comes beore the Congress tomorrow moning Dear Friends, The substitute resolution to support the teaching of natural family planning methods will come before the Congress Wednesday morning at about 9am. See the bolded, underlined section below. Again, I hope that it will be passed as is, beause this means we will have made significant inroads within a major professional medical organization. Until then, I appreciate your continued support and I will keep you posted! Sincerely,Marguerite To: " nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Tuesday, September 13, 2011 3:19 PMSubject: RE: Support about FAM/NFP - A defeat .. but please keep the positive thoughts and prayers coming Dear Colleauges, I am sad to report that the Academy has passed the following resolution regarding supporting policies to provide coverage for family planning drugs. See below: RESOLVED: The American Academy of Family Physicians (AAFP) support policies andlegislation that would require public and private insurance plans to provide coverage forfamily planning drugs and supplies that are FDA approved, including those for sale over the-counter. We are now discussing the following resolution - unrelated to NFP issues, but perhaps of interest to some of you:RESOLVED, That the American Academy of Family Physicians (AAFP) support full civil marriage quality for same-gender families to contribute to overall health and longevity, improved family stability and to benefit children of Gay, Lesbian, Bisexual, 1 Transgender (GLBT) families. Again, I appreicate your thgouhts and prayers SIncerely,Marguerite Duane To: " nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Tuesday, September 13, 2011 9:54 AMSubject: RE: Support about FAM/NFP - PROGRESS Dear Friends,The reference committee has come out with their recommendations and I believe we have made some positive progress. Specifically, the reference committee has recommended adoption of the following substitute resolution:RECOMMENDATION: The reference committee recommends that Substitute Resolution No.25 607 which reads as follows be adopted in lieu of Resolution No. 607:2627 RESOLVED, That the American Academy of Family Physicians (AAFP) AAFP solicit and28 support the development of updated CME programs and patient information resources on29 evidenced-based reproductive health topics, including natural family planning methods,30 and be it further3132 RESOLVED, That the American Academy of Family Physicians (AAFP) include natural family 33 planning methods’ counseling as a core skill in the Recommended Curriculum Guidelines for 34 Family Medicine Residents: Maternity and Gynecologic Care, AAFP Reprint 261. 3536 CONSENT While it is not perfect, it is a step in the right direction. However, we still have one more hurdle. The resolution will need to be passed by the AAFP Congress of DElegates this afternoon. Therefore, I ask for your continued prayers in this regard. Specifically, I will pray that it does NOT get withdrawn from the consent calendar for further debate, but rather gets passed as is. If this does get passed it will most likely be referred to the AAFP Commission on Education, where we do have supporters. Then it will be incumbent upon us to translate this resolution into reality by developing and offering CME and working with residency programs to train residents on how to counsel patients about natural family planning So, thank you and thank you for your continued support! Sincerely,Marguerite To: nfpprofessionals Sent: Monday, September 12, 2011 9:06 PMSubject: RE: Support to speak the truth about FAM/NFP - an update Good work! Be sure of my prayers for the reference committee. It seems odd that one even has to fight this battle, when NFP has been recognized as a legitimate method in both domestic and foreign government appropriations since the 80’s. . Hanna From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of MargueriteSent: Monday, September 12, 2011 7:22 PMTo: nfpprofessionals Cc: nfpprofessionals yahooSubject: Re: Support to speak the truth about FAM/NFP - an update Dear all, I provided my testimony this afternoon and was grateful there were others who also spoke out in support of it as well. Of course, there were those opposed to it citing the supposed lack of effectiveness and the fact that this should not be required for residents. Therefore, for those of you of faith, please continue your prayers that the reference committee recommend passage of the resolution by the Congress. Thank you!MargueriteSent from my iPhone Marguerite, We are all extremely proud of you. May God bless you and your efforts. Steve Koob To: nfpprofessionals From: kdpoehailos@...Date: Mon, 12 Sep 2011 13:50:41 +0000Subject: Re: Support to speak the truth about FAM/NFP - an update Marguerite, I just sent a prayer request through the Diocese of Richmond NFP Facebook group--thus adding 100 teachers, priests, promoters to the cause for you. Keep us posted. God bless, D. Poehailos, MDNFP Coordinator, Catholic Diocese of Richmond VATo: nfpprofessionals Sent: Monday, September 12, 2011 8:29:04 AMSubject: Re: Support to speak the truth about FAM/NFP - an update Friends, I just introduced the resolution to promote education about fertility awareness methods at the opening session of the Congress of Delegates. It required a 2/3rds vote to EVEN be considered by the Congess and it barely passed! Thankfully, though it did, so now I will be able to present testimony at the reference committee. However, this morning's vote reaffirmed that this is not going to be easy; therefore, I appreciate your support, especially this afternoon, between 1 and 4pm when I will be giving testimony. I will kepp you posted Sincerely,Marguerite To: nfpprofessionals Sent: Sunday, September 11, 2011 1:13 AMSubject: Re: Support to speak the truth about FAM/NFP Marguerite,I will definitely be praying for you, especially for your courage to speak out. It is so difficult being the lone voice in the wilderness but these things have to be said. If we are silent, we lose.God Bless you!Peggy Dear Friends and Colleagues,On Monday I will introduce a resolution at the American Academy of Family Physicians Congress of Delegates, with the following resolved clauses:RESOLVED, That the American Academy of Family Physicians (AAFP) solicit and publish updated, accurate patient information about the individual fertility awareness based methods of family planning on FamilyDoctor.org, and be it furtherRESOLVED, That the American Academy of Family Physicians (AAFP) support the development of CME programs about fertility awareness based methods of family planning, and be it furtherRESOLVED, That the American Academy of Family Physicians (AAFP) include fertility awareness counseling as a required core skill in the Recommended Curriculum Guidelines for Family Medicine Residents, Maternity and Gynecologic Care, AAFP Reprint 261I request your prayers and positive thoughts as I hope to promote more education about these methods in mainstream medicine. While this resolution is not very controversial, there are a number of other resolution coming forward that make me realize this may not be a very open community to this information. For example, two resolutions seek to make FDA approved forms of oral contraceptives that are available over the counter, be made available for free without a prescription. Another is resolves that all community health centers should be required to provide all FDA approved forms of contraception. Hopefully, I will have the courage to speak out about the potential harms of such actions, which is why I am asking for your support.Thanks in advance,Marguerite Duane

