Medical Students' Knowledge of Midwifery Practice After Didactic and Clinical Exposure

This descriptive study explores the roles and responsibilities of midwives involved in teaching medical students and residents. Surveys were received from 74 academic midwifery practices in the United States that are formally involved in medical education (66% response rate). These practices employ 547 midwives. Most of these midwives have >5 years of experience as clinicians (97%) and average >5 years of experience in medical education (73%). Academic midwifery practices teach multiple learners including obstetrics and gynecology residents (80%), family practice residents (60%), medical students in their core clerkship (93%), and midwifery students (83%). Midwives are often clinical preceptors during births of the midwifery practice's patients, but they assume a more formal academic faculty role with a resident or attending physician-shared case load of patients. Forty-two percent of midwifery practices care for their own patients along with the teaching and supervision of residents' patients. Roles and responsibilities of the midwifery practice members are explored, including the percentage of time spent in specific clinical and educational functions. Clinical experience and teaching expertise of midwives are valued in medical education. Multiple opportunities exist for collaboration between midwifery and medicine.

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Midwives as Educators of Medical Students and Residents: Results of A National Survey

McConaughey

Howard

2009

“…Themes from published literature regarding the role of midwives in medical student and resident education include: 1) teaching the midwifery model of care to learners; 2) creating collaborative, interdisciplinary teams; and 3) developing professionalism . As midwives have taken on formal academic medicine teaching roles, there has been recognition of their value as teachers, evaluators, and mentors by both medical students and residents who have reported positive clinical learning experiences . In evaluations, medical students have indicated that certified nurse‐midwives (CNMs) have the capacity to teach medical students .…”

Section: The Role Of Midwives In Medical Student and Resident Educationmentioning

confidence: 99%

Midwives in Medical Student and Resident Education and the Development of the Medical Education Caucus Toolkit

Radoff

Natch²,

McConaughey³

et al. 2015

Midwives have been involved formally and informally in the training of medical students and residents for many years. Recent reductions in resident work hours, emphasis on collaborative practice, and a focus on midwives as key members of the maternity care model have increased the involvement of midwives in medical education. Midwives work in academic settings as educators to teach the midwifery model of care, collaboration, teamwork, and professionalism to medical students and residents. In 2009, members of the American College of Nurse-Midwives formed the Medical Education Caucus (MECA) to discuss the needs of midwives teaching medical students and residents; the group has held a workshop annually over the last 4 years. In 2014, MECA workshop facilitators developed a toolkit to support and formalize the role of midwives involved in medical student and resident education. The MECA toolkit provides a roadmap for midwives beginning involvement and continuing or expanding the role of midwives in medical education. This article describes the history of midwives in medical education, the development and growth of MECA, and the resulting toolkit created to support and formalize the role of midwives as educators in medical student and resident education, as well as common challenges for the midwife in academic medicine. This article is part of a special series of articles that address midwifery innovations in clinical practice, education, interprofessional collaboration, health policy, and global health.

“…10,11 In 2000, Metheny and Angelini 12 described an interdisciplinary educational model in which midwives had successfully participated in medical obstetric education since the early 1990s. Hanson et al 13 studied medical students' knowledge of midwifery practice after didactic and clinical exposure. In this particular study, midwives were recognized for their active teaching role.…”

Section: Literature Reviewmentioning

confidence: 99%

A National Survey of the Midwifery Director Role in Academic Midwifery Practices Involved in Medical Education in the United States

Angelini

2009

A survey to explore the role characteristics and key responsibilities of midwifery directors in academic practices involved in medical education in the United States was undertaken. Six key content areas were investigated: role responsibilities and characteristics, interaction with other medical divisions and committees, budgetary structure, interaction with learners, clinical schedules, and job satisfaction. A mail-based descriptive survey was distributed to 112 midwifery directors with a 56% response rate (N = 63). The results show a composite profile of academic midwifery practice directors involved in medical education that work primarily for departments of obstetrics and gynecology, are championed by the departmental chairperson, and have budgetary placement under this department. Collaboration with the residency director has not been fully realized, thereby limiting midwifery exposure and input regarding medical education, curricula changes, and access to key education committees. National changes in resident work hours had both a positive and negative impact on the director and overall midwifery practices. Job satisfaction documents both positive and challenging aspects to the director position, and most directors felt successfully integrated with physician colleagues.