Skip Navigation LinksHome > September 2011 - Volume 118 - Issue 3 > Making It Work: Successful Collaborative Practice
Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e318229e0bf
Current Commentary

Making It Work: Successful Collaborative Practice

DeJoy, Susan CNM, PhD; Burkman, Ronald T. MD; Graves, Barbara W. CNM, MPH; Grow, Daniel MD; Sankey, Heather Z. MD; Delk, Carolyn MD; Feinland, Julie CNM, MSN; Kaplan, Janet CNM, MSN; Hallisey, Anastasia CNM, MSN

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There are three major examples of collaborative programs between certified nurse–midwives (CNMs) and obstetrician–gynecologists at Baystate Medical Center in Springfield, Massachusetts, within the Department of Obstetrics and Gynecology. One program is a midwifery practice that serves a diverse population in a hospital-based office, four neighborhood health centers, and a correctional facility. Another program provides a triage function for patients who present to the hospital with obstetric or gynecologic problems. The third program introduces a team approach to the education of residents with a CNM having primary responsibility for teaching normal obstetrics to first-year residents and medical students in collaboration with attending physicians. Keys to success include an understanding of the principles of collaborative practice, the use of a detailed practice agreement between midwives and attending physicians, keeping open lines of communication, understanding and accepting differing philosophies of practice, and, most importantly, maintaining trust across all levels of providers.

© 2011 by The American College of Obstetricians and Gynecologists.


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