Practitioner Instructor Application Packet
User Manual: Practitioner-Instructor Application Packet
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6901 Mercy Road Omaha, Nebraska 68106 Phone: 402.390.6600 Fax: 402.390.9851 www.popepaulvi.com An Authentic Language of a Woman’s Health and Fertility v v v v v v v v v Practitioners Instructors Educators Supervisors Medical Consultants Nurse Practitioners Physician Assistants Nurse Midwives Pharmacists Certificate Programs for Creighton Model April 5-12, 2008 Education Phase II October 6-13, 2007 Education Phase I Education Program Offerings Comments from Participants “It was a phenomenal class. I am deeply grateful to have been instructed by the people who actually developed the system and wrote the books! Thank you everyone and God bless you all.” “The dedication and approachability of the faculty members was inspiring and it was great to hear the personal stories behind their life’s work with Creighton Model. The fact that they have all dedicated such large portions of their lives to this added enormous weight to each presentation, as it was clear that therein lay a true belief of heart and soul.” All graduates of these programs must be affiliated with FertilityCare Centers of America in order to obtain Creighton Model FertilityCare System client teaching materials. The Practitioner, Instructor, Educator, Supervisor and Medical Consultant Programs are accredited by The American Academy of FertilityCare Professionals Omaha, Nebraska USA Creighton University School of Medicine Division of Continuing Medical Education and Pope Paul VI Institute for the Study of Human Reproduction Certificate Programs Outlined in this Program Offering are Jointly Sponsored by: CONTENTS PAGE Application, Deposit and Deadlines ........................................ 16 Financial Aid ............................................................................ 15 Room, Board, and Hotel Classroom Fees ...................................................... 14 Location ................................................................................... 14 Textbook Fees .......................................................................... 13 Tuition ...................................................................................... 13 Faculty ...................................................................................... 12 Joint Sponsorship and Certificates ........................................... 11 Supervisor Program ................................................................. 11 Educator Program .................................................................... 11 Applicant Eligibility ................................................................. 10 Final Certificate Examination .................................................. 10 Continuing Education Credits .................................................. 9 International Students .............................................................. 8 Auditor Program ...................................................................... 7 Medical Consultant/Practitioner Program Physician, Nurse Practitioner, Physician Assistant, Nurse Midwife and Pharmacist Programs ............................... 7 Medical Consultant Program ................................................... 5 Instructor Program ................................................................... 5 Practitioner Program ................................................................ 2 FertilityCare Centers of America .............................................. 1 Introduction .............................................................................. 1 > 1 Comment from Participant “The Creighton Model sells itself - no bias, just the facts.” Faculty realizes no financial gain from their involvement in the education programs. This is the 30th consecutive year in which Creighton Model Education Programs have been offered. Two organizations designed to unite Creighton Model FertilityCare Centers nationally and internationally are FertilityCare Centers of America and FertilityCare Centers International. The Creighton Model FertilityCare System provides comprehensive, professional services through individualized follow-up, standardized teaching tools and ongoing research. The Creighton Model is a medically standardized modification of the Billings Ovulation Method. It is the only education program in this field that meets the education demands of a newly emerging allied health profession and provides a case management approach to teaching. The Creighton Model FertilityCare System and the new women’s health science of NaProTechnology have been developed through a research and education effort coordinated and directed by Thomas W, Hilgers, MD, director of Pope Paul VI Institute for the Study of Human Reproduction and clinical professor in the Department of Obstetrics and Gynecology, Creighton University Medical Center. The Pope Paul VI Institute for the Study of Human Reproduction is the leading education and research center in the United States in the area of the natural regulation of human fertility and the development of morally and professionally acceptable reproductive health services. Dedicated to Pope Paul VI’s challenge to “physicians and health care professionals” and to “men of science,” it is a living memorial to the challenges placed before us by Pope Paul VI in his encyclical letter Humanae Vitae (Of Human Life). > INTRODUCTION October 6-13, 2007 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • History of Natural Family Planning Anatomy of the Male and Female Reproductive System The Menstrual Cycle; Statistical Parameters The Mechanism of Anovulation and Oligoovulation The Physiology of the Cervix The Physiology of Breast Feeding and Menopause Psychodynamics of Contraception, NFP and Human Sexuality Humanae Vitae Philosophical Attitudes on Family Life, Family Planning and Unplanned Pregnancy Human Sexuality, Married Love and the Use of Natural Methods of Family Planning The Beginnings of Human Life The Methods of Contraception Physical and Psychological Aspects of Induced Abortion Teaching Fertility Appreciation and Utilization of Good Judgment The Natural Methods of Family Planning and their Comparative Evaluation Use Effectiveness of Natural and Artificial Methods of Family Planning The Creighton Model FertilityCare System The Importance of Standardized Teaching Basic Chart Reading and Chart Correcting Special System Instructions The Scientific Foundations of the Creighton Model Basic Principles of Follow-up The Organization and Flow of the First and Subsequent Follow-ups How to Conduct an Introductory Session and Follow-up The Creighton Model Follow-up Form and Techniques of Follow-up Critical Evaluation of the Health Benefits of Contraception Basic Problem Solving An Introduction to Natural Procreative Technology (NaProTechnology) An Introduction to a Case Management Approach to Teaching The first education phase is an eight day total immersion course. At the conclusion of these eight days, participants should be able to demonstrate knowledge of the following: EDUCATION PHASE I > CURRICULUM CONTENT The 13 month program is the primary program for teachers. There are two education phases, two supervised practica and an On-Site Visit, providing education in both the basic as well as advanced aspects of this System. Only the education phases are done on campus; all other educational services are provided through an innovative system of long distance supervision and On-Site Visitation. > THE CREIGHTON MODEL FERTILITYCARE SYSTEM PRACTITIONER PROGRAM 2 3 The Principles of Case Management Case Management Laboratory Basic Business Aspects and Marketing of FertilityCare Services Utilization of Forms for Record Keeping and Standardized Teaching Qualities of Being a Professional Presentation of the Introductory Session How to do a Follow-up The Techniques of Follow-up Use of Basic Organizational Tools Evaluation of Case Reports Presentation of the Picture Dictionary Teaching Observations Basic Case Management Case Management Evaluation April 7-12, 2008 • • • • • • • • • • • • • • • The Basic Presentation of Cases Natural Procreative Technology (NaProTechnology) Advanced Case Management I - Infertility Advanced Case Management II - Unusual Bleeding Advanced Case Management III - Management of Continuous Mucus Discharge Advanced Case Management IV - The Use of Yellow Stamps The Principles of Pregnancy Evaluation How to Conduct a Pregnancy Evaluation Basic Communication Skills How to Manage the Human Resources of a Creighton Model FertilityCare Center Basic Ethical Principles Management of Advanced Issues Advanced Case Management V - Difficult Cases Advanced Organizational Aspects Comprehensive Case Review This education phase is a six day total immersion format, consisting of lecture, clinical group discussion and hands-on problem solving of the advanced aspects of teaching the Creighton Model FertilityCare System. Participants should be able to demonstrate knowledge and ability of the following: EDUCATION PHASE II > PRACTITIONER INTERNS ONLY • • • • • • • • • The program involves a faculty supervised experience, which is six months in duration and is to be completed at the new student’s own home location. This structured experience develops basic teaching skills of the program: > SUPERVISED PRACTICUM I • • • • • Advanced Chart Reading and Correcting Advanced Case Management Case Management Evaluation Conducting Pregnancy Evaluations Writing Goals and Objectives Writing Job Descriptions Completing Assignments on Advanced Case Management SPANISH FERTILITYCARE SYSTEM TEACHING MATERIALS Introductory Session Critique and Review Follow-up Critique and Review Tour of Facilities Comprehensive Case Review Comment from Participant “Interaction with the other students was so special. Hearing people’s stories, sharing their sorrows and joys made this a deeply moving experience.” The Creighton Model FertilityCare System client teaching materials are available in Spanish. However, only a Practitioner Intern who is bilingual and fluent in Spanish will be permitted to teach in Spanish and use those materials. The bilingual student must have successfully completed Education Phase I and Supervised Practicum I in English prior to obtaining the Spanish materials and teaching in Spanish. Certain Spanish teaching materials are available to non-bilingual students during SPII who have an opportunity to teach Spanish speaking couples if one spouse is bilingual. • • • • In addition, this practicum includes an On-Site Visit by a member of the Creighton Model faculty and/or an Educator/Supervisor Intern. At the On-Site Visit the following will be reviewed: • • • • • • • This education experience is seven months in duration and is a supervised clinical experience at the Intern’s home location. The clinical aspects of this supervised practicum are devoted to learning advanced teaching skills in: PRACTITIONER INTERNS ONLY > SUPERVISED PRACTICUM II 4 5 Comment from Participant “Extra-ordinary experience! This was an outstanding experience of total immersion!” If a physician is interested in the Medical Consultant Program but Education Phase I dates pose a scheduling conflict, the physician may attend Education Phase I in another location, but must attend Education Phase II in Omaha. The Pope Paul VI Institute Allied Health Education Department may be contacted for details. Physicians enrolled in the Medical Consultant Program should understand that the medical applications they will learn are related specifically to the Creighton Model FertilityCare System. Therefore, they should plan to have a FertilityCare Practitioner available in their area. It is possible for a physician to enroll in a combined Medical Consultant/Practitioner Program; however, this course is demanding, and one must have sufficient time to complete it. This is a six month program, designed to assist physicians to incorporate into their medical practices the newly emerging science of Natural Procreative Technology (NaProTechnology). It also assists the physician to work in a supportive or administrative role with FertilityCare Programs. This program involves two education phases and one supervised practicum. > THE CREIGHTON MODEL FERTILITYCARE SYSTEM MEDICAL CONSULTANT PROGRAM This is a seven month program, open to persons with less than two years of post high school education. It is designed to provide only basic education in the Creighton Model FertilityCare System. These teachers may teach only under the supervision of a FertilityCare Practitioner. The training program includes one education phase and one supervised practicum. Only those curriculum items that are previously outlined for Education Phase I and Supervised Praticum I make up the Instructor Program. There is no Education Phase II or On-Site Visit. > THE CREIGHTON MODEL FERTILITYCARE SYSTEM INSTRUCTOR PROGRAM Comment from Participant “This course had great scientific content and provided avenues for great spiritual growth.” During the supervised practicum period, those involved in the Medical Consultant Program will be asked to give a total of three hours of in-service lecture time on the Creighton Model FertilityCare System to medical professionals in their area. These could include medical students, nursing students, nurses, physicians, colleagues, etc. In addition, there are three open book assignments. The Medical Consultant may choose to complete either an honors project or an honors thesis for an honors program. The honors project involves completion of a use effectiveness evaluation using pre-designed worksheets; the honors thesis consists of a research paper on a topic of one’s choice related to the