Nurse Midwife and Family Nurse Practitioner (Combined)
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.
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 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, individuals who graduate from the dual program and successfully complete both board certifications often practice in rural or international locations using this broad scope of practice across all patient populations.
“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
). 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, and Honduras.
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.
Students also have opportunity to participate with faculty on their research projects and collaborations. 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. Ruth Zielinski
to conduct training sessions for health care providers in Burma and from South Sudan. 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.
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.
Dually prepared Nurse Midwives and Family Nurse Practitioners are in demand. Using their dual preparation, students are able to provide 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.
Graduates of this type of program 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, their skills can be used globally, meaning graduates from our dual program 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. Graduates with dual certification as a CNM and FNP 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, the scope of practice graduates are educated for is dynamic. Graduates 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 graduates use a range of skills to provide them with the best level of care.
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.
|N528||Models, Theories and Methods to Promote Optimal Health Outcomes||3|
|N527||Promoting Optimal Models and Systems for Healthcare Delivery||3|
|N529||Scientific and Analytic Approaches for Advanced Practice||3|
|N502||Advanced Physiology and Pathophysiology Across the Lifespan||4|
Advanced Health Assessment for Advanced Practice Nurses
Health Promotion and Risk Reduction Across the Lifespan
Antepartum Care of Essentially Normal Women
Advanced Primary Care Nursing I: Health Promotion and Management of Acute Health Problems of Adults and Well Women/GYN Care
|N676||Intrapartum, Postpartum and Newborn Care||7|
|N677||Nurse-Midwifery IV-Integration: The Childbearing Cycle||5|
|N678||Professional Issues in Nurse-Midwifery||2|
|N679||High Risk Perinatal Nursing||2|
|N547||Common Pediatric Health Problems||3|
|N549||Infant, Child and Adolescent Health: Wellness||5|
|N568||Critical Elements and the Study of Family and Health||3|
|N646||Primary Care of Older Adults||3|
|N666||Advanced Primary Care Nursing of Chronic Illness in Adults and Their Families||5|
|N667||Behavioral and Lifestyle Management in Primary Care||3|
|N677||Nurse-Midwifery IV-Integration: The Childbearing Cycle||4|
|N678 ||Transition to Advanced Practice: Professional Issues||3|
|N679||Nurse-Midwifery Care of the Woman, Mother and Newborn with Complex Health Conditions||3|
|N688||Advanced Primary Care Nursing of Families in Complex Systems||5|
Total Credits = 78
Minimum clinical hours during program = 1,272
(504 Family NP clinical hours + 768 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.
In the last three years (2011, 2012, 2013) the pass rate for taking the exam the first time has been 88.9%, 100%, 100% respectively. To date, all students who have taken the American Midwifery Certification Board exam after graduation from our program have successfully passed.