[Guest guest]

Dr Duane,I have faith that the Holy Spirit will give you the right words to say. Debate, or more accurately honest discussion, may be just what is needed in order to melt the hearts of those who would otherwise have voted " no " . Once they see that you are not hostile with an agenda, they may be more open to see that it is done out of concern for educating patients & physicians in the latest advances of reproductive medicine. The days of blindly handing out contraceptives because we don't have a true understanding of how to naturally plan our families is over & you have the opportunity to convey this message. What an amazing opportunity! You get to show them that NFP is in no way the archaic rhythm method we are all taught that it is in med school. It truly is the cutting edge understanding of what our bodies are doing & why. Those who are coming from a purely scientific viewpoint should warm up to this message & want to know more. I just can't help but see this as a blessing in disguise. No, it may not be comfortable or easy, but the Lord's way often is not since it often means going against an accepted societal norm. As you stand in front of everyone just try & remember that " His yolk is easy & His burden is light. "

May God Continue to Bless Your Work,~ M. Padley- MS IVAmerican University of Antigua

[Guest guest]

MargueriteTwo rguments that may help1. 30% of couples will face infertility, and sound knowledge of the cycle and fertility focused intercourse the first in solving an infertility problem, and the basis of simple,cost-effective therapies. (Hilgers and Boyle articles will back this up - I have refs if you need them)2. Diversity - for 5-10% of the population - NFP/Fertility awareness for pregnancy prevention is culturally appropriate (Catholics, some ethnic groups). This population needs to be educated beyond the rhythm method and be able to identify the onset and end of the fertile period, and their medical providers need to know enough to help them do this. It discriminates against these people to not provide them with modern, accurate family planning information that is acceptable to

them.(Statistics in textbooks such as Contraceptive Technology indicate that most of the people using NFP use rhythm).Blessings and congratulations for your courage. D3. 3. To: Hanna Klaus ; "nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Wednesday, September 14, 2011 6:56 AMSubject: RE: Resolution has been pulled for debate - please pray for passage

Friends,

My resolution has been pulled for debate on the floor of the congress. Therefore I will need to speak out in favor of it. Please pray that I have the words to speak out clearly and strongly in favor of women and men learning more about their fertility, so they can appropriately plan for their families. Then, pray the congress will vote in support of this resolution. Thank you!

Marguerite Duane

To: "nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Tuesday, September 13, 2011 11:21 PMSubject: RE: Education abut NFP comes beore the Congress tomorrow moning

Dear Friends,

The substitute resolution to support the teaching of natural family planning methods will come before the Congress Wednesday morning at about 9am. See the bolded, underlined section below. Again, I hope that it will be passed as is, beause this means we will have made significant inroads within a major professional medical organization. Until then, I appreciate your continued support and I will keep you posted!

Sincerely,

Marguerite

To: "nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Tuesday, September 13, 2011 3:19 PMSubject: RE: Support about FAM/NFP - A defeat .. but please keep the positive thoughts and prayers coming

Dear Colleauges,

I am sad to report that the Academy has passed the following resolution regarding supporting policies to provide coverage for family planning drugs. See below:

RESOLVED: The American Academy of Family Physicians (AAFP) support policies and

legislation that would require public and private insurance plans to provide coverage for

family planning drugs and supplies that are FDA approved, including those for sale over the-counter.

