Midwifery (MIDW)

This course is a zero credit placeholder for the midwifery refresher process. This course is used as a placeholder for midwives who are currently nationally certified by the American Midwifery Certification Board and who have been accepted as non-matriculated students into an individualized refresher process consistent with American College of Nurse-Midwives guidelines.

During this required on-campus residency, students create a scholarly community through social and academic workshops, navigate university resources, and review the doctoral curriculum. Students examine social determinants of health and consider their impact on women, newborns and families. Using the framework of the ACNM document, Hallmarks of Midwifery, and design thinking strategies, students enter into a dialogue about important issues facing the profession related to clinical practice, policy and advocacy, education, and administration. In collaboration with faculty, students continue exploration of possible topics and scope of the Advances in Midwifery (AIM) project, through the lens of feminist or other theories.

Antepartum Care This course examines the fundamentals of prenatal care, including the components of prenatal care, criteria for assessing perinatal outcomes and the application of the midwifery management process in the antepartum period. Theoretical foundations for diagnosis and dating of pregnancy, common discomforts of pregnancy, assessment of pelvic adequacy and assessment of fetal well-being and nutrition in pregnancy are covered in depth.

Intrapartum Care This course teaches the principles of midwifery for the laboring woman and her family, correlating physiologic processes to the maternal and fetal experiences of labor and birth. Concepts of normal birth and its variations lead to thoughtful analysis of management options.

Postpartum/Newborn Care This course develops the knowledge base for assessing the physical and emotional changes of the postpartum period, breastfeeding, early attachment and parenting behaviors. It provides the knowledge base for understanding the physiology of transition to extrauterine life and early newborn adaptations. Assessments for newborn health, gestational age and attachment behaviors are included.

Clinical I Maternity and Well Woman Care 1 The course consists of supervised clinical practice in the midwifery management of uncomplicated antepartum and well-woman clients needing routine primary care, care for common gynecologic problems and contraception. Students learn consistent and accurate use of the midwifery management process with emphasis on subjective and objective data collection and beginning assessment and plan development. An on-campus skills workshop prepares students for this clinical course and includes risk assessment, development of a needs assessment and problem list, and pertinent hand skills. Additionally, history taking and physical assessment will be reviewed and demonstrated. Microscopy skills will be introduced. Contraceptive techniques will be reviewed.

Clinical II Maternity and Well Woman Care 2 The course consists of supervised clinical practice in the midwifery management of uncomplicated antepartum and well-woman clients needing routine primary care, care for common gynecologic problems and contraception. Students are expected to continue to demonstrate consistent and accurate use of the midwifery management process with emphasis on independent development of an assessment, plan for, and evaluation of, care. This course is three credits and consists completely of continued clinical practice in the midwifery management of uncomplicated antepartum and well woman clients needing routine primary care, care for common gynecologic problems and contraception.

Clinical IV Full Scope Midwifery Care 2 Clinical IV consists of supervised clinical practice in fullscope midwifery care in a student role. Students manage uncomplicated and complicated clients needing primary care, gynecologic, intrapartum and perinatal care. Students continue to demonstrate consistent and accurate use of the midwifery management process with emphasis on independent assessments, planning, implementation and evaluation of care, consultation and referral.

Clinical IV Full Scope Midwifery Care 2 Clinical IV consists of supervised clinical practice in fullscope midwifery care in a student role. Students manage uncomplicated and complicated clients needing primary care, gynecologic, intrapartum and perinatal care. Students continue to demonstrate consistent and accurate use of the midwifery management process with emphasis on independent assessments, planning, implementation and evaluation of care, consultation and referral. Pre-requisite is successful completion of CMW633, Clinical III.

Basic Skills in Health Care This course is an introduction to common health care skills and knowledge used in clinical practice. Presentation of self as care provider to diverse clientele with respect for human rights is emphasized. Contents include but are not limited to vital sign measurement and interpretation, infection control, sterile technique, wound care, urinary catheterization, venipuncture, fetal and uterine external monitoring application, emergency response procedures, therapeutic presence and communication, and skills in team building and patient advocacy. Medical terminology, written and electronic medical records and basic laboratory assessments will be reviewed. Practice and successful return demonstration of selected skills will be done at the student?s first on campus experience after completion of this course.

Environments of Health Care The effects of various environments of care on social dynamics between health care providers and patients will be explored. Theories of stress and coping and shared leadership will be addressed. Environments examined will include: home, office/clinic, hospital/health care institution, and care in place ? disaster/emergency care. Available resources in each environment and the evidence supporting their use or misuse will be discussed. Observational clinical experiences in a variety of environments will be described and analyzed via reflective journals and asynchronous seminar discussion. Midwifery role and scope of practice in the various environments will be highlighted. Identifying local health care providers and resources for future practice referrals situates midwifery care in a system which provides for needs of women and their families ranging from simple to complex.

