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Transition to Practice

Transition to Practice. b y SIS New Grad Members. Tonight’s Presentation. Certification and licensing Negotiating your contract and benefits Expanding scope of practice. Certification. AMCB http://www.amcbmidwife.org/ home Recertification every 5 years

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Transition to Practice

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  1. Transition to Practice by SIS New Grad Members

  2. Tonight’s Presentation • Certification and licensing • Negotiating your contract and benefits • Expanding scope of practice

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

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

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

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

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

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

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

  10. Contracts and Benefits • Malpractice insurance • Claims made – tail offered? What if separation is due to change in practice structure? • Occurrence • Non-compete agreement – length, geographic area, cause of separation • Retirement, health, dental, disability, life • Salary, loan repayment eligibility, ancillary (cell phone, subscriptions), relocation, signing bonus • 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 • Online salary info, i.e., monster.salary.com • Cost of living comparisons

  12. Expanding Scope of Practice • 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 • First Assist, colposcopy, MVA abortion, circumcision, vacuum delivery • Dependent on state law, practice’s guidelines, need • Competency-based • ACNM Position Statement: EXPANSION OF MIDWIFERY PRACTICE AND SKILLS BEYOND BASIC CORE COMPETENCIES http://www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000066/Expansion%20of%20Mid%20Prac%2005.pdf

  14. First Assist • First assist – ACNM outlines skill set in Position Statementhttp://www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000270/First%20Assist%20April%202012.pdf • “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 • Tharpe – online course, ~$700, http://www.philau.edu/scps/CPE/CEMidwives/FirstAssist.html

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