We are now discussing the following resolution - unrelated to NFP issues, but perhaps of interest to some of you:

RESOLVED, That the American Academy of Family Physicians (AAFP) support full civil marriage quality for same-gender families to contribute to overall health and longevity, improved family stability and to benefit children of Gay, Lesbian, Bisexual, 1 Transgender (GLBT) families. Again, I appreicate your thgouhts and prayers

SIncerely,

Marguerite Duane

To: "nfpprofessionals " <nfpprofessionals >Cc: Pearl Huang Sent: Tuesday, September 13, 2011 9:54 AMSubject: RE: Support about FAM/NFP - PROGRESS

Dear Friends,

The reference committee has come out with their recommendations and I believe we have made some positive progress. Specifically, the reference committee has recommended adoption of the following substitute resolution:

RECOMMENDATION: The reference committee recommends that Substitute Resolution No.

25 607 which reads as follows be adopted in lieu of Resolution No. 607:

26

27 RESOLVED, That the American Academy of Family Physicians (AAFP) AAFP solicit and

28 support the development of updated CME programs and patient information resources on

29 evidenced-based reproductive health topics, including natural family planning methods,

30 and be it further

31

32 RESOLVED, That the American Academy of Family Physicians (AAFP) include natural family

33 planning methods’ counseling as a core skill in the Recommended Curriculum Guidelines for

34 Family Medicine Residents: Maternity and Gynecologic Care, AAFP Reprint 261.

35

36 CONSENT

While it is not perfect, it is a step in the right direction. However, we still have one more hurdle. The resolution will need to be passed by the AAFP Congress of DElegates this afternoon. Therefore, I ask for your continued prayers in this regard. Specifically, I will pray that it does NOT get withdrawn from the consent calendar for further debate, but rather gets passed as is. If this does get passed it will most likely be referred to the AAFP Commission on Education, where we do have supporters. Then it will be incumbent upon us to translate this resolution into reality by developing and offering CME and working with residency programs to train residents on how to counsel patients about natural family planning

So, thank you and thank you for your continued support!

Sincerely,

Marguerite

To: nfpprofessionals Sent: Monday, September 12, 2011 9:06 PMSubject: RE: Support to speak the truth about FAM/NFP - an update

Good work! Be sure of my prayers for the reference committee. It seems odd that one even has to fight this battle, when NFP has been recognized as a legitimate method in both domestic and foreign government appropriations since the 80’s. .

Hanna

From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of MargueriteSent: Monday, September 12, 2011 7:22 PMTo: nfpprofessionals Cc: nfpprofessionals yahooSubject: Re: Support to speak the truth about FAM/NFP - an update

Dear all,

I provided my testimony this afternoon and was grateful there were others who also spoke out in support of it as well. Of course, there were those opposed to it citing the supposed lack of effectiveness and the fact that this should not be required for residents. Therefore, for those of you of faith, please continue your prayers that the reference committee recommend passage of the resolution by the Congress.

Thank you!

MargueriteSent from my iPhone

Marguerite, We are all extremely proud of you. May God bless you and your efforts. Steve Koob

To: nfpprofessionals From: kdpoehailos@...Date: Mon, 12 Sep 2011 13:50:41 +0000Subject: Re: Support to speak the truth about FAM/NFP - an update

Marguerite, I just sent a prayer request through the Diocese of Richmond NFP Facebook group--thus adding 100 teachers, priests, promoters to the cause for you. Keep us posted. God bless, D. Poehailos, MDNFP Coordinator, Catholic Diocese of Richmond VA

To: nfpprofessionals Sent: Monday, September 12, 2011 8:29:04 AMSubject: Re: Support to speak the truth about FAM/NFP - an update

Friends,

I just introduced the resolution to promote education about fertility awareness methods at the opening session of the Congress of Delegates. It required a 2/3rds vote to EVEN be considered by the Congess and it barely passed! Thankfully, though it did, so now I will be able to present testimony at the reference committee. However, this morning's vote reaffirmed that this is not going to be easy; therefore, I appreciate your support, especially this afternoon, between 1 and 4pm when I will be giving testimony. I will kepp you posted

Sincerely,

Marguerite

To: nfpprofessionals Sent: Sunday, September 11, 2011 1:13 AMSubject: Re: Support to speak the truth about FAM/NFP

Marguerite,I will definitely be praying for you, especially for your courage to speak out. It is so difficult being the lone voice in the wilderness but these things have to be said. If we are silent, we lose.God Bless you!Peggy

Dear Friends and Colleagues,On Monday I will introduce a resolution at the American Academy of Family Physicians Congress of Delegates, with the following resolved clauses:RESOLVED, That the American Academy of Family Physicians (AAFP) solicit and publish updated, accurate patient information about the individual fertility awareness based methods of family planning on FamilyDoctor.org, and be it furtherRESOLVED, That the American Academy of Family Physicians (AAFP) support the development of CME programs about fertility awareness based methods of family planning, and be it furtherRESOLVED, That the American Academy of Family Physicians (AAFP) include fertility awareness counseling as a required core skill in the Recommended Curriculum Guidelines for Family Medicine

Residents,

Maternity and Gynecologic Care, AAFP Reprint 261I request your prayers and positive thoughts as I hope to promote more education about these methods in mainstream medicine. While this resolution is not very controversial, there are a number of other resolution coming forward that make me realize this may not be a very open community to this information. For example, two resolutions seek to make FDA approved forms of oral contraceptives that are available over the counter, be made available for free without a prescription. Another is resolves that all community health centers should be required to provide all FDA approved forms of contraception. Hopefully, I will have the courage to speak out about the potential harms of such actions, which is why I am asking for your support.Thanks in advance,Marguerite Duane

[Guest guest]

:

I think the source of the NFP training for the Nurse Practitioner programs is the Title X Family Planning mandate through the US Dept of Health and Human Services.

