The Obstetrics Team: Midwives Teaching Residents and Medical Students on the Labor and Delivery Unit

Section: Resultsmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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

Collins-Fulea

2009

“…A study conducted in Wales 3 described an expanded role for midwives involved in medical education and the integration of midwifery within a department of obstetrics and gynecology. The most recent publication described a model in which midwives teach residents and medical students on labor and delivery 2 . This model described the successful involvement of midwives who could teach residents and medical students and provide overall service needs created by reduced resident work hours.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Twenty years ago, a survey of the leadership role of academic midwifery directors involved in practices that participate in medical education would have yielded few responses. However, in the last 10 to 15 years, there has been a rapid expansion of this type of midwifery practice in both the United States and the United Kingdom 1–4 . This paradigm of academic midwifery practice involving medical education has not only become a fast‐growing model, but has blossomed in many settings, albeit with varied characteristics.…”

Section: Introductionmentioning

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.

“…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 …”

mentioning

confidence: 99%

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

Wilson‐Liverman

Slager

Wage

2009

Certified nurse-midwives are teaching obstetrics and gynecology residents and medical students in major academic institutions across the United States. In these instances, the ability to appropriately document services rendered to support a billable service is paramount. This article explains the difference in requirements for midwives' documentation when working with residents compared with documentation required of an attending obstetrician-gynecologist. It also reviews the teaching physician guidelines developed by the Centers for Medicare and Medicaid Services (CMS) as well as current evaluation and management documentation requirements. Several examples of documentation are provided, as are suggestions for enhancement and simplification of the guidelines to include midwives. An important point to remember is that the CMS rules do not prohibit a certified nurse-midwife from teaching a resident.