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The care of families, from the start

Nurse Midwife and Family Nurse Practitioner (Combined) Program

Program

Nurse Midwife and Family Nurse Practitioner (Combined)
 

Program Focus

Education

The Nurse Midwife and Family Nurse Practitioner curriculum combines the Primary Care Family Nurse Practitioner and the Nurse Midwife programs, allowing students to sit for certification exams in both of these areas upon full program completion. The program is based on an understanding of health sciences theory and clinical preparation that shapes knowledge, judgment, and skills necessary to provide primary health care to individuals across the lifespan, including during pregnancy and childbirth and from infancy to old age. With a strong emphasis on health promotion, our program focuses on the development of healthy behaviors as they pertain to diverse groups at different developmental stages.

 

Practice

The primary benefit of the Nurse Midwife and Family Nurse Practitioner dual program is that it broadens the scope of practice beyond that of a Primary Care Family Nurse Practitioner (FNP) or a Nurse Midwife (NM) alone. The program combines the core strengths of the FNP and NM programs to prepare culturally competent practitioners who provide the full range of primary care across all stages in a person’s life. This includes women’s healthcare such as pregnancy, childbirth, the post-partum period, care of the newborn, and the family planning and gynecologic needs of women as well as caring for the rest of the family members through the provision of well care to children and adults and the diagnosis and management of common acute and chronic health problems. Because of the comprehensive scope of the program, Family Nurse Midwives often practice in rural or international locations where access to medical and healthcare resources may be limited.

 

“The Michigan Difference” in Midwifery

World-Class Faculty Leaders in Education, Research, and Practice

Faculty that teach in the Nurse Midwife and Family Nurse Practitioner program are not only excellent instructors and researchers, but also expert clinicians who maintain active practices at prestigious institutions such as the University of Michigan Health System – a premier health care organization- as well as in international settings. In addition to their teaching, research, and practice, our faculty are actively involved in leadership roles in national organizations, using their expertise to help shape and advance the future of FNP and CNM care and education.
 

Diverse Practice Settings and Exposure to the Full Spectrum of Care

The School of Nursing provides diverse clinical placement experiences that expose students to the entire spectrum of care. Depending on their interests and strengths, students have learned in practices that allow for high touch, low tech care (e.g. low risk home births) as well as in hospitals for high volume, high risk births. They’ve been placed with School of Nursing faculty who practice at school-based clinics, shelters, and community facilities (e.g. Michelle Pardee at Ozone House, Dr. Cynthia Darling-Fisher at RAHS school centers). Others have worked in fast paced specialty clinics affiliated with major hospital systems (e.g. Taylor Teen Clinic) and still others have worked with Dr. Kathleen Moriarty who launched the nation’s first complementary and integrative therapies clinic for pregnancy and reproductive women’s health within the School of Nursing’s nurse managed centers. In addition to this formal placement experience, students have the opportunity to engage in more general health promotion by participating in community health fairs, health education, and local and state politics involving nurse practitioners.
 

Significant International Outreach and Global Opportunities

Women and children are the most vulnerable populations in global health, making the Nurse Midwife and Family Nurse Practitioner program a logical fit for students interested in using their skills globally. The School of Nursing is a designated World Health Organization (WHO) Collaborating Center and many of our FNP and CNM faculty are actively engaged in international settings, a fact that creates unique opportunity for master’s students to complete their clinical experiences outside of the United States. Past opportunities have included Liberia, Netherlands, Ghana, Taiwan, Honduras, Guatemala, and New Zealand just to name a few.

 

Innovative, Groundbreaking Research Specific to Maternal Health & Health Promotion

The University of Michigan School of Nursing is known both for its research that is midwife/birth-focused as well as for its innovative primary care research based on health promotion and risk reduction. In addition to nursing driven and focused projects, we collaborate with other units and departments on campus for interdisciplinary research efforts. While the fields of midwifery and family nursing are the obvious beneficiary of these commitments, our students benefit as well from the inclusion of the most up-to-date information possible in their courses.
 
While much of this research comes from professional research faculty, we privilege our students' unique perspectives and so provide ample opportunity for their collaboration on research initiatives that draw on their particular interests. For example, students have collaborated with Dr. Jody Lori in Liberia, using a human rights approach to reducing maternal mortality. They have worked with Dr. Antonia Villarruel on her nationally disseminated educational curriculum for HIV prevention among Mexican youth. Students have also studied alongside Dr. Barbara Brush on measures to promote physical and psychosocial well-being in homeless women and children, and with Dr. Lisa Kane Low in Honduras on second stage labor management. And these are just a small handful of examples where students have had the opportunity to engage with faculty to produce quality research and insights that make meaningful contributions to existing scholarship in the field.