Title X Family Planning funded programs are to include NFP as an option. Title X used to fund Family Planning nurse practitioner programs and each program had to have NFP as part of the curriculum. I reviewed these programs for HHS in the early 1990s – to

see if they adequately met the NFP curriculum requirements. The Family Planning nurse practitioner programs were certification based. I also have provided NFP updates for Title X NPs in the past.

Nurse practitioner programs are now at a minimum and the masters level (and most are moving to the doctorate of nursing practice - DNP). Since the masters

requirement was initiated, many of the Family Planning nurse practitioner programs were integrated into Family Nurse Practitioner (FNP) University based masters programs. For example in Milwaukee, Planned Parenthood was the Title X Family Nurse Practitioner

program – they were then re-constituted into the FNP masters/now DNP program at the University of Wisconsin-Milwaukee. I am not sure if these FNP programs all include NFP content – if they are funded by Title X they should be providing that content. I was

asked last year to provide 3 hours of NFP content to the UW-Milwaukee program. Dr. Lee Barron, PhD, RN – who is the director of the DNP/FNP at Saint Louis University could tell us if NFP content is required for FNP programs.

The bottom line is that much of the family planning services for the poor are provided by NPs through the Title X programs. Any health professional, MD or

NP, who provides family planning services through Title X clinics should have a knowledge base for NFP.

I also wish to thank Marquerite (Dr. Duane) for her persistence in working towards the incorporation of NFP/FABM into Family Physician training.

J. Fehring, PhD, RN, FAAN

Professor

Marquette University

College of Nursing

From: nfpprofessionals [mailto:nfpprofessionals ]

On Behalf Of ,

Sent: Wednesday, September 14, 2011 9:28 AM

To: nfpprofessionals

Subject: RE: RE: Resolution has been pulled for debate - please pray for passage

And, Nurse Practitioner programs usually include NFP training, at least education on the basics.

It has been surprising to give a presentation to a group of FPs and IM-Peds Drs who did NOT know anything about it, while the NPs in the audience did.

From: nfpprofessionals [mailto:nfpprofessionals ]

On Behalf Of Pavela, L., M.D.

Sent: Wednesday, September 14, 2011 10:25 AM

To: nfpprofessionals ; Hanna Klaus; Steve Koob

Cc: Pearl Huang; Marguerite Duane

Subject: RE: RE: Resolution has been pulled for debate - please pray for passage

The main argument for teaching FP residents about NFP is that they are going to encounter patients who

use the method once they are in practice. I use the medical literature to back up my claim that it is a legitimate method with scientific basis. I then use a story about a local staff FP who rudely dismissed a couple out of hand when they presented there

charts to him. He subsequently had no credibility with this couple and with a large segment of their friends. He basically looked very foolish to them. I state it is important that physicians at least know about the basic fundamentals of the methods, and

be aware of the resources in their community for referral of these patients. NFP couples are definitely a minority of the population, are not going away, and they will encounter them. Physicians don’t personally have to agree with the methods, but they must

be aware. It might be likened to the teaching of the whole panoply of alternative medicine, so prevalent in our society. Therefore, it should be a part of the education process in residencies.

Pavela, MD

Internal Medicine

Mayo Clinic Health Systems

La Crosse, Wisconsin

From: nfpprofessionals

[mailto:nfpprofessionals ] On Behalf Of Marguerite Duane

Sent: Wednesday, September 14, 2011 8:56 AM

To: Hanna Klaus; Steve Koob; nfpprofessionals

Cc: Pearl Huang; Marguerite Duane

Subject: RE: Resolution has been pulled for debate - please pray for passage

Friends,

My resolution has been pulled for debate on the floor of the congress. Therefore I will need to speak out in favor of it. Please pray that I have the words to speak out clearly and

strongly in favor of women and men learning more about their fertility, so they can appropriately plan for their families. Then, pray the congress will vote in support of this resolution. Thank you!

Marguerite Duane

To: " nfpprofessionals " <nfpprofessionals >

Cc: Pearl Huang

Sent: Tuesday, September 13, 2011 11:21 PM

Subject: RE: Education abut NFP comes beore the Congress tomorrow moning

Dear Friends,

The substitute resolution to support the teaching of natural family planning methods will come before the Congress Wednesday morning at about 9am. See the bolded, underlined section

below. Again, I hope that it will be passed as is, beause this means we will have made significant inroads within a major professional medical organization. Until then, I appreciate your continued support and I will keep you posted!