This course is a comprehensive course in pharmacology for womens health care. The language of pharmacology and the principles of pharmacodynamics and pharmacokinetics serve as the foundation for the course. Major classifications of agents that are covered in the course include: hormones, antimicrobials, analgesia and anesthesia, over-the-counter drugs. Prescriptive writing, including legal and ethical aspects, is covered as well. At the completion of this course, students will have advanced knowledge in pharmacology.

Preparation for Full Scope Midwifery Practice This on-campus course explores issues in midwifery practice including: the role, rights and responsibilities of the midwife in the clinical practice setting; the legal, ethical and financial realities of professional midwifery practice; alternatives in full scope midwifery care with examples from experts; and environments of midwifery care including home, hospital and birth center settings. Students take a closer look at one birth center model of childbearing care by spending time on site. Content covered in this visit includes: 1) the history, philosophy and development of the birth center movement in the United States and 2) the accreditation and needs assessment process.

This on-campus intensive course focuses on building the office-based clinical skills a midwife requires to successfully communicate with and care for clients. Clinical decision making and use of the midwifery management process is emphasized. Hand skills as well as interviewing and counseling skills are reinforced during laboratory simulation. Clinical microscopy and laboratory result interpretation are practiced. Skills for building trust and demonstrating respect for clients are woven throughout. Expectations for clinical rotations are reviewed.

This on-campus intensive course focuses on building the office-based clinical skills a midwife requires to successfully communicate with and care for clients. Clinical decision making and use of the midwifery management process is emphasized. Hand skills as well as interviewing and counseling skills are reinforced during laboratory simulation. Clinical microscopy and laboratory result interpretation are practiced. Skills for building trust and demonstrating respect for clients are woven throughout. Expectations for clinical rotations are reviewed.

This course is designed to provide an appreciation of the history and critical issues in midwifery, as well as health care in the United States in general. This course will also increase appreciation of the variety of roles that a midwife can play and aid in understanding rights and responsibilities as a midwifery health care provider.

This course focuses on human physiology and pathophysiology and the application of these principles in the primary care of women. Anatomical and physiological principles necessary for health care professionals are reviewed. Normal and abnormal structures and processes underlying health and disease are explored with connections made to assessment and diagnosis in the clinical setting. Midwifery management of common primary care conditions across the health span is presented and explored.

Advanced Pharmacology II prepares the midwife to provide appropriate drug therapy to women during pregnancy, intrapartum, and the postpartum period as well as to the newborn. Changes in pharmacodynamics and pharmacokinetics during pregnancy and in the neonatal period are reviewed. A general knowledge of pharmacotherapeutics is applied to the treatment of a variety of conditions during pregnancy, including hyperemesis, gestational diabetes, and urinary tract infections. The course also explores the use of vitamin and mineral supplementation throughout a woman's lifetime.

This course presents basic principles and application of well woman care across the life span. Reproductive anatomy and physiology is reviewed. Sexuality, menstrual cycle function/dysfunction, common gynecological conditions and problems, and family planning are common threads in this course. Midwifery management of gynecologic conditions, from routine care to more complex problems, is explored .

As the culminating project for your basic midwifery education, this course provides a framework for students to further develop a particular area of interest relevant to midwifery practice emphasizing active, collaborative engagement with real world problems. Consistent with the definition of practice used by the American College of Nurse-Midwives (2011) for advanced midwifery education, this final project encompasses not only clinical care, but also education, policy, administration, and research. Each student will dialogue with faculty to develop and execute a final project that will contribute to the profession of midwifery.

During this laboratory simulation intensive and clinical immersion, students review, practice, observe and demonstrate selected basic healthcare skills for midwifery practice such as vital sign measurement, sterile technique, bladder catheterization, medical terminology, and presentation of self as a clinician with preceptor and faculty guidance and feedback for skill development. In the laboratory, students participate in hands-on practice using task trainers and simulated patient care scenarios. After simulation, students engage in supervised practice to build beginning competency.

This course presents the knowledge and skills for primary health care providers to complete a thorough and sensitive comprehensive history and physical examination on a client, with emphasis on the midwifery role. A professional approach to the development of the provider-client relationship is introduced. A methodical sequence to history taking, systems review and symptom appraisal is described. Assessment of the physical signs of health and health alterations is reviewed. Special populations, cultural variations and age-related issues across the life-span are considered. Selected diseases and disorders seen in primary care are explored for their manifestations found in a history and physical assessment. Clinical reasoning, critical decision-making, and the midwifery management process are emphasized and practiced. At the completion of this course, students will have advanced knowledge and skills in health assessment.

This required course focuses on federal health-policy development, analysis and implementation. The emphasis is on the role of the health-care provider in influencing health policy in the United States. The student will study public health policy to understand the basics of the policy-making process and to attain a beginning knowledge of how to influence health policies. The course will focus on women's and infants' health issues as examples of broader issues in health policy.

This elective course provides students with the knowledge to understand the factors that influence the success and viability of midwifery practices. The effects of the changing health care environment on primary health care providers will be explored. Particular attention will be paid to current issues in the health care system. The course will examine the startup of a clinical practice either as an entrepreneurial entity or within an existing organization. Emphasis will be placed on a beginning understanding of financial accounting statements and business plans used in the health care industry. Students will explore the influence of political/economic milieus within and around the practice organization. In addition, students will learn practical techniques in order to develop beginning abilities in conflict resolution and contract negotiation.

