GLP-1 Medicines and Pregnancy Planning

Executive summary

Reproductive counseling must accompany metabolic prescribing. In a 2026 Chicago health-center study, only 11.9% of the 194 women with type 2 diabetes prescribed a GLP-1 receptor agonist reported discussing pregnancy intentions at their recent visit. These local self-reports support a counseling gap; they do not establish national prevalence or the safety of pregnancy exposure.

HEART RESERVE proposes one 60-minute enduring activity focused on the decisions that a broad obesity update cannot fully address: verify the exact product and reproductive goal, interpret exposure uncertainty, and maintain needed metabolic care during transition. Three original fictional case sequences move from a proposed plan to changed circumstances and an accepted handoff. Lisa Zahakos, RPA-C’s longitudinal teaching approach makes the communication and coordination work visible. Maternal-fetal medicine, endocrine and pharmacy review will independently assess the content.

The $71,400 prospective request includes $12,300 of defined educator revisions. Three matched first-response items measure immediate learning; proposed parallel vignettes provide a reviewable route to transfer assessment, with follow-up actions and barriers reported separately. No pregnancy or cardiovascular outcome benefit is promised. An endocrine IME route requires explicit confirmation that reproductive counseling fits current priorities, plus a separate delivery quote and provider-approved budget.

Why HEART RESERVE

HEART RESERVE connects a woman’s history with current evidence, the next clinical action and the person responsible for follow-through. Its contributed original curriculum, consistent case structure and equivalent text/audio options provide a concrete starting point for faculty review. Lisa Zahakos, RPA-C supplies the clinical educator perspective; independent specialty faculty, the accredited provider and a contracted delivery organization supply distinct review and delivery functions. No unverified organizational reach, accreditation or prior grant outcomes are claimed.

Funding fit

The educational purpose is product-specific reproductive counseling while preserving necessary metabolic care. Lilly publicly lists Endocrine but does not establish reproductive counseling as a current priority on its public page. Confirm that exact scope in the current portal before selecting the funding route. Keep this focused transition activity distinct from the broader obesity/diabetes activity.

Educational design

Three original cases use an initial decision, a changed circumstance, evidence-based feedback and an accountable follow-up plan. A separate review exhibit supplies three proposed transfer vignettes mapped to existing baseline concepts. The accredited provider validates case content, timing, assessment and media equivalence before release.

Outcomes and limits

The current baseline and first posttest share three items. Report paired n, absolute percentage-point change, item-level results and uncertainty, with retries separate. The 15-percentage-point gain is a planning target; high baseline scores may create a ceiling. Repeated items measure immediate learning with recall limitations. The proposed transfer form changes the clinical surface while preserving the mapped concept. Before using it for a Moore level 4 claim, independent clinical and assessment reviewers must approve the key, equivalence, difficulty and analysis, then pilot it with representative learners. Use it to replace matched posttest slots only after approval, preserving six final questions and the time target. It is not an additional required test in the present activity. Report unpaired data and nonresponse; do not infer causality, observed clinical performance or patient benefit.

Budget and value

The prospective request is $71,400, including $12,300 in proposed educator work (17.23%). Completed development and application preparation are contributed. Final contracts must aggregate every payment to Lisa and keep it below 20% of the final funded total. Independent review, hosting and outcomes have separate payees. Reconcile shared content, included host services and audience overlap once.

Delivery and partner roles

All costs are planning estimates; a separate quote is needed for this audience and activity. The accredited provider controls credit, disclosures, educational independence and commercial-support arrangements. ReachMD is an alternative delivery discussion requiring its own agreed formats and quote; it is not an additional confirmed partner or a service included in myCME’s offer.

Evidence still required

Specific topic acceptance, separate host quote, clinical faculty commitments and allocation of any reused material.

Decision-to-outcome plan

Maya P: confirm the medicine before the calendar: Return to the exact formulation and indication before applying an interval; use teach-back for the revised plan. The current baseline concept is G1; proposed transfer item TR1 remains a separate review exhibit until clinical/assessment approval and pilot.

Nora: uncertainty requires careful counseling: Ask what the study can and cannot establish; separate an imprecise relative estimate from an individual absolute probability. The current baseline concept is G4; proposed transfer item TR2 remains a separate review exhibit until clinical/assessment approval and pilot.

The transition visit: a referral does not provide interim care: Make the interim clinical owner, assessment, treatment transition and accepted follow-up explicit; urgency depends on the actual clinical findings. The current baseline concept is G6; proposed transfer item TR3 remains a separate review exhibit until clinical/assessment approval and pilot.

The active activity contains three baseline items, six formative decisions and six final items. The three repeated baseline/post items measure immediate learning with recall limitations. Link each result to its objective, retain first attempts and report retries separately. Proposed transfer cases must replace mapped final slots only after approval; they are not additional current completion requirements. Report later self-reported actions and access barriers separately from case scores.

Independence and acceptance

Independent clinical faculty and the accredited provider determine content, evidence balance, assessment keys and release. Commercial supporters do not select recommendations or products. Each funded line requires an eligible future deliverable, documented hours/rate or units, and accepted work. Existing development and grant preparation are contributed. Andrea’s October 9 guidance concerns management fees above 20%; the separate user-directed ceiling aggregates all compensation to Lisa below 20% of the final funded amount. Mike’s written quote applies only to Pregnancy Is Heart History. Other courses require their own agreed scopes and quotes.

Needs evidence

Bailey et al., 2026; local reproductive-counseling reports

Apply the population, setting and study limitations stated in the needs assessment; this source does not establish the same gap in every proposed learner.