Obstetrics and gynecology clinics of North America
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Obstet. Gynecol. Clin. North Am. · Sep 2012
ReviewEssential components of successful collaborative maternity care models: the ACOG-ACNM project.
The American College of Obstetricians and Gynecologists (ACOG) and the American College of Nurse-Midwives (ACNM) asked ACNM member midwives and ACOG Fellows with successful and sustainable collaborative practices between obstetricians and midwives to describe their care models in jointly written articles. This review analyzes 12 of the 60 articles submitted. Five main themes were identified: impetus for new collaboration, basic foundations of collaborative care, commitment to successful partnership, care integration, and health professions education in an interprofessional practice environment. The analysis provides evidence of the extent to which committed clinicians are working together to provide excellent, women-centered maternity care.
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Obstet. Gynecol. Clin. North Am. · Sep 2012
The birth of a collaborative model: obstetricians, midwives, and family physicians.
In the United States, the challenges of maternity care include provider workforce, cost containment, and equal access to quality care. This article describes a collaborative model of care involving midwives, family physicians, and obstetricians at the Boston Medical Center, which serves a low-income multicultural population. Leadership investment in a collaborative model of care from the Department of Obstetrics and Gynecology, Section of Midwifery, and the Department of Family Medicine created a culture of safety and commitment to patient-centered care. Essential elements of the authors' successful model include a commitment to excellence in patient care, communication, and interdisciplinary education.
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Obstet. Gynecol. Clin. North Am. · Sep 2012
Working toward a common goal: a collaborative obstetrics and gynecology practice.
Health care reform in the United States will continue to necessitate creativity in the organization and staffing of health care models. The Department of Obstetrics and Gynecology at Bronx-Lebanon Hospital Center has expanded its staff by placing midwives as primary providers for most routine care and much of the specialty care offered within the department. ⋯ Inpatient care is provided by a team of midwives, residents, and attending physicians. This model of care is easily replicated, and has resulted in improvements in clinical practice and increased patient and personnel satisfaction.
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Obstet. Gynecol. Clin. North Am. · Sep 2012
Midwifery and obstetrics: twenty years of collaborative academic practice.
This review describes a collaborative educational practice model partnering midwifery and obstetrics within a department of obstetrics and gynecology. For more than 20 years, the authors' model has demonstrated sustainability and influence on medical education. ⋯ This noncompetitive and integrated educational practice model has achieved sustainability and success using midwives in a collaborative approach to medical education. The continuing collaboration and innovation within medical and resident education are important elements for the future of collaborative practice.
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Obstet. Gynecol. Clin. North Am. · Sep 2012
A successful model of collaborative practice in a university-based maternity care setting.
When building an integrated practice, the ability of each team member to work comfortably with other professionals is key. Midwives need to understand departmental expectations for participation in resident/student education, be willing to provide midwifery care in a high-acuity setting with limited opportunities for low-intervention care, and understand expectations for clinical leadership. Physicians need to build on the group expectation of mutual respect and best use of each group member. Confusion about midwifery and physician roles in maternity care still exists.