Sincerely,

Marguerite

To: " nfpprofessionals " <nfpprofessionals >

Cc: Pearl Huang

Sent: Tuesday, September 13, 2011 3:19 PM

Subject: RE: Support about FAM/NFP - A defeat .. but please keep the positive thoughts and prayers coming

Dear Colleauges,

I am sad to report that the Academy has passed the following resolution regarding supporting policies to provide coverage for family planning drugs. See below:

RESOLVED: The American Academy of Family Physicians (AAFP) support policies and

legislation that would require public and private insurance plans to provide coverage for

family planning drugs and supplies that are FDA approved, including those for sale over the-counter.

We are now discussing the following resolution - unrelated to NFP issues, but perhaps of interest to some of you:

RESOLVED, That the American Academy of Family Physicians (AAFP) support full civil marriage

quality for same-gender families to contribute to overall health and longevity, improved family stability and to benefit children of Gay, Lesbian, Bisexual,

1 Transgender (GLBT) families.

Again, I appreicate your thgouhts and prayers

SIncerely,

Marguerite Duane

To: " nfpprofessionals " <nfpprofessionals >

Cc: Pearl Huang

Sent: Tuesday, September 13, 2011 9:54 AM

Subject: RE: Support about FAM/NFP - PROGRESS

Dear Friends,

The reference committee has come out with their recommendations and I believe we have made some positive progress. Specifically, the reference committee has recommended adoption of

the following substitute resolution:

RECOMMENDATION:

The reference committee recommends that Substitute Resolution No.

25

607 which reads as follows be adopted in lieu of Resolution No. 607:

26

27

RESOLVED, That the American Academy of Family Physicians (AAFP) AAFP solicit and

28

support the development of updated CME programs and patient information resources on

29

evidenced-based reproductive health topics, including natural family planning methods,

30

and be it further

31

32

RESOLVED, That the American Academy of Family Physicians (AAFP) include natural family

33

planning methods’ counseling as a core skill in the Recommended Curriculum Guidelines for

34

Family Medicine Residents: Maternity and Gynecologic Care, AAFP Reprint 261.

35

36

CONSENT

While it is not perfect, it is a step in the right direction. However, we still have one more hurdle. The resolution will need to be passed by the AAFP Congress of DElegates this afternoon.

Therefore, I ask for your continued prayers in this regard. Specifically, I will pray that it does NOT get withdrawn from the consent calendar for further debate, but rather gets passed as is. If this does get passed it will most likely be referred to the

AAFP Commission on Education, where we do have supporters. Then it will be incumbent upon us to translate this resolution into reality by developing and offering CME and working with residency programs to train residents on how to counsel patients about natural

family planning

So, thank you and thank you for your continued support!

Sincerely,

Marguerite

To: nfpprofessionals

Sent: Monday, September 12, 2011 9:06 PM

Subject: RE: Support to speak the truth about FAM/NFP - an update

Good work! Be sure of my prayers for the reference committee. It seems odd that one even has to fight this battle, when NFP has been recognized as a legitimate method in both domestic and foreign government appropriations

since the 80’s. .

Hanna

From: nfpprofessionals [mailto:nfpprofessionals ]

On Behalf Of Marguerite

Sent: Monday, September 12, 2011 7:22 PM

To: nfpprofessionals

Cc: nfpprofessionals yahoo

Subject: Re: Support to speak the truth about FAM/NFP - an update

Dear all,

I provided my testimony this afternoon and was grateful there were others who also spoke out in support of it as well. Of course, there were those opposed to it citing the supposed lack of effectiveness and the fact that this should

not be required for residents. Therefore, for those of you of faith, please continue your prayers that the reference committee recommend passage of the resolution by the Congress.

Thank you!

Marguerite

Sent from my iPhone

Marguerite,

We are all extremely proud of you. May God bless you and your efforts.

Steve Koob

To:

nfpprofessionals

From: kdpoehailos@...

Date: Mon, 12 Sep 2011 13:50:41 +0000

Subject: Re: Support to speak the truth about FAM/NFP - an update

Marguerite,

I just sent a prayer request through the Diocese of Richmond NFP Facebook group--thus adding 100 teachers, priests, promoters to the cause for you. Keep us posted.

God bless,

D. Poehailos, MD

NFP Coordinator, Catholic Diocese of Richmond VA

To: nfpprofessionals

Sent: Monday, September 12, 2011 8:29:04 AM

Subject: Re: Support to speak the truth about FAM/NFP - an update

Friends,

I just introduced the resolution to promote education about fertility awareness methods at the opening session of the Congress of Delegates. It required a 2/3rds vote to EVEN be considered by the Congess and it barely

passed! Thankfully, though it did, so now I will be able to present testimony at the reference committee. However, this morning's vote reaffirmed that this is not going to be easy; therefore, I appreciate your support, especially this afternoon, between

1 and 4pm when I will be giving testimony. I will kepp you posted

Sincerely,

Marguerite

To: nfpprofessionals

Sent: Sunday, September 11, 2011 1:13 AM

Subject: Re: Support to speak the truth about FAM/NFP

Marguerite,

I will definitely be praying for you, especially for your courage to speak out. It is so difficult being the lone voice in the wilderness but these things have to be said. If we are silent, we lose.