 

Scope

The University of Michigan School of Nursing Nurse Midwife and Family Nurse Practitioner program meets and exceeds the Core Competencies for Basic Midwifery Practice as outlined by the American College of Nurse-Midwives (ACNM) as well as the Core Competencies for Family Nurse Practitioners outlined by the National Organization for Nurse Practitioner Faculties (NONPF).
 
The process of education at the University of Michigan School of Nursing begins with a solid foundation in primary care. The curriculum then builds to include pregnancy care, childbirth, and newborn care. Clinical experience is integral throughout the program, with a range of opportunities available to students for the intensive clinical experience including global settings. Ultimately, the program focuses on training advanced practice nurses who can provide care across the lifespan while also providing the highest quality midwifery care to women and their newborns.

 

Specialty Appeal

Family Nurse Midwives are in demand. Family Nurse Midwives’ skills combine women’s health care and primary family health care across the lifespan. Because of this, they are ideally trained to care for whole communities in urban, rural, or international locations where their expertise can support increased access to health promotion and provide added healthcare options that might otherwise be severely limited.
 
Family Nurse Midwives can practice in a number of settings (e.g. birth centers, hospitals, private or public clinics) and apply their training to multiple ends (e.g. teaching, advocacy, research, public education). As well as being in demand locally, the skills Family Nurse Midwives use are globally recognized, meaning Family Nurse Midwives can work almost anywhere in the world.
 
In addition to the practical benefits, a huge amount of personal satisfaction and respect comes from making a difference in the health and well-being of a family. Family Nurse Midwives can empower women to take more active roles in making decisions about their healthcare and lifestyle habits and help entire families make smarter, healthier decisions, reducing their risk of health complications later.
 
Ultimately, Family Nurse Midwifery is a dynamic practice. Family Nurse Midwives learn the art of midwifery that often reduces the need for high-tech interventions and the health promotion skills that can prevent illness and lead to simpler medical treatment. However, they are also highly skilled practitioners trained to make the latest in safe scientific procedures available to their patients. No day is ever the same. Each patient’s needs are different and Family Nurse Midwives use a range of skills to provide them with the best level of care.

 

Curriculum  

Listed below are the required courses for the Nurse Midwife and Family Nurse Practitioner (NP) combined program. Students in the Nurse Midwife and Family NP combined program will be placed in clinical settings appropriate to the Nurse Midwife and to the Family NP role, the curriculum is offered in an on-campus format; however, a few of the core courses may be web-blended (the University of Michigan School of Nursing does not offer a completely on-line curriculum).  The Nurse Midwife and Family NP combined program is offered as a fall term (September) start only.  The set program plan for the Nurse Midwife and Family NP combined program is 4 years in length, the program is offered primarily at full-time enrollment (9 or more credits each fall, winter and spring-summer term of the curriculum). We do not offer a part-time program plan for the Nurse Midwife and Family NP combined curriculum.
 
Course Number
Course Name
Course Credits
Term Offered

Core Courses

N528
Models, Theories and Methods to Promote Optimal Health Outcomes
3
Fall
N527
Promoting Optimal Models and Systems for Healthcare Delivery
3
Winter
N529
Scientific and Analytic Approaches for Advanced Practice
3
Winter
 

Common Courses to Both FNP and CNM Programs

Course Credits
N502Advanced Physiology and Pathophysiology Across the Lifespan4
Advanced Health Assessment for Advanced Practice Nurses
3
Health Promotion and Risk Reduction Across the Lifespan
3
Antepartum Care of Essentially Normal Women
5
Advanced Primary Care Nursing I: Health Promotion and Management of Acute Health Problems of Adults and Well Women/GYN Care
5

Midwifery Specialty Courses

N676Intrapartum, Postpartum and Newborn Care7
N677Nurse-Midwifery IV-Integration: The Childbearing Cycle5
N678Professional Issues in Nurse-Midwifery2
N679High Risk Perinatal Nursing2

Family Nurse Practitioner Specialty Courses

N547Common Pediatric Health Problems3
N549Infant, Child and Adolescent Health: Wellness5
N568Critical Elements and the Study of Family and Health3
N646Primary Care of Older Adults3
N666Advanced Primary Care Nursing of Chronic Illness in Adults and Their Families5
N667Behavioral and Lifestyle Management in Primary Care3
N688Advanced Primary Care Nursing of Families in Complex Systems4

Required Cognates

 P620
Pharmacotherapeutics I
2
P621Pharmacotherapeutics II2
Total Credits = 77
 
Minimum Required Clinical Hours = 1120
(672 Family NP clinical hours + 448 Nurse Midwife clinical hours)

 The Nurse Midwifery program is fully accredited by the ACNM Accreditation Commission for Midwifery Education (ACME), 8403 Colesville Road, Suite 1550, Silver Spring, MD 20910-6374; Tel: 240-485-1802, www.midwife.org/acme, contact for ACME: Jaime Sampson, Administrative Assistant.

For information on graduation rates and exam pass rates, please email UMSN-DataRequests@med.umich.edu.