Re: CNM training

From: Don Shuwarger, M.D., F.A.C.O.G. (obdoc@inmind.com)
Wed Oct 2 07:12:22 1996


Chris Beard asked:

"Dear Fellow Listers- I am interested in the role that PA's play in various settings in the provison of Ob care. Anyone out there with any experience with PA's providing Ob care? In Clinics? Hospitals? How much Ob training and experience do PA's recieve in their training? How does one judge their competance to provide Ob care? Thanks for satisfying my curiosity. Chris Beard CNM Oregon"

Chris,

In my training, PA's worked side-by-side with the med students and ob residents in labor/delivery. They also trained in antenatal care. Some have even learned to do basic level obstetric ultrasound exams. They assist in C-sections, do spontaneous vaginal deliveries and episiotomy repair, make antenatal and postpartum hospital rounds, coach and advise mothers on breastfeeding, are familiar with newborn care, and have a working knowledge of the use of drugs and therapeutics.

Competence is judged by recommendations, successful completion of their course of study and passage of the National PA Certification examination. Prior experience should also be taken into consideration.

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Don Shuwarger, M.D., F.A.C.O.G.
A Rural America Ob/Gyn Physician      "May the FORCEPS be with you"
E-mail: obdoc@inmind.com
Homepage: http://www.inmind.com/people/obdoc
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