God Bless you!

Peggy

Dear Friends and Colleagues,

On Monday I will introduce a resolution at the American Academy of Family Physicians Congress of Delegates, with the following resolved clauses:

RESOLVED, That the American Academy of Family Physicians (AAFP) solicit and publish updated, accurate patient information about the individual fertility awareness based methods of family planning on

FamilyDoctor.org, and be it further

RESOLVED, That the American Academy of Family Physicians (AAFP) support the development of CME programs about fertility awareness based methods of family planning, and be it further

RESOLVED, That the American Academy of Family Physicians (AAFP) include fertility awareness counseling as a required core skill in the Recommended Curriculum Guidelines for Family Medicine Residents, Maternity and Gynecologic Care, AAFP Reprint 261

I request your prayers and positive thoughts as I hope to promote more education about these methods in mainstream medicine. While this resolution is not very controversial, there are a number of other resolution coming forward that make me realize this may

not be a very open community to this information.

For example, two resolutions seek to make FDA approved forms of oral contraceptives that are available over the counter, be made available for free without a prescription. Another is resolves that all community health centers should be required to provide all

FDA approved forms of contraception. Hopefully, I will have the courage to speak out about the potential harms of such actions, which is why I am asking for your support.

Thanks in advance,

Marguerite Duane

[Guest guest]

Count me in. what can I do?

McGrath

Re: Support to speak the truth about FAM/NFP

Marguerite,

I will definitely be praying for you, especially for your courage to speak out. It is so difficult being the lone voice in the wilderness but these things have to be said. If we are silent, we lose.

God Bless you!

Peggy

Dear Friends and Colleagues,

On Monday I will introduce a resolution at the American Academy of Family Physicians Congress of Delegates, with the following resolved clauses:

RESOLVED, That the American Academy of Family Physicians (AAFP) solicit and publish updated, accurate patient information about the individual fertility awareness based methods of family planning on FamilyDoctor.org, and be it further

RESOLVED, That the American Academy of Family Physicians (AAFP) support the development of CME programs about fertility awareness based methods of family planning, and be it further

RESOLVED, That the American Academy of Family Physicians (AAFP) include fertility awareness counseling as a required core skill in the Recommended Curriculum Guidelines for Family Medicine Residents, Maternity and Gynecologic Care, AAFP Reprint 261

I request your prayers and positive thoughts as I hope to promote more education about these methods in mainstream medicine. While this resolution is not very controversial, there are a number of other resolution coming forward that make me realize this may not be a very open community to this information.

For example, two resolutions seek to make FDA approved forms of oral contraceptives that are available over the counter, be made available for free without a prescription. Another is resolves that all community health centers should be required to provide all FDA approved forms of contraception. Hopefully, I will have the courage to speak out about the potential harms of such actions, which is why I am asking for your support.

Thanks in advance,

Marguerite Duane

[Guest guest]

My daughter who completed a PhD in micro-biology at Michigan State a

couple years ago would teach one session of a class for medical students

each semester. A question she ask was what they would offer a couple who

did not want to take the pill or other unnatural birth control they

offered. " Abstinence " was the only suggestion they came up with. Then

she would tell them to learn about modern natural family planning.

A doctor once told me they had about 1/2 page in their study book on

natural methods. Perhaps the Rx companies are writing their books???

Blessings,

Barb Harzman

CCL Teacher

> And, Nurse Practitioner programs usually include NFP training, at least

> education on the basics.

>

> It has been surprising to give a presentation to a group of FPs and

> IM-Peds Drs who did NOT know anything about it, while the NPs in the

> audience did.

>

>

>

>

>

>

>

> From: nfpprofessionals

> [mailto:nfpprofessionals ] On Behalf Of Pavela,

> L., M.D.

> Sent: Wednesday, September 14, 2011 10:25 AM

> To: nfpprofessionals ; Hanna Klaus; Steve Koob

> Cc: Pearl Huang; Marguerite Duane

> Subject: RE: RE: Resolution has been pulled for

> debate - please pray for passage

>

>

>

>

>

> The main argument for teaching FP residents about NFP is that they are

> going to encounter patients who use the method once they are in

> practice. I use the medical literature to back up my claim that it is a

> legitimate method with scientific basis. I then use a story about a

> local staff FP who rudely dismissed a couple out of hand when they

> presented there charts to him. He subsequently had no credibility with

> this couple and with a large segment of their friends. He basically

> looked very foolish to them. I state it is important that physicians at

> least know about the basic fundamentals of the methods, and be aware of

> the resources in their community for referral of these patients. NFP

> couples are definitely a minority of the population, are not going away,

> and they will encounter them. Physicians don't personally have to agree

> with the methods, but they must be aware. It might be likened to the

> teaching of the whole panoply of alternative medicine, so prevalent in

> our society. Therefore, it should be a part of the education process in

> residencies.