This elective course is a guided independent study in advanced clinical practice. In consultation with the faculty, the student will identify a specific area of clinical practice (for example, caring for women with gestational diabetes). Intensive, focused study in this content area will be facilitated. Experiences relevant to the student's area of interest will be sought in the clinical setting. Reflection on the student's own transformation from novice to expert will be included.

This elective course introduces teaching methods useful for midwifery educators in academic and clinical settings. Fundamentals of adult education will be reviewed. Concepts particular to midwifery education will be explored. Examination of how to identify and reach educational goals will be included for all teaching environments: traditional classrooms, distance education modalities, and clinical settings. The process of identification of student learning issues and problem solving will be included. The past, present, and future of midwifery education will be explored.

Students will explore current issues in midwifery and situate their doctoral project in these contexts. Current national and global agendas in midwifery translational research, education, clinical practice, and policy will be explored in depth. Students will consider emerging issues in healthcare, educations, and practice that can guide the formation of the AIM project statement of purpose.

This course introduces students to the principles of organizational change and applies these principles to real world experiences. This courses focuses on helping students understand how to integrate systems thinkinginto an analysis of the human, organizational, and social objectives within various types of health care organizations. It also examines how organizations assist or impede the development of healthcare quality or safety improvement initiatives and how organizations adapt or do not adapt to change.

Increasingly midwives and other health care providers must demonstrate the value of their work. In this class you will become familiar with various electronic means to collect practice-level data and how to analyze it to support innovative practice. You will also use publicly available electronic data to inform health care practice, education, policy and advocacy, or administration. This is a required course for Doctorate of Midwifery students. It is open to graduate students within Jefferson with permission of the instructor.

Epidemiology is the science of public health. In this course, students will acquire tools they can use to analyze public health problems and clinical research. These will include measures of women's and infants' health particularly relevant to midwifery including infant mortality, pregnancy-related mortality, and pregnancy-related morbidity; characteristics of health screening tests; and an understanding of such basic epidemiologic concepts as the epidemiologic transition and life course epidemiology. We will use these tools to analyze causes of racial and ethnic disparities in maternal and newborn health and begin to explore potential solutions.

This is a 2 credit online course limited to students in the doctoral program in Midwifery. Students will explore a variety of leadership theories and styles and differentiate leadership from management. The inter-relationship of power and influence will be considereed as well as the impact of gender, culture and race on leadership. Using case studies, students will apply theory and research to become effective healthcare leaders in real world contexts. The theoretical foundation from this course will be utilized in the further development of the AIM project.

The most innovative and successful clinical, public policy, or research projects are of limited value if their methods and results are not disseminated for others to learn from and emulate. Students will develop skills to effectively convey results from their AIM topic to the broader community. Through the course, weekly writing exercises will refine scholarly and professional writing skills. We will discuss in depth writing for two common types of publications, the literature review and the research article, and also discuss the basics of professional presentations. At the ned of the course students will present the literature review for their AIM topic, both orally and as a written article.

The profession of midwifery is fulfilling work, because it addresses women's needs, hopes, and dreams. However, many midwives work in situations in which they lack autonomy and feel unable to provide high quality midwifery care, or else are satisfied and effective but work more hours for lower levels of pay. In this course we will explore various models of midwifery practice to identify effective staffing, compensation, and organizational structures. We will explore alternative payment mechanisms for midwifery practice that include outcomes as well as, or in place of, volume. We will address the interplay of ethical, financial and clinical issues in effective practice leadership.

Incorporating best practices into care is expensive and time-consuming. Often funding is needed to get access to the resources and administrative support needed to integrate innovative cutting-edge practices. This course is designed to help students understand the grant writing process and to be able to find, write, and submit grants to support their work.

Midwives in leadership must respond to changing health care landscapes. Addressing health disparities, incorporating new technologies, or creating systems of care require health professionals to create and integrate innovative practices through successful project design and execution. Doctoral project design requires setting clear and measurable goals, objectives, and outcomes; understanding the culture, needs, and resources of the community and/or organization where the project will be carried out. This course will give doctoral students the skills needed to design and execute a variety of project approaches when crafting their Advances in Midwifery (AIM) project. Through course discussion, readings, and individual work, students will understand multiple methods of project design, develop skills needed to successfully design achievable projects that are responsive to contextual factors; and create a project statement which will become the framework for their AIM project.

This course is designed to help students complete their work related to their AIM project. With committee feedback and mentored individual work, students will implement and complete their doctoral Advances in Midwifery (AIM) project.

This course is designed to help students complete their work related to their AIM project. With committee feedback and mentored individual work, students will implement and complete their doctoral Advances in Midwifery (AIM) project.

This course is designed to help students complete their work related to their AIM project. With committee feedback and mentored individual work, students will implement and complete their doctoral Advances in Midwifery (AIM) project.