field of natural family planning. Special recognition will be given to those students who satisfactorily complete assignments for the honors program. MEDICAL CONSULTANTS ONLY > SUPERVISED PRACTICUM • Natural Procreative Technology (NaProTechnology): The New Gynecologic and Reproductive Science • The Important Role of Medical Consultants in the Future of FertilityCare • The Creighton Model FertilityCare System Core Curriculum • Chronic Discharges and the Use of Criteria • Targeted Endocrine Evaluation of the Menstrual Cycle • Cooperative Progesterone Replacement Therapy and Medical Support of the Luteal Phase • The Effects of Stress • The Evaluation and Treatment of Ovarian Cysts • The Evaluation and Treatment of Premenstrual Syndrome • The Dating of the Beginning of Pregnancy • The Prevention of Premature Birth • Ovulation and its Anatomic and Functional Disorders • Types I, II, III, IV and V Luteal Phase Deficiencies and Follicular Phase Deficiency • Progesterone as a Therapeutic Hormone: Human Identical Progesterone vs. Artimones (Isomolecular vs. Herteromolecular) In addition to those topics presented in the Creighton Model FertilityCare System Practitioner Core Curriculum for Education Phase I and Education Phase II (listed previously), Medical Consultants have these additional core components: CURRICULUM ITEMS > MEDICAL CONSULTANT SPECIFIC 6 7 April 6-12, 2008 NURSE PRACTITIONER, PHYSICIAN ASSISTANT, NURSE MIDWIFE, & PHARMACIST PROGRAMS The course is available for individuals who do not meet the applicant eligibility requirements but wish to audit the program. A physician, physician assistant or nurse practitioner may audit for CME credit; a nurse may audit for CEU credit. For credit requires satisfactory completion of examinations offered during the Education Phases. > AUDITORS A FertilityCare Practitioner who is a Nurse Practitioner, Physician Assistant, Nurse Midwife or Pharmacist may return to Education Phase II and complete the Medical Consultant portion of the program. All Education Phase II dates would need to be attended: April 5-22, 2008. Creighton Model programs are also offered to Nurse Practitioners, Physician Assistants, Nurse Midwives and Pharmacists. For these programs, see applicant eligibility (page 10). These certificate programs include a combination of the Creighton Model FertilityCare Practitioner and Medical Consultant Programs. Both certificates - Medical Consultant and Practitioner - will be presented upon satisfactory completion of the Practitioner Program and all Medical Consultant assignments and examinations. > THE • Research Principles in Natural Family Planning • How to Conduct a Use Effectiveness Evaluation of Natural Methods of Family Planning • The Evaluation and Management of the Infertile Couple • The Evaluation and Management of Irregular Cycles and Unusual Bleeding • The Presentation of Actual Cases • Surgical NaProTechnology In addition to those topics listed for the FertilityCare Practitioner Program, the Medical Consultant will also be exposed to the following: EDUCATION PHASE II > MEDICAL CONSULTANTS ONLY Comments from Participants “I met such a variety of people from all over the USA and abroad. As I spoke to many of these people, I am encouraged for the future and for families.” “Professional, enthusiastic, and convicted are the words I would use to describe this outstanding group of people. I am motivated to be like them.” Students will be invited to tour the Pope Paul VI Institute for the Study of Human Reproduction, 6901 Mercy Road, Omaha, NE 68106. Transportation to and from the hotel is provided. This is an excellent opportunity to see the unique research and education facilities of Pope Paul VI Institute for the Study of Human Reproduction. TOUR OF POPE PAUL VI INSTITUTE A short period of study will also generally be available in St. Louis, and the student will conclude study with attendance at the annual meeting of the American Academy of FertilityCare Professionals. Physicians enrolled in the Medical Consultant Program may attend the two Education Phases and do the remaining work at home (unless enrolled in the Practitioner Program). These programs are dedicated Creighton Model programs. For students who come from countries without communication technology (fax, phone, email, timely mail service), the program for Practitioners must be completed over a nine month period of study at the Pope Paul VI Institute. The student must be able to speak English fluently. The student will be responsible for Room and Board during this study period of nine months, although the staff of the Pope Paul VI Institute will assist in making arrangements. > INTERNATIONAL STUDENTS 8 9 AND Nurses Iowa (CEU) Nebraska (hours) 72.44 724.4 Others (hours) 724.4 Iowa Western Community College Continuing Education Credits Continuing education credit for nurses, social workers and allied health professionals is provided by Iowa Western Community College, Iowa Board of Nursing Provider #6, and Iowa Board of Social Workers Provider #59. These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Creighton University School of Medicine and Pope Paul VI Institute. The Creighton University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. • The Creighton University School of Medicine designates this educational activity for a maximum of 69 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in this activity. • The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA category 1 credit. • The American College of Obstetricians and Gynecologists (ACOG) cognate hours have been applied for and are pending. • Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. EDUCATION PHASE II April 5-12, 2008 • The Creighton University School of Medicine designates this educational activity for a maximum of 62 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in this activity. • The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA category 1 credit. • The American College of Obstetricians and Gynecologists (ACOG) cognate hours have been applied for and are pending. • Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. October 6-13, 2007 FOR DOCTORS, NURSES, NURSE PRACTITIONERS EDUCATION PHASE I PHYSICIAN ASSISTANTS, > CONTINUING EDUCATION CREDITS Further eligibility criterion requires that the applicant(s) do not prescribe or refer for contraceptives, do not perform or refer for sterilization or abortion, practice (use) natural family planning or, if single and celibate, monitor their natural fertility and be a philosophical acceptor of natural family planning. This program recognizes that human sexuality is a function of the whole person and not just a function of its parts. It further recognizes the scriptural notation that we are “created in the image and likeness of God” and that such a philosophical principle ultimately dictates the approach to the human person that will come under the care of a FertilityCare professional. 1. Medical physician with current license 2. Nurse Practitioner, Physicians Assistant, or Nurse Midwife with current license and able to legally prescribe medications and order tests (with or without proctoring) in the state of practice. 3. Pharmacist with current license MEDICAL CONSULTANTS: 1. Registered nurse with current license 2. Allied health professional with a BA or BS degree in: a. Health or basic sciences b. Behavioral sciences c. Social sciences d. Education e. Other non-health fields are individually recognized 3. Associate degree/diploma such as: a. Licensed Practical Nurse b. Human Services Practitioner c. Or, the equivalent of two years of college study PRACTITIONERS: The Pope Paul VI Institute Allied Health Education Department welcomes applications from individuals or couples with strong motivation and commitment to the very highest quality educational services in natural family planning. > APPLICANT ELIGIBILITY All students enrolled in the Practitioner, Instructor and Medical Consultant Programs are required to take a criterion referenced, professionally administered final certificate examination. The Practitioner certificate examination is given in November, the Instructor exam is given in May, and the Medical Consultant examination is given on the last day of the second education phase in April. > FINAL CERTIFICATE EXAMINATION 10 11 AND CERTIFICATES Pope Paul VI Institute FertilityCare Allied Health Education Programs are jointly sponsored by the Creighton University School of Medicine, Division of Continuing Medical Education and the Pope Paul VI Institute for the Study of Human Reproduction. Upon satisfactory completion of course requirements, a certificate will be issued and signed by the President of Creighton University, the Vice President for Health Sciences and the Director of the Pope Paul VI Institute. > JOINT SPONSORSHIP This program is 13 months in duration and is available only to FertilityCare Practitioners with at least one year of teaching experience and who are certified as a Practitioner (or in the process of being certified) by the American Academy of FertilityCare Professionals (AAFCP). Some focus areas of this program include: becoming involved as a clinical faculty member, a supervisor or an on-site coordinator for a Creighton Model Education Program. This program has two education phases, two supervised practica, and an On-Site Visit. Contact the Pope Paul VI Institute Allied Health Education Department for more details on the curriculum content of this program. EDUCATION PHASE I October 6-13, 2007 EDUCATION PHASE II April 5-12, 2008 > THE FERTILITYCARE SUPERVISOR PROGRAM This 13 month program is the most advanced program available in fertility care. It is available only to FertilityCare Practitioners with at least one year of teaching experience and who are certified as a Practitioner (or in the process of being certified) by the American Academy of FertilityCare Professionals (AAFCP). The individual must have a Bachelor’s Degree or be a Registered Nurse. Some focus areas of this program include: developing and implementing a Creighton Model Education Program that meets the standards of the AAFCP; and serving as faculty on an established education program. This program has two education phases, two supervised practica and an On-Site Visit. Contact the Pope Paul VI Institute Allied Health Education Department for more details on the curriculum content of this program. EDUCATION PHASE I October 6-13, 2007 EDUCATION PHASE II April 3-12, 2008 > THE FERTILITYCARE EDUCATOR PROGRAM Phyllis White, CFCE: Director, FertilityCare Center of Kansas City, Blue Springs, Missouri. Jeanice Vinduska, CFCE: Co-Director Pope Paul VI Institute FertilityCare Center of Omaha, Omaha, Nebraska. Rev. Edward J. Richárd, D. Th. M., J. D.: Vice-Rector, Dean of Students, Associate Professor of Moral Theology, Kenrick-Glennon Seminary; Director, Paul VI Pontifical Institute for Catechetical and Pastoral Studies, St. Louis, Missouri. Kathy Rivet, BS, CFCE: Director, FertilityCare Services St. Joseph Hospital; Coordinator, NaProEducation Program, St. Joseph Hospital, Nashua, New Hampshire. Ann M. Prebil, RN, BSN, CFCE: Co-Director, St. John’s Mercy Medical Center Department of FertilityCare Services, St. Louis, Missouri. Kelly Morrow, Ph.D.: Clinical Psychologist, Pope Paul VI Institute for the Study of Human Reproduction, Omaha, Nebraska. Teresa Kenney, MSN, ARNP, CNFPNP, FCP: Nurse Practitioner, Pope Paul VI Institutefor the Study of Human Reproduction, Omaha, Nebraska. Sr. Renée Mirkes, OSF, Ph.D.: Director, Center for NaProEthics, Pope Paul VI Institute for the Study of Human Reproduction, Omaha, Nebraska. Margaret P. Howard, MAM, CFCE: Director, FertilityCare Education Unlimited, Omaha, Nebraska. Susan K. Hilgers, BA, CFCE: Faculty Member, Pope Paul VI Institute for the Study of Human Reproduction, Omaha, Nebraska. K. Diane Daly, RN, CFCE: Co-Director, St. John’s Mercy Medical Center Department of FertilityCare Services; Coordinator, Department of NFP, Archdiocese of St. Louis, St. Louis, Missouri. Kathy Cherovsky, LPN, CFCS: Co-Director Pope Paul VI Institute FertilityCare Center of Omaha, Omaha, Nebraska. Thomas W. Hilgers, M.D., CFCE, CFCMC: Director, Pope Paul VI Institute for the Study of Human Reproduction, Clinical Professor, Department of Obstetrics and Gynecology, Creighton University School of Medicine, Omaha, Nebraska. > FACULTY Pope Paul VI Institute FertilityCare Allied Health Education Programs are accredited by the American Academy of FertilityCare Professionals (AAFCP). The education programs provide students the appropriate education background to become eligible for the certification procedures of the AAFCP. > AMERICAN ACADEMY OF FERTILTYCARE PROFESSIONALS ACCREDITATION 12 13 > TUITION $2,775 $2,390 $1,925 $1,900 $2,475 $1,895 $2,060 FertilityCare Practitioner ................................................. FertilityCare Instructor .................................................... Natural Family Planning Medical Consultant ................ Medical Consultant /Practitioner Combined .................. FertilityCare Educator ...................................................... FertilityCare Supervisor ................................................... Medical Consultant Auditor ............................................. $450u $360u $700 $850u $745 $600 $675 u These programs require the purchase of client teaching materials. Cost of client teaching materials varies depending upon whether or not the student is providing Creighton Model FertilityCare Services within the confines of an existing center that is affiliated with FertilityCare Centers of America. If beginning an independent center, the approximate cost of client materials, in order to meet the requirements necessary for program completion, is $450.50. It should be noted that initial outlay of expenses for these supplies may be reimbursable from client fees. • • • • • • • All programs require Anatomy and Physiology: A Primer for the FertilityCare Professional. The Medical Consultant, Educator and Supervisor programs require The Medical and Surgical Practice of NaProTechnology. If these are already owned, a reduction in Publications fees may be requested. Required textbooks and client teaching supplies are purchased from Pope Paul VI Institute Publications and are subject to shipping charges and/or Nebraska sales tax. Fees for required textbooks vary depending upon the education program. > TEXTBOOK FEES FertilityCare Practitioner ................................................. FertilityCare Instructor .................................................... Natural Family Planning Medical Consultant ................ Natural Family Planning Medical Consultant/ FertilityCare Practitioner Combined Course ................. • FertilityCare Educator ...................................................... • FertilityCare Supervisor ................................................... • Medical Consultant Auditors ............................................ • • • • All tuition costs must be paid upon entry into the program or according to the tuition payment schedule provided by the program. The following tuition has been established for each program: The hotel offers complimentary parking and shuttle service to and from Eppley Airfield. In addition, based on availability, the shuttle service is available for transport within a one mile radius of the hotel. This fee includes sleeping room, breakfast and lunch (all days), dinner (EPI=4, EPII=3), breaks, reception, meeting rooms and classroom set up fees. All sleeping rooms are suites. A $75 per day facility use fee is charged for those attending the conference but not wishing meals or lodging; additional arrangements may be made for meals. All room, board, and hotel classroom fee expenses must be paid upon entry into each education phase. Room and Board - $175 for a double room/2 persons - 2 beds $205 for a single room/1 person $242 for a suite (Jacuzzi/Family/Kids) $223.50 for a suite with 2 students > ROOM, BOARD AND HOTEL CLASSROOM FEES Education Phases I and II room, board, program and hotel classroom fees will be charged per person at the following rates: Comment from Participant “Each of the delicate considerations of our needs were greatly appreciated such as the student lounge, facility, meals, etc.” The course is held at the Omaha Comfort Inn and Suites. Accommodations are arranged through the Pope Paul VI Institute Education office, but travel arrangements are the responsibility of the participating students. > LOCATION The room, board, and round trip transportation for the Practitioner On-Site Visit will be the responsibility of the student. These same expenses will be the responsibility of the Educator/Supervisor Intern for his/her initial On-Site Visit. Current materials distribution procedures take into account the need to provide the most cost effective means possible to minimize the additional costs of shipping and/or sales tax for students. International students should expect to pay higher shipping costs. 14 15 Comment from Participant “A worthwhile investment in my future and the future of all those whose lives will be forever changed physically, emotionally, mentally and spiritually by this incredible work.” Nancy Botkin Memorial Scholarship These are tuition scholarships only and are restricted to students in the FertilityCare Educator program. Pope Paul VI Institute Scholarship Fund These are tuition scholarships only and do not apply to the materials fee, room and board expenses or On-Site Visit expenses. These can assist students with tuition reduction in variable amounts and are not restricted by geography. Archbishop Daniel E. Sheehan Scholarship Fund Named for the late archbishop of Omaha, these are tuition scholarships only and do not apply to the materials fee, room and board or On-Site Visit expenses. This scholarship fund can assist some students with up to 50% tuition reduction. For the most part, these scholarship funds are restricted to the State of Nebraska. Medical Military applicants may qualify for funding through the Military. Contact your Military’s Education Service Office. The Pope Paul VI Institute has limited ability to provide financial assistance. A resource guide for funding suggestions has been developed for students. > FINANCIAL AID Comment from Participant “Despite the hours, I felt I had (almost) a week-long retreat. Institute tour was awe-inspiring and inspirational (and motivational); as well as a concrete example of how God ‘follows-up’ on acts of faith. The faculty were all very caring, helpful, knowledgeable, patient - excellent role models!” AND DEADLINES EMAIL: firstname.lastname@example.org INTERNET: www.popepaulvi.com FAX: (402) 390-9851 PHONE: (402) 390-9168 6901 Mercy Road Omaha, NE 68106 Pope Paul VI Institute FertilityCare Allied Health Education Office WRITE, CALL, FAX OR EMAIL FOR COURSE APPLICATION Upon acceptance into the program, a $225 tuition deposit is required to secure your enrollment in the class. An advance packet of books and materials may be sent only after the tuition deposit is received. Class size is limited. Early submission of an application is strongly recommended. Timely acceptance into the program will allow adequate study time of the advance books and materials. Applications received after September 10, 2007 will be assessed a $100 late fee; no application will be accepted after September 30, 2007. If interested in one of the programs, request an application from the Pope Paul VI Institute FertilityCare Allied Health Education Office. > APPLICATION, DEPOSIT, 16 Your Year with the Pope Paul VI Institute CREIGHTON MODEL FertilityCare System PRACTITIONER PROGRAM Your participation as a Creighton Model FertilityCare System Practitioner Intern in the Pope Paul VI Institute’s Education program will prove to be a very rewarding experience. To assist you in your preparation, please read the following overview of this program. COURSE SUMMARY ADVANCE COURSE PREPARATIONS It is important that you allow yourself time to adequately prepare for EPI by reading the textbooks that are sent in advance. Also, prior to EPI, you should identify a facility for use in providing services. During EPI, you will learn to present the Introductory Session, which may be conducted in group or individual settings. $OO FOLHQWFRXSOH IROORZX and require confidentiality. The one year educational program to become a Practitioner is a professional program developed according to the basic educational principles utilized in Advance preparation will allow your supervised allied health courses. The program is divided into two practicum to run much more smoothly, better assuring education phases (EPI and EPII) held in the fall and your ability to obtain the required minimum of six (6) spring. In addition, there are two supervised practica. new clients prior to EPII. The first supervised practicum (SPI) begins at the end of EPI and continues until the beginning of EPII. The Although there are a minimum number of Introductory second supervised practicum (SPII) begins after EPII Session presentations required, more may be presented. and concludes at the time of the final examination in ,QGLYLGXDOL]HG IROORZXS are November of the following year. During the second conducted with each client/couple at 2, 4, 6, 8 and 12 supervised practicum, an On6LWH9LVLWLV conducted by weeks and also at 6, 9, and 12 months after the initial your assigned faculty supervisor, for whom the student Introductory Session. You can anticipate that each is responsible for costs of lodging and round trip IROORZXS will last an average of one hour and that time transportation. for preparation and concluding paperwork for a IROORZ up may involve up to an additional hour. The two education phases are designed to be total immersion learning experiences in order to receive an appropriate foundation of fundamental theoretical COURSE TIME, CENTER knowledge, preparing the student to undertake the AND EQUIPMENT NEEDS clinical component of the course, which is the actual teaching of the Creighton Model FertilityCare System. A practical time schedule for which you can anticipate The clinical phases of the course occur during the should include: supervised practica at the student’s home location. • studying During the entire year, the student will be working • presenting Introductory Sessions under the direct supervision of either a FertilityCare • FRQGXFWLQJIROORZXSV Educator or Supervisor (or Intern) who is specially • preparing and completing office work trained to provide the type of supervision that a Practitioner Intern requires. • developing program and outreach • completing assignments COURSE REQUIREMENTS You can expect that you will be involved for a minimum of ten and a maximum of twenty hours per week during During the supervised practica you will have a number the supervised practica. However, you will be closer to of assignments to submit to your assigned supervisor the minimum amount of time if you come from an for input, evaluation and grading. For these established program where client development will not assignments, you will need access to photocopying be so difficult. facilities in order to send copies to your supervisor. In addition, there are specific client quota requirements for the two supervised practica. Otherwise, you should anticipate the use of the maximum amount of time if you need to initiate your own program development and outreach. NETWORKING WITH A MEDICAL CONSULTANT It is recommended that an established FertilityCare In order to conduct the Introductory Sessions, you will Center of America affiliate or a newly developed need the following: program that provides the Creighton Model • slide or LCD projector (and laptop) and screen FertilityCare System collaborate with a Creighton • room large enough to hold three to six couples 0RGHO 0HGLFDO &RQVXOWDQW • printed materials that will be provided to you at EPI nology services. This collaboration will be discussed for distribution to only those couples who decide to during the course of the program. If a Medical make an appointmeQW IRU IROORZXS learn the DQG Consultant is not currently available in your community Creighton Model FertilityCare System and you are aware of a local physician who may consider the Medical Consultant program, our office The individualized IROORZXSVHVVLRQVFDQEHKHOGLQD will assist you in the recruitment process. smaller room with a desk or table and a few chairs; no slide projector is necessary IRU IROORZXS VHVVLRQV $OO This program is designed to develop your professional printed materials will be made available for you to skills and ability to deliver the highest quality conduct Introductory 6HVVLRQV DQG IROORZXS VHVVLRQV FertilityCare services possible. If you give attention to In addition, phone accessibility will need to be arranged the preliminary aspects of preparation, you will find for clients to contact you. your year to be more productive. YOUR INVOLVEMENT IN THE CREIGHTON MODEL FertilityCare System INSTRUCTOR PROGRAM Your participation as a CREIGHTON MODEL FertilityCare™ System Instructor Intern will prove to be a very rewarding experience. To assist you in your preparation, please read the following overview of this program. COURSE SUMMARY The seven month educational program to become an instructor is a professional program developed according to the basic educational principles utilized in allied health courses. The Instructor Program is designed to provide only basic education in the CREIGHTON MODEL FertilityCare™ System. A FertilityCare Instructor may teach only under the supervision of a designated FertilityCare Practitioner. The program includes one education phase (EPI) and one supervised practicum, which begins at the end of EPI and concludes at the time of the final examination in May of the following year. The education phase is designed to be total immersion learning experiences in order to receive an appropriate foundation of fundamental theoretical knowledge, preparing the student to undertake the clinical component of the course, which is the actual teaching of the CREIGHTON MODEL FertilityCare™ System. The clinical phase of the course occurs during the supervised practicum at the student’s home location. During the internship period, the student will be working under the direct supervision of either a FertilityCare Educator or Supervisor who is a Practitioner with at least one additional year of teaching experience and is specially trained to provide the type of supervision that an Instructor Intern requires. COURSE REQUIREMENTS As a FertilityCare Instructor, it is required that a local FertilityCare Practitioner be willing to collaborate in the providing of services to clients who would be considered as advanced. During the supervised practicum, a number of assignments are required to be submitted to the assigned supervisor for input, evaluation and grading. For these assignments, access to photocopying facilities is needed in order to send copies to the supervisor. In addition, there are specific client quota requirements for the supervised practicum. The following requirements exist for a student enrolled in the CREIGHTON MODEL FertilityCare™ System Instructor Program: • 12 new clients • 6 Introductory Sessions ADVANCE COURSE PREPARATIONS During EPI, you will learn to present the Introductory Session, which is a one hour slide presentation. Since new clients register to participate in your program at that time, we suggest that you schedule your first Introductory Session