Nurse-midwifery service model in an academic environment

Models of Organizational Structure of Midwifery Practices Located in Institutions With Residency Programs

“…The University of New Mexico Health Sciences Center midwifery practice in Albuquerque also shares this organizational structure 8 . The midwives provide full‐scope prenatal, postpartum, and gynecologic care to their own midwifery patients in a variety of clinical settings.…”

“…Midwives have been involved in medical education for decades 6–12 . Some midwives have allowed medical students and residents to participate in the care of the women who are receiving midwifery care to facilitate learning about the midwifery model of care.…”

“…Many practice organizational structure models have evolved over the years to accommodate the roles midwives play in various academic settings. Practices such as those at the University of Rochester and the University of New Mexico have been described in the literature, and it has been shown how this team concept of care can improve educational outcomes for nonmidwifery learners 8,9 . However, little attention has been given to how the academic midwifery practices themselves are organized.…”

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

“…9,18 Exemplars of well-functioning academic nurse-midwifery service models in the 1990s detailed the role and function of midwives involved in the didactic and clinical education of medical students and residents. [19][20][21] Roles as educators are more formalized in practices where CNMs are employed as faculty in medical schools. However, midwives' teaching roles tend to be less structured when CNMs happen to be in practices at the same institution where medical students rotate for their obstetrician/gynecologist clerkships.…”

Documentation and Billing for Services Provided by Midwives Teaching Obstetrics and Gynecology Residents and Medical Students

“…Many factors in the current delivery of obstetric services in the United States have led to the use of certified nurse‐midwives/certified midwives in new and expanded roles that are necessary for the success of obstetric departments in large academic institutions. In many institutions, midwives are currently teaching obstetrics and gynecology residents and medical students in labor and delivery units, triage settings, and in outpatient clinics 1–5 …”