>

>

>

> Pavela, MD

>

> Internal Medicine

>

> Mayo Clinic Health Systems

>

> La Crosse, Wisconsin

>

>

>

> ________________________________

>

> From: nfpprofessionals

> [mailto:nfpprofessionals ] On Behalf Of Marguerite Duane

> Sent: Wednesday, September 14, 2011 8:56 AM

> To: Hanna Klaus; Steve Koob; nfpprofessionals

> Cc: Pearl Huang; Marguerite Duane

> Subject: RE: Resolution has been pulled for debate -

> please pray for passage

>

>

>

>

>

> Friends,

>

>

>

> My resolution has been pulled for debate on the floor of the congress.

> Therefore I will need to speak out in favor of it. Please pray that I

> have the words to speak out clearly and strongly in favor of women and

> men learning more about their fertility, so they can appropriately plan

> for their families. Then, pray the congress will vote in support of

> this resolution. Thank you!

>

>

>

> Marguerite Duane

>

>

>

>

> To: " nfpprofessionals "

> <nfpprofessionals >

> Cc: Pearl Huang ; Marguerite Duane

>

> Sent: Tuesday, September 13, 2011 11:21 PM

> Subject: RE: Education abut NFP comes beore the

> Congress tomorrow moning

>

>

>

> Dear Friends,

>

>

>

> The substitute resolution to support the teaching of natural family

> planning methods will come before the Congress Wednesday morning at

> about 9am. See the bolded, underlined section below. Again, I hope

> that it will be passed as is, beause this means we will have made

> significant inroads within a major professional medical organization.

> Until then, I appreciate your continued support and I will keep you

> posted!

>

>

>

> Sincerely,

>

> Marguerite

>

>

>

>

> To: " nfpprofessionals "

> <nfpprofessionals >

> Cc: Pearl Huang ; Marguerite Duane

>

> Sent: Tuesday, September 13, 2011 3:19 PM

> Subject: RE: Support about FAM/NFP - A defeat .. but

> please keep the positive thoughts and prayers coming

>

>

>

> Dear Colleauges,

>

>

>

> I am sad to report that the Academy has passed the following resolution

> regarding supporting policies to provide coverage for family planning

> drugs. See below:

>

>

>

> RESOLVED: The American Academy of Family Physicians (AAFP) support

> policies and

>

> legislation that would require public and private insurance plans to

> provide coverage for

>

> family planning drugs and supplies that are FDA approved, including

> those for sale over the-counter.

>

>

>

> We are now discussing the following resolution - unrelated to NFP

> issues, but perhaps of interest to some of you:

>

> RESOLVED, That the American Academy of Family Physicians (AAFP) support

> full civil marriage

>

> quality for same-gender families to contribute to overall health and

> longevity, improved family stability and to benefit children of Gay,

> Lesbian, Bisexual, 1 Transgender (GLBT) families.

>

> Again, I appreicate your thgouhts and prayers

>

>

>

> SIncerely,

>

> Marguerite Duane

>

>

>

>

> To: " nfpprofessionals "

> <nfpprofessionals >

> Cc: Pearl Huang

> Sent: Tuesday, September 13, 2011 9:54 AM

> Subject: RE: Support about FAM/NFP - PROGRESS

>

>

>

> Dear Friends,

>

> The reference committee has come out with their recommendations and I

> believe we have made some positive progress. Specifically, the

> reference committee has recommended adoption of the following substitute

> resolution:

>

> RECOMMENDATION:

>

> The reference committee recommends that Substitute Resolution No.

>

> 25

>

> 607 which reads as follows be adopted in lieu of Resolution No. 607:

>

> 26

>

> 27

>

> RESOLVED, That the American Academy of Family Physicians (AAFP) AAFP

> solicit and

>

> 28

>

> support the development of updated CME programs and patient information

> resources on

>

> 29

>

> evidenced-based reproductive health topics, including natural family

> planning methods,

>

> 30

>

> and be it further

>

> 31

>

> 32

>

> RESOLVED, That the American Academy of Family Physicians (AAFP) include

> natural family

>

> 33

>

> planning methods' counseling as a core skill in the Recommended

> Curriculum Guidelines for

>

> 34

>

> Family Medicine Residents: Maternity and Gynecologic Care, AAFP Reprint

> 261.

>

> 35

>

> 36

>

> CONSENT

>

>

>

> While it is not perfect, it is a step in the right direction. However,

> we still have one more hurdle. The resolution will need to be passed by

> the AAFP Congress of DElegates this afternoon. Therefore, I ask for

> your continued prayers in this regard. Specifically, I will pray that

> it does NOT get withdrawn from the consent calendar for further debate,

> but rather gets passed as is. If this does get passed it will most

> likely be referred to the AAFP Commission on Education, where we do have

> supporters. Then it will be incumbent upon us to translate this

> resolution into reality by developing and offering CME and working with

> residency programs to train residents on how to counsel patients about

> natural family planning

>

>

>

> So, thank you and thank you for your continued support!