for an evening time slot two weeks following the end of EPI. In addition, you should schedule three more Introductory Sessions at one month intervals following your first presentation. You may schedule as many additional Introductory Sessions as you wish to fulfill your client requirements. It is strongly recommended that scheduling and advance publicity for Introductory • CREIGHTON MODEL FertilityCare™ Sessions be developed prior to EPI. Advance preparation will allow your supervised practicum to run much more smoothly, better assuring your ability to obtain the required minimum of 12 new clients. In addition to the Introductory Sessions, individualized follow-up teaching sessions are conducted with each couple at 2, 4, 6, 8 and 12 weeks and also at 6, 9, and 12 months after the initial Introductory Session. You can anticipate that each follow-up will last an average of one to one and a half hours and that time for preparation and concluding paperwork for a follow-up may involve up to an additional hour. COURSE TIME, CENTER AND EQUIPMENT NEEDS A practical time schedule for which you can anticipate includes: • studying • presenting Introductory Sessions • conducting follow-ups • preparing and completing office work • developing program and outreach • completing assignments You can expect that you will be involved for a minimum of ten and a maximum of twenty hours per week during these supervised practica. However, you will be closer to the minimum amount of time if you come from an established program where client development will not be so difficult. However, you should anticipate the use of the maximum amount of time if you need to assist in program development and outreach. System printed materials for couples who decide to make an appointment for followup and learn the system. The individualized follow-up sessions can be held in a smaller room with a desk or table and a two to three chairs; no slide projector is necessary for follow-up sessions. In addition, phone accessibility will need to be arranged for clients to contact you. NETWORKING WITH A MEDICAL CONSULTANT It is recommended that an established FertilityCare™ Affiliate center or a newly developed program that provides the CREIGHTON MODEL FertilityCare™ System network with a NFP Medical Consultant to provide NaProTECHNOLOGY services. This collaboration will be discussed during the course of the program. If a Medical Consultant is not currently available in your community and you are in contact with a local physician who may consider the Medical Consultant program, the Pope Paul VI Institute’s FertilityCare™ Allied Health Education Program will assist you in the recruitment process. We wish to remind you again that this program is designed to develop your professional skills and ability to deliver the highest quality FertilityCare™ services possible. If you give attention to these preliminary aspects of preparation, you will find your involvement in the Instructor Education Program to be more productive. In order to conduct the Introductory Sessions, you will need the following: • Slide projector and screen • Room large enough to hold three to six couples FertilityCare Instructor Fact Sheet APPLICATION CREIGHTON MODEL FertilityCare System FERTILITYCARE PRACTITIONER/INSTRUCTOR PROGRAM Please indicate the program for which you are applying: Practitioner Instructor Auditor (Practitioner) Directions: Fill out application completely. See the last page for mailing instructions and application fees. Date SS# 1. Name (Print) Last First 2. Date of Birth Middle Age Sex 3. Home Address Number and Street (P.O. Box) City State Zip/Postal Code Country 4. Mailing Address (If different from home address) Number and Street (P.O. Box) City State Zip/Postal Code 5. Telephone Home Country Work (If outside the USA, please indicate country code and city code.) Home Fax Work Fax (If outside the USA, please indicate country code and city code.) 6. Email 7. Religion 8. Citizen of 9. Ethnic Origin 10. Your primary language is 11. Do you speak a second language? Yes No If yes, please identify language 12. Spouse’s Name (Print) Last 13. Number of Children First Ages Middle 14. EDUCATION HISTORY: Directions: Give a complete list of all educational institutions which you have attended and are currently attending. NAME OF INSTITUTION High School: DATES ATTENDED From – To Trade or Vocational Schools: From - To College or University: From - To Graduate or Professional: From - To Post Graduate or Professional: From - To Copyright 2006 LOCATION CREIGHTON MODEL FertilityCare System DIPLOMA/ DEGREE Omaha, Nebraska DEGREE INITIALS 2 15. OCCUPATIONAL HISTORY: Directions: Give a complete list of occupations beginning with your most recent. (If never employed outside the home, go directly to question 16). OCCUPATION/TITLE a) LOCATION DATES EMPLOYED Responsibilities: Full time Part Time OCCUPATION/TITLE b) Reason for leaving LOCATION DATES EMPLOYED Responsibilities: Full time Part Time OCCUPATION/TITLE c) Reason for leaving LOCATION DATES EMPLOYED Responsibilities: Full time Part Time OCCUPATION/TITLE d) Reason for leaving LOCATION DATES EMPLOYED Responsibilities: Full time Part Time Reason for leaving 16. Have you ever been a Homemaker? Yes If yes, number of years: No Full time 17. Have you ever done volunteer work? Yes Specify: No Copyright 2006 CREIGHTON MODEL FertilityCare System Part Time Omaha, Nebraska 3 FAMILY PLANNING INVOLVEMENT 18. Have you worked in any of the following capacities in a Natural Family Planning (NFP) Program? TITLE YES NO FULL OR PART TIME DATES From - To Medical Advisor Nurse Practitioner Program Director Teacher Coordinator Secretary/Bookkeeper Consultant Other Primarily “paid” or “volunteer”? NOTE: If you answered “No” to all portions of #18, skip #19 – 31. 19. Where have the NFP Services been provided? LOCATION TITLE SPACE RENTED OR DONATED Private Home Public Building Church Premises Social Agency Hospital Independent NFP Center Public Health Clinic Public Family Planning Clinic Other 20. In what method(s) of Natural Family Planning do (did) you commonly provide instruction? 21. What other method(s) of family planning do you (did) you recommend to clients? Copyright 2006 CREIGHTON MODEL FertilityCare System Omaha, Nebraska 4 22. Which of the following educational formats do (did) you commonly use? Introductory Lectures Group Individual Follow-up Interviews Group Individual Phone Advising/Counseling Correspondence Counseling 23. Which of the following practices do/did you encourage? Client continuing with same teacher Attendance at session(s) by Spouse/partner/fiancé Conference with other teachers to discuss difficult cases Referral for medical and/or counseling services when necessary 24. Have you had a physician working with you (at all) in your NFP work? If yes, explain the physician’s role. Yes No 25. If a physician has worked with you, give name and address of physician. 26. What form of training have you received up to now? Self-training Informal training Semi-formal training Formal training 27. If informal, semi-formal or formal training received, where and by whom were you trained? 28. What was the duration (in hours or days) of your training? 29. If previously certified, give name(s) of certifying individuals/organization. Copyright 2006 CREIGHTON MODEL FertilityCare System Omaha, Nebraska 5 30. How useful has your training been? Extremely useful Useful Not Sure Little use No Use at All 31. In what areas do you feel your training has fallen short of your needs? Scientific basis of the method(s) Psychodynamics of use of the method(s) Human sexuality Teaching methodology In-service training and supervision Study of use of method(s) in various circumstances (e.g. breast-feeding, off birth control pill) Study of difficult cases Other (Please specify): NOTE: Complete the following sections - even if you have not previously been involved in NFP. 32. How important do you consider the following provider attributes on a scale of 1-4? 1 = Absolutely Not Important 2 = Not Important 3 = Important 4 = Very Important Female Female in reproductive years A Natural Family Planning user-acceptor A user-acceptor of the NFP method being taught Married Married with children Well educated Well trained in NFP Confident in NFP Confident in NFP method being taught Willing to refer for psycho-social counseling (e.g. marriage, family) Willing to refer for medical problems Willing to refer for artificial contraceptive methods Willing to refer for induced abortion Similar social class background to that of client Similar age to that of client Socially acquainted with clients (e.g. same church, same community) A medical orientation A family orientation Stable in particular vocation Open to criticism, failure Non-judgmental/supportive Friendly/cheerful Copyright 2006 CREIGHTON MODEL FertilityCare System Omaha, Nebraska 6 33. Please indicate methods of family planning you have used and the length of use of each. (Indicate if combinations of methods used. If used for purposes of monitoring fertility only, please indicate as such.) Length of Use Current nd Length of Use rd Length of Use th Length of Use 2 Most Recent 3 Most Recent 4 Most Recent 34. Satisfaction with use of current method. 1 = Very Unsatisfied 2 = Unsatisfied 3 = Unsure 4 = Satisfied 5 = Very Satisfied 3 = Unsure 4 = Confident 5 = Very Confident Your own evaluation (one number) Your spouse’s evaluation (one number) 35. Confidence with use of current method. 1 = Very Unconfident 2 = Unconfident Your own evaluation (one number) Your spouse’s evaluation (one number) 36. Receptivity to an unplanned pregnancy. 1 = Very Unreceptive 2 = Unreceptive 3 = Unsure 4 = Receptive 5 = Very Receptive Your own evaluation (one number) Your spouse’s evaluation (one number) 37. Reason for use of current method. To Achieve Pregnancy To Space Pregnancy To Avoid (Limit) Pregnancy To Monitor Fertility CONFIDENTIAL/PERSONAL INFORMATION 38. Do you have any physical or mental health condition, with or without accommodation, which in any way impairs you capability to practice or in any way poses a risk of harm to your patients/clients? Yes No 39. In the past five years, have you used any illegal drugs? Yes No If you answered “Yes” to questions 38 – 39, please explain completely on a separate sheet of paper and attach to application. 40. Are you currently free of any illegal drug use? If no, please explain. Yes No If you answered “No” to question 40, please explain completely on a separate sheet of paper and attach to application. 41. Two new organizations, FertilityCare Centers of America and FertilityCare Centers International, have been introduced. These new organizations are designed to unite CREIGHTON MODEL FertilityCare Centers nationwide and worldwide. Please note: any Practitioner or Center must become an affiliate or participate in an affiliated program to order CREIGHTON MODEL FertilityCare™ System teaching materials for client instruction. It is important for your understanding of this program that you read, sign and date the following: I understand upon completion of the Pope Paul VI Institute CREIGHTON MODEL FertilityCare™ Allied Health Practitioner Education Program, in order to purchase CREIGHTON MODEL FertilityCare™ System teaching materials, I will need to become an affiliate or participate in an affiliated program with FertilityCare Centers of America or FertilityCare Centers International. Copyright 2006 CREIGHTON MODEL FertilityCare System Omaha, Nebraska 7 Signature Date Indicate if you will be teaching with an existing FertilityCare Center or establishing a new center once you complete the program. I will be teaching with an existing FertilityCare Center: Name of Center I will be establishing a new FertilityCare Center 42. ESSAY: Answer the following essay question in approximately 500 words, using a separate sheet of paper: “Why is teaching the CREIGHTON MODEL FertilityCare™ System and providing professional FertilityCare services important to me?” (Discuss your motivation for seeking to become a FertilityCare Provider, why you have chosen professional training in this system, and the goals you have set for yourself.) 43. Please attach a recent snapshot of yourself to the front of this application. 44. Have one letter of reference sent under separate cover directly to the Program Director. Your application will be reviewed when all of the following items have been received. ___1. Completed application and essay ___2. Recent photograph ___3. Application fee - $25.00 (U.S. Funds only) Mail to: ___4. Pope Paul VI Institute Education Department 6901 Mercy Road Omaha, NE 68106 USA Arrange for letter of reference, addressed to Thomas W. Hilgers, MD, Program Director. Mail to: Thomas W. Hilgers, MD, Program Director Attn: Education Department Pope Paul VI Institute 6901 Mercy Road Omaha, NE 68106 USA There will be an additional $100 late fee assessed for applications received after August 15, 2007. It is important to submit your application by this date in order to receive the advance information packet in a timely fashion. No applications will be accepted after September 15, 2007. Application information will be used for evaluating applicant acceptance, not for treatment purposes. The application will be kept as part of the Education Program’s academic or continuing education’s records. Copyright 2006 CREIGHTON MODEL FertilityCare System Omaha, Nebraska 8 CREIGHTON MODEL Tools of With faculty supervision, each individual will be asked to prepare and deliver an original homily (or presentation), which brings the content of the conference to life. Bringing the Teaching to Life: Summary & Discussion NaPro NaProTECHNOLOGY ® FertilityCareTM System and the New Science of The Scientific Foundations of the Introductory Session CREIGHTON MODEL FertilityCareTM System: Standardization stem: CREIGHTON MODEL FertilityCareTM Sy System: Artificial Methods of Contraception Human Person Living Proof in 3D: Putting a face on the Unborn Male & Female Anatomy Becoming Part of the FertilityCare Team Priests A Shared Apostolate: Medical Consultants & Catholic The Catholic Priest & Celibacy Expanding Your Sexual Horizons CITY _____________________STATE/PROVINCE ________ZIP CODE___________ __________________________________________________________________ ADDRESS__________________________________________________________ NAME _____________________________________________________________ (Print Name and Title/Initials for Nametag) Evangelium Vitae: Building a Civilization of Love COUNTRY________________________ E-MAIL ___________________________________ An Introduction to the Theology of the Body DATES REQUESTED TO ATTEND: April 3 – 7, 2006 October 2 - 6, 2006 April 16 - 20, 2007 October 8 - 12, 2007 April 7 - 11, 2008 October 6-10, 2008 DAYTIME PHONE _________________________FAX________________________ Of Pillars & Spores: The Genius of Woman Mail or fax completed registration form to: ORGANIZATION YOU REPRESENT _______________________________________ Sapientia & Scientia: Who will see to their marriage? TITLE/POSITION ____________________________________________________ Donum Vitae: Companion Piece to Humanae Vitae HOW DID YOU HEAR ABOUT THIS PROGRAM?