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Appendix B: Examples of Health ProfessionsCertified Nurse-Midwives Certified nurse-midwives (CNMs) are RNs with advanced training in midwifery that allows them to care for expectant mothers and to provide a range of clinical services for women. They examine women during pregnancy; manage labor; deliver infants; and after birth, care for the newborn and mother. Other duties include preventive health care, counseling, prescribing medication (most
States), conducting clinical research, and teaching. All 50
States have recognized nurse-midwifery as a legal profession. Certified nurse-midwives may choose private practice or be employed in hospitals, independent birthing centers, or clinics. Hours will vary, although CNMs are usually on call and must be available to expectant mothers at all times.
Any registered nurse may seek certified nurse-midwife status. A certification program involves up to 12 months of training, while a master's program usually takes 2 years. All entrants into these CNM training programs must already have a bachelor's degree or will be awarded one upon graduation. The American College of Nurse-Midwives conducts a national examination of licensing in all 50 States. *On average, the income of certified nurse-midwives will surpass the pay of a typical registered nurse. For example, in 2000, while an RN earned approximately $44,840 a year, CMNs earned an average of $70,100 per year. The extra schooling and training that makes independent practice possible for CNMs is responsible for this enhanced income. There were 5,500 practicing CNMs in 1995, and the number is projected to rise in the next few years. A certified nurse-midwife will become more and more appealing in contrast to an expensive obstetrician/gynecologist. Also, an established high rate of successful births gives CNMs a good track record. *U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, 2000-01 Edition. Copyrighted by: The National Health Council, October 1998; reproduced with permission by the U.S. Department of Health and Human Services. Further reproduction prohibited without permission of copyright holder, www.nationalhealthcouncil.org. |
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