>

>

>

> Sincerely,

>

> Marguerite

>

>

>

>

> To: nfpprofessionals

> Sent: Monday, September 12, 2011 9:06 PM

> Subject: RE: Support to speak the truth about FAM/NFP

> - an update

>

>

>

> Good work! Be sure of my prayers for the reference committee. It seems

> odd that one even has to fight this battle, when NFP has been

> recognized as a legitimate method in both domestic and foreign

> government appropriations since the 80's. .

>

>

>

>

>

> Hanna

>

>

>

> From: nfpprofessionals

> [mailto:nfpprofessionals ] On Behalf Of Marguerite

> Sent: Monday, September 12, 2011 7:22 PM

> To: nfpprofessionals

> Cc: nfpprofessionals yahoo

> Subject: Re: Support to speak the truth about FAM/NFP

> - an update

>

>

>

>

>

> Dear all,

>

>

>

> I provided my testimony this afternoon and was grateful there were

> others who also spoke out in support of it as well. Of course, there

> were those opposed to it citing the supposed lack of effectiveness and

> the fact that this should not be required for residents. Therefore, for

> those of you of faith, please continue your prayers that the reference

> committee recommend passage of the resolution by the Congress.

>

>

>

> Thank you!

>

> Marguerite

>

> Sent from my iPhone

>

>

>

>

>

>

> Marguerite,

>

> We are all extremely proud of you. May God bless you and your

> efforts.

>

> Steve Koob

>

>

>

> To: nfpprofessionals

> From: kdpoehailos@...

> Date: Mon, 12 Sep 2011 13:50:41 +0000

> Subject: Re: Support to speak the truth about

> FAM/NFP - an update

>

>

>

> Marguerite,

>

> I just sent a prayer request through the Diocese of Richmond NFP

> Facebook group--thus adding 100 teachers, priests, promoters to the

> cause for you. Keep us posted.

>

> God bless,

>

>

> D. Poehailos, MD

> NFP Coordinator, Catholic Diocese of Richmond VA

>

>

>

> To: nfpprofessionals

> Sent: Monday, September 12, 2011 8:29:04 AM

> Subject: Re: Support to speak the truth about

> FAM/NFP - an update

>

>

>

> Friends,

>

>

>

> I just introduced the resolution to promote education about

> fertility awareness methods at the opening session of the Congress of

> Delegates. It required a 2/3rds vote to EVEN be considered by the

> Congess and it barely passed! Thankfully, though it did, so now I will

> be able to present testimony at the reference committee. However, this

> morning's vote reaffirmed that this is not going to be easy; therefore,

> I appreciate your support, especially this afternoon, between 1 and 4pm

> when I will be giving testimony. I will kepp you posted

>

>

>

> Sincerely,

>

> Marguerite

>

>

>

>

> To: nfpprofessionals

> Sent: Sunday, September 11, 2011 1:13 AM

> Subject: Re: Support to speak the truth about

> FAM/NFP

>

>

>

> Marguerite,

>

> I will definitely be praying for you, especially for your

> courage to speak out. It is so difficult being the lone voice in the

> wilderness but these things have to be said. If we are silent, we lose.

>

> God Bless you!

>

> Peggy

>

> On Sat, Sep 10, 2011 at 9:46 AM, Marguerite

> wrote:

>

>

>

> Dear Friends and Colleagues,

>

> On Monday I will introduce a resolution at the American Academy

> of Family Physicians Congress of Delegates, with the following resolved

> clauses:

> RESOLVED, That the American Academy of Family Physicians (AAFP)

> solicit and publish updated, accurate patient information about the

> individual fertility awareness based methods of family planning on

> FamilyDoctor.org <http://familydoctor.org/> , and be it further

>

> RESOLVED, That the American Academy of Family Physicians (AAFP)

> support the development of CME programs about fertility awareness based

> methods of family planning, and be it further

>

> RESOLVED, That the American Academy of Family Physicians (AAFP)

> include fertility awareness counseling as a required core skill in the

> Recommended Curriculum Guidelines for Family Medicine Residents,

> Maternity and Gynecologic Care, AAFP Reprint 261

>

> I request your prayers and positive thoughts as I hope to

> promote more education about these methods in mainstream medicine. While

> this resolution is not very controversial, there are a number of other

> resolution coming forward that make me realize this may not be a very

> open community to this information.

>

> For example, two resolutions seek to make FDA approved forms of

> oral contraceptives that are available over the counter, be made

> available for free without a prescription. Another is resolves that all

> community health centers should be required to provide all FDA approved

> forms of contraception. Hopefully, I will have the courage to speak out

> about the potential harms of such actions, which is why I am asking for

> your support.

>

> Thanks in advance,

> Marguerite Duane

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>