______________________________ Humanae Vitae: Exploring Its Landscape Pope Paul VI Institute Education Department 6901 Mercy Road Omaha, NE. 68106 _____________________________________ Personalist View of Human Sexuality Telephone: (402) 390-9168 Fax: (402) 390-9851 FEES Registration & Materials Fee........... $825 Email: email@example.com Web Site: www.popepaulvi.com For room, board and hotel fees, please contact the Pope Paul VI Institute Education Office Program Contents Registration information can also be taken by phone. www.popepaulvi.com L L U C the Catholic vision of Reproductive Health Care Ponder Promote & Pr oclaim A conference where we... Building a Culture of Life in Women's Health Care Love & Life Unlimited Conference Experience the . . . . . . pr oclaim this vision to family, proclaim friends, fellow-parishioners and colleagues. Proclaim the Vision . . . promote the integrated, Catholic vision of the Pope Paul VI Institute: a dynamic vision of reproductive health and health care services. Promote the Vision . . . ponder the truth and beauty of the Catholic vision of marriage, family and sexuality. Ponder the Vision The Love & Life Unlimited Conference will encourage you to . . . To make your reservation, please complete and submit the attached registration form or give us a call. We can guarantee available space at the conference only by pre-registration. Registration DoubleTree Suites - Omaha, Nebraska Location Monday morning, October 6, 2008 through Friday morning, October 10, 2008 Monday morning, April 7, 2008 through Friday morning, April 7, 2008 Monday morning, October 8, 2007 through Friday morning, October 12, 2007 Monday morning, April 16, 2007 through Friday morning, April 20, 2007 Monday morning, October 2, 2006 through Friday morning, October 6, 2006 Monday morning, April 3, 2006 through Friday morning, April 7, 2006 Dates Priests and Religious Deacons Physicians Family Life Directors RCIA Team Members Marriage Preparation Instructors NFP Coordinators Pro-life Directors Other Interested Lay and Religious Educators This Conference is Perfect for... Upon satisfactory completion of course requirements, a Cer tificate of P ar ticipation will be issued to the Certificate Par articipation participant. Members of the teaching staff of the Pope Paul VI Institute Education Programs enée M ir kes, P h.D. Sr. R Renée Mir irkes, Ph.D. h.D.: Director, Center for NaProEthics, Pope Paul VI Institute, Omaha, Nebraska Rev dwar d J. Richár d, D. Th. M., J.D. ev.. E Edwar dward Richárd, J.D.: Academic Dean, Associate Professor of Moral Theology, Kenrick-Glennon Seminary; Director, Paul VI Pontifical Institute for Catechetical and Pastoral Studies, St. Louis, Missouri Ter esa M cK enna, M.D., CFCP eresa McK cKenna, CFCP,, CNFPMC CNFPMC: Moderator, Member Board of Directors, Marguerite Bourgeouys Family Services, Toronto, Ontario, Canada Thomas W. H ilgers, M.D. Hilgers, M.D.: Director, Pope Paul VI Institute for the study of Human Reproduction, Omaha, Nebraska Faculty FertilityCareTM System The Institute is home to the CREIGHTON MODEL education technologies, the National Center for Women's Health, the National Hormone Laboratory, the newly emerging science of NaProTECHNOLOGY® (the orderly and systematic evaluation of the events that occur during the course of the menstrual and ovulation cycles), and the Center for NaProEthics. The Pope Paul VI Institute for the Study of Human Reproduction is the leading research center in Catholic reproductive services in the United States. Directed by Thomas W. Hilgers, M.D., the Institute has attained national and international recognition for its achievements in developing a natural method of birth regulation as well as research in reproductive medicine and surgery. Pope Paul VI Institute A GUIDE TO IDENTIFICATION AND INVESTIGATION OF FUNDING SOURCES This paper is to serve as a guide to the identification and investigation of funding sources that may provide financial support for your involvement in the CREIGHTON MODEL FertilityCare Education Programs offered by Pope Paul VI Institute. It reviews general categories of resources and avenues of approach to take in requesting assistance from these sources; especially those successfully utilized by previous students of this program. GENERAL CATEGORIES Institutional Support It is important to understand that your education through the Pope Paul VI Institute CREIGHTON MODEL FertilityCare Allied Health Education Program is an investment on the part of any institutional funding source that may support you in your endeavor to deliver quality FertilityCare services in your community. Church Considering the nature of your request, the institutional Church is a logical place to start. Your locale and the extent of your present involvement in FertilityCare will determine where and with whom you begin your search for support. Couples/Individuals Receiving Church Support Couples/Individuals already receiving Church support, whether it be financial or just approval to operate in a specific area or place, may desire to go first to that individual directly responsible for the support. This might be a Family Life Director, a Coordinator of Natural Family Planning Services, or the local Ordinary (Archbishop /Bishop or in the case of non-Catholic churches the President, etc.). In all cases it is important to seek a personal interview and at that time to discuss the upgrading of services by receiving the highest quality of education now available. Education and Certification is important not only to you as a teacher, but also to your funding source, as it reflects their commitment to quality FertilityCare services. Couples/Individuals Not Presently Receiving Church Support Couples/Individuals not presently receiving Church support may wish to begin by investigating assistance on the local church or parish level first. Again, personal interviews should be sought in order to build understanding and gain valuable assistance in reaching the people who can support you financially. Whether or not you are already receiving institutional Church support, investigate support on the organizational level as well. Almost all church bodies have organizations that are not dependent upon the local Ordinary for operation or decision making, and they can be approached for assistance. These are usually organizations of the laity (e.g. Council of the Laity, Council of Catholic Women, Knights of Columbus, Ladies Alter Society, the Deanery of local parishes, Serra Club, etc.), which would be sympathetic and understand how the local community would realize a valuable return on their investment. If you know people personally who are active in such organizations (either at a parish, chapter, diocesan or state levels), seek their active assistance in gaining organizational support. Health and/or Social Agency Health Center or Social Agency support is probably most viable for those individuals already associated with such institutions. Those individuals who are investigating a support base for FertilityCare Services in their community should not overlook this area. Such institutions should be able to recognize that a center cannot operate without trained teachers and that quality education is essential to providing a professional service that meets the needs of the community and reflects positively upon the institution. Whether or not you are presently attached to such an institution, seek an interview with the decision-making person(s) who handles community service projects. This would generally be the Health Center’s Administrator, Director of Community Services, or the social agency’s Executive Director or Director of Professional Services. If you are or plan to charge a fee for services, calculate the rate at which you would be able to Guide for funding 01/23/06 return the institution’s investment in your education. You may find that a large portion of the investment will be returned within the year that you are in the education process. In this light, education grants are much easier for the institution to justify in terms of budget considerations. Foundation Support Foundations exist for the purpose of supporting financially those projects and/or persons that the foundations deem worthy of support and meet their stated goals as philanthropic/charitable organizations. The fact that most foundations receive numerous requests each year should not deter you from investigating them as funding sources. For your purpose of obtaining a training or educational grant or scholarship, those foundations that are most likely to help include: • • • Those known to consider requests for individual assistance Those known to fund principally in your geographic area Those moderate in size. In any case, the person to be approached for a personal interview is the Executive Director or Chairman of the Board of Trustees. Many foundations, even some with very large expenditures, have only a few members with the decision making power, and these usually follow the inclinations of the Chairman. Also, the Chairman of the Board is usually very approachable and interested in new requests, as it is part of his personal dedication to be a caring and concerned individual. Because the foundation board may meet only monthly, quarterly, or even semi-annually, it is important that you move promptly and seek an interview with the individual who may be able to act on certain matters outside of the stated and/or scheduled process. Foundation names and addresses, names of the chairman and members of the board, size, interests, and geographic areas in which funding is principally given can be found in various directories. Foundation source books should be available in most metropolitan and university libraries. Military Support In some cases, a spouse of a military person might receive some financial assistance through the Military Archdiocese. The active duty military person applying for the CREIGHTON MODEL FertilityCare System Allied Health Education Program should contact Military’s Education Service Office prior to submitting any monies on their own behalf and apply for the continuing education funding. If approved the military will pay 75% of the tuition only, no books or materials, or room and board are included in this. The first place to check is with the Education Office on the military base where you are stationed. If that is not available contact Navy Campus Education Center, Great Lakes, IL 847-6885339, Army Education Center, Ft. Riley, KS 785-239-4836 or 5306, or Marine Education Branch MCCDC, Quantico, VA 703-784-5761, Air Force Education Office at Offutt Air Force Base, 402-294-5716. Personal Support Couples/Individuals who find themselves unavailable due to funding sources mentioned above may have to rely on more personal sources of support such as a gift or loan. Employer Many employees have a credit union to which they can turn for signature loans requiring no collateral. Such a loan may be easily repaid from fees generated through teaching. Banks loans are also possible. 