1 Transition to Practice by SIS New Grad Members

2 Tonights Presentation O Certification and licensing O Negotiating your contract and benefits O Expanding scope of practice

3 Certification O AMCB http://www.amcbmidwife.org/homehttp://www.amcbmidwife.org/home O Recertification every 5 years O Retake the AMCB exam year 4, pay exam fee (instead of annual fees) O Certificate Maintenance Module Method O Complete 3 AMCB certification maintenance modules, AND O Complete 20 contact hours (2.0 CEUs) of AMCB or ACME approved units, AND O Pay annual fees ($55/yr)

4 Licensure O National O AMCB certification O National Provider Identifier (NPI) O DEA License O State O RN license O APRN, APN, CNM/CM state license O Controlled substances registration

5 State Licensure O ACNMs State Guidance documents O Regulation of midwifery practice O Scope of practice O Prescriptive authority O Application process, accreditation, certification O Other statutory provisions O Relevant policy resources O http://www.midwife.org/index.asp?bid=59&cat=10&button=Search http://www.midwife.org/index.asp?bid=59&cat=10&button=Search

6 https://www.ncsbn.org/nlc.htm

7 Ongoing Requirements O Requirements vary practice to practice. O BLS, CPR O Neonatal Resuscitation O EFM Certification O Credentialing

8 Certification/Licensure O ACNM state fact sheets http://midwife.org/Certification-Licensure-and-Maintenance---Oh-My

9 Contracts and Benefits O Schedule O Call schedule – 12h? 24h? 48h shifts? From home? In clinic while on call? Clinic post-call? Triage? Cross-coverage? O Clinic schedule - # of days in clinic, # of patients, appointment lengths, % gyn vs OB O Practice data– demographics, types of insurance, # of births, primary c/s rate, epidural rate – VBAC? Water birth? O Vacation/PTO

10 Contracts and Benefits O Malpractice insurance O Claims made – tail offered? What if separation is due to change in practice structure? O Occurrence O Non-compete agreement – length, geographic area, cause of separation O Retirement, health, dental, disability, life O Salary, loan repayment eligibility, ancillary (cell phone, subscriptions), relocation, signing bonus O Continuing Ed funds/PTO

11 Salary ACNM blog The Latent Phase: Show me the money! http://midwife.org/index.asp?bid=325&BlogEntryID=2131&FormID=300 http://midwife.org/index.asp?bid=325&BlogEntryID=2131&FormID=300 Online salary info, i.e., monster.salary.com Cost of living comparisons

12 Expanding Scope of Practice O STANDARD VIII: MIDWIFERY PRACTICE MAY BE EXPANDED BEYOND THE ACNM CORE COMPETENCIES TO INCORPORATE NEW PROCEDURES THAT IMPROVE CARE FOR WOMEN AND THEIR FAMILIES http://www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000051/ Standards_for_Practice_of_Midwifery_Sept_2011.pdf

13 Expanding Scope of Practice O First Assist, colposcopy, MVA abortion, circumcision, vacuum delivery O Dependent on state law, practices guidelines, need O Competency-based O ACNM Position Statement: EXPANSION OF MIDWIFERY PRACTICE AND SKILLS BEYOND BASIC CORE COMPETENCIES http://www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000 000000066/Expansion%20of%20Mid%20Prac%2005.pdf

14 First Assist O First assist – ACNM outlines skill set in Position Statement http://www.midwife.org/ACNM/files/ACNMLibraryData/UP LOADFILENAME/000000000270/First%20Assist%20April%202012.pdf http://www.midwife.org/ACNM/files/ACNMLibraryData/UP LOADFILENAME/000000000270/First%20Assist%20April%202012.pdf O Midwife as Surgical First Assist ACNM, $40 (members) https://member.midwife.org/members_online/members/viewitem.asp?item =928&catalog=PUB&pn=1&af=ACNM https://member.midwife.org/members_online/members/viewitem.asp?item =928&catalog=PUB&pn=1&af=ACNM O Tharpe – online course, ~$700, http://www.philau.edu/scps/CPE/CEMidwives/FirstAssist.html http://www.philau.edu/scps/CPE/CEMidwives/FirstAssist.html