201/23/06 Pope Paul VI Institute Education Department Physician Couples/Individuals may wish to investigate support from a physician or group of physicians who could offer financial assistance in return for having a reliable person(s) to refer patients for FertilityCare Services. If direct financial assistance is not possible, request their support in approaching institutions (especially Health Centers or Hospitals), foundations, community groups, or influential citizens who may provide direct assistance when they recognize medical interest and support. Such a professional relationship, whether based on direct assistance or indirect support, can be extremely valuable in the development and growth of a program, and it can exist in a variety of locales. ***Be willing to look beyond physicians of your own religion if necessary to find someone sympathetic to the need for professional FertilityCare. Family Family members and relatives may be able to provide support in the form of a gift or loan. As a professional provider you will be delivering a service which should involve a fee. It is therefore possible that any personal loan could be guaranteed by payment received for services provided by you after your training. FURTHER SUGGESTIONS Previous students of the Pope Paul VI Institute Education Program have successfully utilized every resource stated above. The greatest sources of support have, however, been institutional, Church, Hospital – Health Center or Social Agency support. Those who have presented themselves and their case directly to the decision-makers have fared better in raising necessary funds than those who just left it to others to make the requests. Having others go with you (e.g. physician, community leader, direct supervisor) or write letters of support is better than having them do all the requesting on your behalf. Those who had alternative suggestions in hand when approaching a funding source also had an advantage. For example, several previous students approached funding sources for outright expenses but were put off by statements like “the budget is already complete” or “there isn’t any remaining miscellaneous training or education funds available.” They didn’t stop with that. Instead, they explored such possibilities as borrowing money out of certain budgetary projects that could be repaid out of patient fees or borrowing from the next budget year since the program extended into the next budget year. Having such alternative suggestions accomplishes two things: • Indicates the seriousness of the intention and motivation of the person requesting funding. • Encourages discussion of alternatives to obtain the needed support. If you have funding prospects but feel that you need assistance in developing some alternative ideas in order to gain a listening posture from decision-makers, please call our office at 402-390-9168 and we will provide any help that we can. Prepared by Pope Paul VI Institute CREIGHTON MODEL FertilityCare Education Program 6901 Mercy Road Omaha, NE 68106 Telephone: 402-390-9168 301/23/06 Pope Paul VI Institute Education Department CWR0405 SpReport-2 3/29/05 11:00 PM Page 38 SPECIAL REPORT AGENTS OF CHANGE A SMALL BUT DEDICATED AND GROWING CADRE OF CATHOLIC HEALTH- CARE PROFESSIONALS By Chuck Weber IS INTRODUCING AN EXCITING NEW APPROACH — WHICH IS BOTH MORALLY ACCEPTABLE AND REMARKABLY SUCCESSFUL— TO THE TREATMENT OF T he firestorm ignited in 1968 when Pope Paul VI issued the encyclical Humanae Vitae, reaffirming the Catholic Church’s support of “responsible parenthood” and her condemnation of contraception, still burns brightly today. Now as then the Holy Father’s teaching is widely denounced as out of step with modern science and out of touch with Catholics in the pews. Cultural and political clashes centering on the dignity of human life continue to intensify, as emerging medical technologies bring a dizzying array of new products and services to the marketplace. Frozen storage of human ova, embryonic stem-cell research, surrogate motherhood, and the question of human cloning make up just part of the growing list of medically acceptable but morally objectionable techniques and practices. In light of recent developments, the words of Humanae Vitae are nothing less than visionary—as if Pope Paul VI saw it all coming. He acknowledged the “stupendous progress” of scientific research while issuing a grave warning that their new “domination” of the 38 THE CATHOLIC WORLD REPORT, April 2005 Dr. Thomas Hilgers stands in front his “Miracle Baby Bulletin Board,” a display of babies born using the NaPro Technology. “forces of nature” was beginning to degrade the dignity of the very “transmission of life.” Viewed through the lens of secular news coverage, public opinion of Humanae Vitae and other Catholic thought on issues related to science, medicine, and morality is overwhelmingly hostile—if, in fact, the Catholic viewpoint is considered at all. Yet largely hidden from the mainstream media there are new signs pointing to a steady growth in the appreciation of Catholic teaching. More importantly, there is a growing record of success in the application of Catholic thinking to real-life problems. This is precisely what Pope Paul VI envisioned when, in a little-noticed section of his life-giving encyclical, he urged doctors, researchers, and other medical specialists to “consider as their proper professional duty the task of acquiring all the knowledge needed in this delicate sector, so as to be able to give to those married persons who consult them wise counsel and healthy direction, such as they have a right to expect.” Nearly four decades after his controversial encyclical appeared, the wisdom of Pope Paul’s words and the fruits of his legacy are on full display, embodied in a new science of health care for women that is gaining converts in the United States and around COURTESY OF THE POPE PAUL VI INSTITUTE FERTILITY PROBLEMS. CWR0405 SpReport-2 3/29/05 11:00 PM Page 39 the feast of the Transfiguration, in 1978—the date of the death of Pope Paul VI—he vowed to open the Institute. Drawing on the insights and the world. NaPro Technology— Natural Procreative Technology—represents today’s definitive Catholic answer to mainstream human reproductive medical procedures, practices, and paradigms. approaches to health care that could eventually boil over: a mounting dissatisfaction at the grassroots level with the way doctors do business—particu- The recently released 1,300-page medical textbook The Medical & Surgical Practice of NaPro Technology (Pope Paul VI Press, 2004) culminates more than 30 years of research by Dr. Thomas W. Hilgers, an OB/GYN physician and founder of the Pope Paul VI Institute for the Study of Human Reproduction in Omaha, Nebraska. Dr. Hilgers is also co-creator of the Creighton Model FertilityCare System, a popular method of natural family planning, fully in keeping with the teachings of the Church, which is used by thousands of couples to achieve or avoid pregnancy; this system is closely linked to NaPro Technology. NaPro Technology applications— already in use today—extend far beyond the effective spacing of children. Medical and surgical practices of NaPro Technology effectively treat a wide range of women’s health issues including, but not limited to, infertility, repetitive miscarriages, pre-menstrual syndrome (PMS), post-partum depression, and more. Not only are NaPro Technology approaches morally acceptable to Catholics, they are at least as effective, if not more so, than currently accepted mainstream medical practices. Inspiration for Hilgers’s groundbreaking work comes from that relatively obscure section of Humanae Vitae in which the Pontiff concedes that many Catholics will find it “difficult, if not impossible” to abide by the Church’s teaching regarding artificial birth control and responsible parenthood. His appeal for more scientific study of the woman’s natural cycle of fertility and a search for ways to make Church teaching easier to embrace was assuredly dismissed by many scientists. But to others, it carried both the challenge and the encouragement that suggested divine inspiration. “From the moment I read the Pope’s words as a 4th-year med-school student, I knew he was speaking directly to me,” says Dr. Hilgers. On August 6, COURTESY OF THE POPE PAUL VI INSTITUTE A LIFE’S MISSION Stephanie and Anthony Epolite, with their daughter Claire Marie, speak at a NaPro Technology conference. discoveries of human fertility pioneers like Drs. John and Lyn Billings (cofounders of the Billings Ovulation Method), Dr. Hilgers embraced the scientific study of human reproduction as a personal, professional, and spiritual challenge. During the ensuing years and up to the present day, Hilgers has continued to lead a counter-cultural medical movement, with his work standing in sharp contrast to the widespread acceptance of license, abortion, sterilization, the Pill, test-tube babies, and other trends that the Church can only deplore. These same attitudes and practices, described and condemned by Pope John Paul II as the “culture of death,” fueled the startling rise of a powerful marketplace within the multi-billion dollar pharmaceutical and medical industries. Given the colossal financial stake that powerful players exert in maintaining the status quo, widespread acceptance of alternatives seems unlikely. Yet at a level just beneath the collective consciousness of consumers, there are signs of a frustration with current Not only are NaPro Technology approaches morally acceptable to Catholics, they are at least as effective, if not more so, than current accepted mainstream medical practices. ■ ■ ■ larly in the area of reproduction. Working alongside a growing number of health-care professionals and some members of the clergy, Hilgers is convinced that NaPro Technology is a new, Catholic-centric health science— fundamentally different from the accepted norms, yet highly effective, and at the same time compassionate in its approach to women. Today the inherent innovations of NaPro Technology may well be sparking a THE CATHOLIC WORLD REPORT, April 2005 39 CWR0405 SpReport-2 3/29/05 11:00 PM Page 40 global revolution in health care. If so, it will be a revolution incited and carried out most notably by the women and married couples whose authentic happiness depends upon it. couldn’t conceive. “He kept bringing up my age (nearly 39 at the time) and said there was really only one option for us,” Stephanie recalled of the doctor. “That was basically the consult: no ■ Dr. Hilger’s textbook, The Medical & Surgical Practice of NaPro Technology. ■ Women Healed: In Their Own Words, edited by Jean Blair Packard. ■ Physicians Healed, edited by Cleta Hartman. THE HEARTBREAK OF IVF “I never dreamed we would be walking this road to hell.” That harsh realization struck Stephanie Epolite and her husband Anthony like a blow to the head as they waited uneasily for a child—their child—to take shape inside the laboratory of a Sacramento, California, fertility clinic in the fall of 1999. In their late 30s but recently married, the Epolites had failed repeatedly in their attempts at conceiving a child in the months following their wedding day. Desperate and frustrated, they sought the advice of a doctor, who referred them to a local fertility clinic. Assured by their parish priest that it was morally acceptable to “do whatever you are comfortable with,” the Epolites concluded that the Assisted Reproductive Technology (ART) industry practice—commonly known as in vitro fertilization (IVF)—represented their last, best chance for starting a family. As practicing attorneys, the Epolites were familiar with professional consultations. Even so, the initial meeting at the fertility clinic seemed more businesslike than what they had anticipated, especially considering the stakes. There was no talk of diagnosing the causes behind why the couple 40 THE CATHOLIC WORLD REPORT, April 2005 According to the latest statistics available from the CDC, the success rates for ART procedures range from 21 percent to 34.8 percent. ■ ■ ■ blood samples, diagnostic tests, or anything else.” An in-house financial planner discussed the various “packages” available for purchase—one cycle of treatment versus two or three. “It was a little like buying a car: very structured,” says Stephanie. She recalls: Anthony is the numbers guy and dug into that more. I was just awestruck. They saw the desperation in my face, I’m sure they see it all the time. I guess they figured, “We’ve got two easy people here,” and they were right. We were willing to go through with it. Their hope rested in a procedure called IntraCytoplasmic Sperm Injection or ICSI-IVF, considered one of the most radical and invasive of all ART practices. A lab technician peering through a microscope injected a single sperm cell taken from a cup of semen produced by Anthony into a number of ova (human eggs) that had been surgically removed from Stephanie. Now the couple awaited word to see if fertilization in the Petri dish would occur. If signs of life were detected, they would be summoned back to the clinic for the final phase of the process, the transfer of the embryo into Stephanie’s womb. A steep price had been paid to get this far—nearly $25,000 for two cycles of services and drugs. The clinical regimen over the previous two months had been tedious and emotionally draining. Part of the protocol involved Anthony injecting his wife with multiple, daily doses of drugs at various points of her body; the injections were designed to control her fertility cycle. Throughout the process they kept telling themselves it would all be worth it if the end result produced the child of their dreams. And so they waited expectantly for “the call.” Like most of the millions of women and couples in the United States who have endured ART treatments, the Epolites found that the call they were hoping for never came. Doctors from the clinic were matter-of-fact in assessing the failure. “Basically it was, ‘We’ve done as much as we can, we can go no further, so basically, live with it,’ “ remembers Stephanie about being informed that fertilization failed. “There was no hope. In fact it was said that ‘you will probably never have a family.’ In essence, ‘deal with it.’” “I felt like it wasn’t meant to be,” said Stephanie recalling those dark days. “It was like my body had failed me, and that I couldn’t do what I was meant to do. There was an emptiness inside myself and my heart that could never be filled.” BEHIND THE ART CURTAIN The Epolites experienced firsthand what most other couples turning to ART discover sooner or later. Behind the glowing media reports and the marketing blitzes that feature satisfied parents cuddling smiling babies is a CWR0405 SpReport-2 3/29/05 11:00 PM Page 41 deeper, darker truth: assisted reproductive technologies are hardly the panacea to infertility they are made out to be. IVF procedures invariably require the so-called “selective reduction” of human embryos—that is, the destruction of tiny unborn babies—that are typically produced in clusters, numbering as many as six or more at a time. Because the couples are dealing with the New England Journal of Medicine found that babies conceived through IVF or ICSI were more than twice as likely as naturally conceived infants to have major birth defects (9 percent vs. 4.2 percent), such as problems with the heart and urinary or genital tracts. A number of other studies published in professional medical journals implicate IVF for significantly higher incidences of low birth weights, cancer, birth Dr. Hilgers signing copies of his new textbook. Loome multiple embryos and heavy fertility treatments, the approach can also yield unexpected results of another sort; a startling 35.4 percent of all ART pregnancies result in twins, triplets, or more, according to the latest data published by the Centers for Disease Control (CDC). Success rates for ART procedures as defined by the CDC are measured in a variety of ways, including “pregnancies per cycle” of treatment as well as “live births” per cycle and other measures. According to the latest statistics available from the CDC, the success rates for ART procedures range from 21 percent to 34.8 percent. But even among those instances in which ART procedures result in a pregnancy and birth, there is growing cause for concern. One large-scale study published in “From the moment I read the Pope’s words as a 4th-year med-school student, I knew he was speaking directly to me.” ■ ■ ■ defects, and other conditions that can cause developmental problems like speech impairment. The response from the ART advocates to these findings, as reflected in secular media reports, ranges from mild concern to dismissal. Kathy Hudson is the director of the Genetics and Public Policy Center at Johns Hopkins University in Baltimore and former assistant director of the National Human Genome Research THE CATHOLIC WORLD REPORT, April 2005 41 CWR0405 SpReport-2 3/29/05 11:00 PM Page 42 Institute. In a feature article examining concerns about ART and its impact on the health of infants published by MSNBC.com (the online partner of Newsweek magazine), Hudson responds to the troubling studies by saying: “The risks that do exist, if they do exist, are rare.” To date, some 300 studies on the effects of ART on children have been completed. A panel that includes members from the American Society for Reproductive Medicine (ASRM), considered by some to be the leading advocate of ART in the United States, and the American Academy of Pediatrics is now analyzing the available research. A SECOND CHANCE But now, back to the case of Stephanie and Anthony. Although unwilling to tolerate another round of ICSI IVF, the Epolites were not yet ready to give up their dream of having a child. In May of 2001, Stephanie decided to call an old friend, Nancy Mattieoli, a veteran instructor of the Creighton Model FertilityCare system and a Certified FertilityCare practitioner with an expertise in NaPro Technology. The two women had first met a few years earlier during Stephanie’s engagement when the bride-to-be inquired about natural family planning methods as a way to avoid pregnancy. The focus of their discussion now was quite different. Stephanie remembers: Nancy was someone I felt comfortable talking with about all we’d been through. I laid it all out on the line for her, and I mean everything. I told her I felt like I’d violated my body, my religion, and that I felt like a sinner. She just heard me out and said, “Okay Stephanie, let’s get back on track and start charting.” So that’s what we did. “Charting” is the foundation of the Creighton Model FertilityCare system and the key diagnostic tool of NaPro Technology. Prospective practitioners undergo a rigorous training curriculum that, once completed, certifies them to teach women how to look for and record changes in their cervical mucus. These changes, also known as 42 THE CATHOLIC WORLD REPORT, April 2005 biomarkers, appear throughout the course of every woman’s menstrual cycle. Research shows that changes in mucus correspond with changing levels of estrogen and progesterone in the “It was a little like buying a car: very structured.” ■ ■ ■ It is one and-a-half to three times more successful than in vitro fertilization at helping infertile couples have children—at a fraction of the cost. ■ ■ ■ The per capita rate of hysterectomies in the United States is three to four times as high as in European countries. ■ ■ ■ body that cause a woman to ovulate and menstruate. Dr. Hilgers refers to the charting of these biomarkers as a way of reading “the language of the woman’s body.” Properly understood and used, this unique vernacular helps unlock the secrets of underlying health problems and points to appropriate treatments. “This is perhaps the most striking distinction between mainstream medicine and NaPro Technology,” explains Hilgers. “Most medical approaches today bypass the woman’s problem or simply override her natural processes altogether. With NaPro, we find out why the body isn’t functioning correctly, then apply treatments that work cooperatively with the body.” Once basic problems are diagnosed, NaPro physicians can utilize a range of cutting-edge medical and surgical practices, which are described in Hilgers’ new medical textbook, to restore the natural process of the woman’s body to its proper function. Thanks to this almost obsessive focus on diagnosing and curing underlying health concerns, Dr. Hilgers has documented important advances in treating endometriosis, polycystic ovarian disease, blocked fallopian tubes and hormonal disorders—all common conditions that can contribute to infertility and other problems. “WE’RE IN GOD’S PLACE” Couples like Stephanie and Anthony Epolite include another element when they describe the NaPro Technology approach to health care: compassion. Stephanie remembers: When we walked through the doors of the Pope Paul VI Institute and met that first staff person, I told myself, “We’re in God’s place.” Everyone treated us with respect, kindness, compassion, and love. When I finally met Dr. Hilgers in person, I told him we were in the right place and he was one of God’s messengers. It was July of 2001, and the Epolites were in Omaha, daring once again to believe that their dream of having a child might be within reach. Under the direction and encouragement of Nancy Mattieoli and a Sacramento physician, Dr. John Gisla, the couple had faithfully charted Stephanie’s cycle for months before sending the data to Dr. Hilgers along with a letter asking if he would consider taking their case. Dr. Hilgers’s reply in January of that year outlined the protocol that would be involved if they wanted to move forward, and the couple readily agreed. Based on a reading of the charts, Stephanie’s blood was drawn on targeted days and shipped to the Institute’s hormone lab for analysis. After multiple long-distance phone discussions—and a word of caution from Dr. Hilgers that there are no guarantees for success—he agreed to take their case and the Epolites flew to Omaha. In Nebraska, Dr. Hilgers immediately conducted diagnostic procedures on CWR0405 SpReport-2 3/29/05 11:00 PM Page 43 Stephanie and Anthony. Those tests confirmed that she suffered from endometriosis and blocked fallopian tubes, while his sperm count was unacceptably low. (Unlike typical practitioners of assisted reproduction, the Pope Paul VI Institute has developed a technique for collecting semen during natural intercourse, so that the process does not violate the chastity of the man or the integrity of the marital act.) During a two-week stay in Omaha, NaPro surgical procedures were performed on Stephanie, and a highpotency nutritional supplement was prescribed for Anthony. As they boarded the flight home, the couple’s hopes were high that they would be able to conceive. They also sensed a new inner peace, knowing they had done all they could. Now, they decided, it was time for prayer and trust. “faith, endurance, heartbreak, and love” culminated on October 31, 2002 at 9:17 pm with the birth of their daughter, Claire Marie Epolite. INTRODUCING A NEW TECHNOLOGY TO THE WORLD NaPro Technology’s application to the problem of infertility is perhaps the most captivating use of the emerging new approach to women’s health and the wife of an FBI agent, Debra Brock of Liberty Township, Ohio, spoke of her bouts with severe depression (including thoughts of suicide) while struggling with premenstrual syndrome (PMS). Brock had been successfully treated previously at the Institute for recurrent miscarriages, and during an otherwise routine follow-up phone conversa- The weeks that followed were more difficult than the Epolites had imagined. Dr. Hilgers had repeatedly cautioned them not to expect instant results, but with each passing month, as they saw no visible results, the couple grew more discouraged. “At one point I think I had convinced myself that I was experiencing symptoms of being pregnant,” recalls Stephanie. “Then when my period came, I just threw myself down on the floor and shouted out, ‘God, I can’t do this any longer! You’ve taken a strong woman and you broke her down.’” Anthony consoled his wife as best he could, and reminded her that they had agreed to make a leap of faith. “We said we were going to rely on God,” he said. “Let’s trust him.” That trust was put to the test when the Epolites were asked to share their IVF experiences with representatives attending the annual meeting of the California Natural Family Planning Conference in March of 2002. They reluctantly agreed. Conference attendees got more than they bargained for when, at the end of their prepared 30-minute presentation, Stephanie and Anthony made a dramatic announcement: she was seven weeks pregnant. Tears flowed freely during the extended standing ovation that followed. The journey to parenthood that Anthony describes as one of JAMES CONNOLLY/GREENGRAPH A LEAP OF FAITH— AND A SURPRISE Denys and Gabrielle Tims and 3-day-old Baby Dionne, at Sligo General hospital, County Sligo, Ireland. The Tims received NaPro care in Ireland. undertaken by Catholic practitioners, but it is hardly the only one. During a landmark conference in July of 2004 in Dr. Hilgers’ home town of Omaha, Nebraska, more than 400 physicians, pharmacists, practitioners, and patients from the United States and around the world gathered to learn more about NaPro Technology’s many breakthroughs, and to share their stories. The conference theme: “Introducing NaPro Technology to the World,” featured a series of emotional, first-person testimonials from women and couples—including Stephanie and Anthony Epolite—who described how their various conditions were diagnosed and successfully treated using NaPro Technology. For example: • A home-schooling mother of eight tion mentioned her depression. At the request of a nurse, she sent in a blood sample and it was quickly determined that her hormones were at one-third the normal level. After receiving treatment she was “given her life back.” • Abby Bredemeyer was a 19-yearold college student whose severe THE CATHOLIC WORLD REPORT, April 2005 43 CWR0405 SpReport-2 3/29/05 11:00 PM Page 44 Three “miracle babies” from the same family. (From left) Steffan, Rile, and Johannes Sales. lowed, Dr. Hilgers has re-doubled his efforts to spread the NaPro Technology message. Publication of the medical textbook marked a significant turning point. Now he was able to offer scientific documentation to support the personal testimonies and anecdotal evidence that had been quietly circulating for years. Among NaPro Technology’s many breakthroughs, described in the textbook, are: pelvic pain and cramps during menstruation forced her to spend several days a month curled up in pain. She had been offered two options: painkillers and the birth-control pill, which only slightly relieved the symptoms. Her parents recalled a presentation Dr. Hilgers’s wife Sue had given years earlier and decided to call the Institute. After the first appointment Abby ceased taking the Pill and started charting. That led to Dr. Hilgers’ diagnosis of endometriosis: the core cause of monthly agonies. She had surgery, and her problems all but ended. • It is one and-a-half to three times more successful than in vitro fertilization at helping infertile couples have children—at a fraction of the cost. • It is 79 percent effective at helping women have a successful pregnancy after they have suffered repeated miscarriages. • It can help women learn they are at risk for a miscarriage even before one has occurred. • “Women do not have to Dr. Hilgers presenting his new medical accept post-partum textbook to Pope John Paul. depression as a part of pregnancy,” declared and Debbie Lutgen of Beloit, Estelle Nigro, the mother of three Kansas, had all but accepted their boys. For the first time ever, she fate as a childless couple. Even publicly shared the impact of her when they were convinced to call own post-partum depression the Pope Paul VI Institute and set before the hushed audience: her an appointment with Dr. Hilgers, feelings of shame, embarrassment they were philosophical about and perhaps worst of all, the hortheir chances. “At our initial conrific feeling that motherhood was sultation I told Dr. Hilgers that I a colossal mistake. This was anydidn’t know if we needed to be thing but the normal “baby talking to him,” recalls Debbie, blues.” Doctors prescribed anticontinuing: depressants and assured her the feelings were “common”—a We believed so strongly that if God patronizing diagnosis that made wants you to have children, he will give them to you. Dr. Hilgers just her feel even worse. Fortunately looked at me and said, “If you have a she sought the help of Dr. clogged sink, are you just going to Hilgers—who, far from dismisspray about it—or are you going to call ing or trivializing her concerns, a plumber?” He explained that he is recognized the totality of the situnot playing God, he’s just being used ation and its impact upon her perto bring about God’s plan. sonal emotional health, her children, and her marriage. Her The Lutgens then introduced little NaPro Technology treatment proDavid and Amy to the delighted gathtocol included regular doses of ering: two more NaPro Technology progesterone that led to the “miracle babies.” resumption of a normal, happy life as wife and mother. NAPRO BREAKTHROUGHS • After six painful, emotionally traumatic miscarriages, Dennis 44 THE CATHOLIC WORLD REPORT, April 2005 During the Omaha conference and in a series of medical conferences across the country in the months that fol- • It is 95 percent effective at treating pre-menstrual syndrome (PMS), a condition that plagues millions of American women each month. • It is also 95 percent effective at treating post-partum depression, often achieving results within hours to ease a condition that afflicts as many as one in five new mothers. • It cuts the rate of premature birth nearly in half—thus helping to reduce the incidence of birth-related injury. • It allows for the accurate dating of the beginning of pregnancy, thus helping to avoid some endof-pregnancy complications. • It effectively treats chronic pelvic pain, and it reduces the hysterectomy rate by a remarkable 75 percent. Not only is the NaPro Technology approach more effective at getting desired results, it has many important, beneficial “side effects” as well: • By helping patients conceive naturally, the pitfalls of IVF like multiple births and the high incidences of birth defects are avoid- CWR0405 SpReport-2 3/29/05 11:00 PM Page 45 ed. The multiple-pregnancy rate of NaPro Technology is just 3.2 percent, far lower than IVF/ART pregnancies. • NaPro Technology helps avoid unnecessary surgeries. To cite just one example, rather than treating a woman’s underlying problems, many doctors today will order a hysterectomy, preferring simply to remove the woman’s reproductive organs. The per capita rate of hysterectomies in the United States is three to four times as high as in European countries. Although studies show that the complication rate for hysterectomy is very low, research has linked the surgery to other subsequent problems, such as depression, sexual dysfunction, weight gain, high blood pressure, and premature menopause. avoiding pregnancy are more than twice as likely to discontinue that approach as women who use the Creighton Model FertilityCare system. And Creighton Model users report higher levels of self-esteem, spiritual well being, and sexual intimacy than do users of the birth-control pill. Dr. Philip Boyle, an Irish practitioner of NaPro Technology, Dr. Hilgers, and the Epolites at a panel discussion of the health care process. • The habit of daily observation by the woman—a practice that takes only half a minute, several times a day—helps her catch the early signs of other potential health problems, including some cancers, assuring her a higher rate of recovery. • As a means of avoiding pregnancy, the Creighton Model FertilityCare System is highly effective. A study published in the June 1998 issue of the Journal of Reproductive Medicine found its perfect-use effectiveness to be 99.5 percent and its method effectiveness to be an impressive 96.8 percent. This compares favorably to the success rates of the birth-control pill, of which Planned Parenthood’s web site states: “Of 100 women who use the Pill, only eight will become pregnant during the first year of typical use.” It is well worth noting that the natural solutions advocated by Dr. Hilgers are what people really want. Several anecdotal bits of information point to that reality. According to a study conducted by City University, London, couples who conceive through IVF are far less likely to tell their children of their true origin than parents who adopt—perhaps an indication that the parents are not proud of the IVF procedure. Women who use the birth-control pill as a means of with readily available research papers, news headlines, and other resources. Sponsorship for a single event like the “Gala Reception” at the group’s annual meeting carries a $225,000 price tag. In contrast, marketing and publicity resources for the 165 FertilityCare Centers that serve as the primary TECHNOLOGY AT A CROSSROADS The ability to transform NaPro Technology from a closely held, “niche market” approach to women’s health care into a widespread, commercially viable alternative to conventional medical approaches depends on many factors. The various beneficiaries of NaPro Technology, no matter what their medical conditions may have been, share one sentiment that crops up so frequently that it is almost eerie. They all say, in virtually the same words: “Why didn’t anyone tell me about this before?” Like many new products or services, NaPro Technology competes against well-financed options that are already firmly entrenched in the marketplace and in the political arena. The American Society for Reproductive Medicine maintains a fully staffed Office of Public Affairs in Washington, DC, and an elaborate web site stocked Conference attendees got more than they bargained for when, at the end of their prepared 30-minute presentation, Stephanie and Anthony made a dramatic announcement. ■ ■ ■ source of NaPro Technology services in the United States and around the world are far more modest. The American Academy of FertilityCare Professionals, the education and certification group that supports NaPro Technology and sponsors an annual conference like the one in Omaha last July, is grateful that individual donors step up to provide a morning coffee bar for attendees. By its very nature, the NaPro Technology approach to medicine and THE CATHOLIC WORLD REPORT, April 2005 45 CWR0405 SpReport-2 3/29/05 11:00 PM Page 46 reproductive health is unlikely ever to generate the kind of massive support infrastructure currently enjoyed by the ART industry. But NaPro Technology advocates are far from discouraged; they are simply seeking out more creative, cost-effective ways of spreading their message. Last summer, Dr. Hilgers commissioned a new Catholic non-profit communications group composed of former secular news professionals to produce a Video News Release (VNR) to coincide with the annual conference and publication of the medical textbook. The VNR featured the story of the Epolites journey from failed IVF to parenthood with NaPro Technology. An audience tracking service confirmed that the story had aired on newscasts in more than a dozen major markets, reaching an estimated 3 million households, generating new calls and email messages to local NaPro Technology providers. That same group is now developing a series of education and marketing videos explaining NaPro Technology, as told through the personal experiences of women and couples who have benefited. A feature-length documentary about the history and work of the Pope Paul VI Institute is also under development. The Institute received hundreds of email messages and phone calls after Dr. Hilgers appeared on “The World Over” with Raymond Arroyo on Eternal Word Television Network (EWTN) last August. “We always know when they replay that show,” says Dr. Hilgers of his EWTN appearance. “The next morning our email box is overflowing.” Support for the Pope Paul VI Institute and NaPro Technology within the Catholic Church is apparent on a number of levels. For several years now, the Institute has received a $50,000 annual contribution from the Vatican—“my check from the Pope,” says Dr. Hilgers with a smile. He presented the Holy Father with an advance copy of his new medical textbook last year. Beyond monetary support, Pope John Paul II has continued to support the work of the Institute in other ways. Cardinal John Francis Stafford, former president of the Pontifical Council of the Laity (and currently director of the 46 THE CATHOLIC WORLD REPORT, April 2005 Baby Kenneth with Anne Marie and Gabriel Downes. Kenneth was the first NaPro baby in Ireland, Born on July 29, 1997, in County Mayo. Can the secular reproductive-medicine community be persuaded to embrace—or at the very least to acknowledge—this new approach? ■ ■ ■ Apostolic Penitentiary in Vatican City) repeatedly reminded attendees of the conference in Omaha he had come “at the explicit request” of the Holy Father to recognize the efforts of Dr. Hilgers and reaffirm the message of Humanae Vitae. The cardinal also stunned his audience with a stinging rebuke of contemporary sexual norms, mocking the kind of language heard all too often at the local mall or on MTV. His voice rising, Cardinal Stafford said: Humanae Vitae involves a radical critique of the misuses of technology. Such abuses ravage the creative tiny sparks of life and contaminate the springs of love in communion—life, contaminated, and also, by the misuse of technology, love, and communion, violated. Studies and attitudes toward dating today report on the growing trends toward “hook ups.” Railroad cars “hook up.” Ships and planes sometimes “hook up” for re-fueling purposes. Now, in a technologically dominated culture, “hook ups” are perceived as human relationships, inspired by a mutual, and seemingly unromantic desire to take care of sexual urges without the complications of love or romance. In bringing forth NaPro Technology, the Pope Paul VI Institute has reaffirmed the original meaning of technology. It is to be life-giving, in the Greek sense. It is to be creative and life-enhancing. This creative use of technology is in service to human subject, in service—not exploiting it, and is a direct response to the appeal of the Pope. It represents a turning point in the century. LINGERING QUESTIONS History will judge whether or not Cardinal Stafford went overboard with his glowing endorsement of NaPro Technology. But for all its benefits, numerous questions about the approach still remain. Can the secular reproductive-medicine community be persuaded to embrace—or at the very least to acknowledge—this new approach as a legitimate alternative to current practices? To date the answer to that question has been No. A spokesman from the American Society of Reproductive Medicine declined comment on the topic, saying, “We tend to just ignore these people.” Requests for comment from another ART advocacy group, RESOLVE, were similarly met with silence. There are other challenges, including the recruitment and training of properly certified physicians. A fellowship program at the Institute, in which doctors come to Omaha to live and train under Dr. Hilgers, has a rocky history. “It’s a sacrifice for them,” admits Dr. Hilgers when asked about doctors who consider the fellowship program. He explains the difficulties: Many of them are sympathetic to what we’re doing, but they’ve got thriving practices back home and families to support. It’s a tough call. There’s also a lot of pressure from their peers to view NaPro Technology as some sort of oddball kind of medicine because they didn’t learn about it in med school. Surprisingly enough, some of the most successful NaPro Technology physicians practicing today live and work outside the United States. Dr. Philip Boyle is a certified FertilityCare educator and practitioner in Galway, Ireland, who began using NaProTechnology in 1998. Since then CWR0405 SpReport-2 3/29/05 11:00 PM Page 47 he has founded more than 30 FertilityCare centers in Ireland and has helped 95 couples achieve 123 conceptions. NaPro Technology practitioners can be found in 13 countries besides the United States, with a total of 165 FertilityCare Centers worldwide located in hospitals, diocesan natural family-planning offices, and stand-alone clinics. Some members of the Catholic clergy are also playing an increasingly active role in learning about and promoting NaPro Technology. The “Love & Life Unlimited” conferences sponsored by the Pope Paul VI Institute are designed to give priests, deacons, and lay religious leaders an opportunity to “ponder, promote, and proclaim” the Catholic vision of marriage and sexuality. Father Edward J. Richard is the aca- demic dean at Kendrick Glennon Seminary in St. Louis, who serves as a member of the Love & Life Unlimited faculty. “Once the priests come and find out what this is all about, they can return to their parishes with a real grasp of what the Church teaches about sexuality,” he says. “It also affirms and enforces the beauty and meaning of their own calling and commitment to celibacy.” As NaPro Technology advocates work to bring this new reproductive science into the lives of mainstream Catholics, the most crucial unknown is whether women and couples will actually take the time to explore all the options available to them—including NaPro Technology—as they address their own reproductive-health issues. Ultimately, answers to these and other questions about the long-term success of NaPro Technology depend upon the merits of this new women’s health science. Does it work? Is it better? If NaPro Technology is in fact a superior health care alternative, grassroots demand for it from both Catholic and non-Catholic consumers, and in the marketplace of scientific and medical ideas will be the driving force. Only then, as an aging but visionary Pontiff said so many years ago, would couples enjoy the “wise and healthy direction, such as they have a right to expect.” ■ CHUCK WEBER is the executive director of SaintMax Worldwide (www.saintmaxworldwide.org), a Catholic non-profit communications company. Peter McFadden also contributed to this article. THE CATHOLIC WORLD REPORT, April 2005 47
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