I am interested in opportunities for Direct-entry certified midwives

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    Hi all,

    I am a British trained, direct entry midwife. By that, I mean I have a University degree in midwifery but no prior training as a nurse. I have done some research and have found that the nearest job title/qualification to mine is a Certified Midwife in NJ, NY and RI.
    I am looking into emigrating to Rhode Island and am planning on converting my qualifications through University of Philidelphia to eventually gain licensure.
    What I am finding hard though is getting information about job opportunities for Certified Midwives. The hospitals have not been very communicative with me when I ask if they employ CM's or solely CNM's to work in their units.
    Does anybody have any idea about the employability of CM's in RI specifically but also NY and NJ?
    Thank you so much for your time

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  3. 13 Comments...

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    In NY, I have seen the titles of CNM and CM used almost interchangeably. Most jobs advertise that they are looking for a CM or CNM, and even if they post a job for CNM, I'm sure a CM can equally apply.
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    I thought it was the other way around - that a CNM could do a CM job but a CM couldn't do a CNM job because of the lack of nursing training.

    I've never heard of hospitals hiring non-nurse CMs, but I don't live on the East Coast so it might be different over there. To my knowledge, CMs usually work in homes or freestanding birth centers in the US.
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    Yes, I have noticed that even in East Coast Hospitals where CM's are recognised, they only seem to advertise for CNM positions. I am hoping that they do use the terms interchangeably but would really like some confirmation. Thank you so much for your info though.
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    Yes CMs are recognized, but to my knowledge they can't work in hospitals because they are not medically trained. Obviously I could be wrong, though. Hopefully someone else knows!
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    Claire, that link does NOT mention the CM title that the OP is referring to.

    This is NOT a DEM - it is a midwife that sits for the same boards and is certified by the ACMB (formerly ACNM).

    It is a relatively new concept and is only recognized in a few states.

    In NY, the CM has the exact same scope of service as a CNM.

    In the group of midwives I use (for my own OB/GYN care), there is one CM among the CNMs. She takes the same shift AND DELIVERS IN THE HOSPITAL as the other midwives.

    You can check out midwife.org for more info.
    Britmw likes this.
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    Ohhh you're right, sorry. I was confusing CM and DEM in my head. I know they're different, though. (Brain fart).

    So, basically, ignore everything I said.

    Outside of the few states where CMs are recognized, though, you might have a problem (if you ever decided to move).
    Britmw likes this.
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    Yes, coming from NY state, the CM title is recognized with the CNM interchangeably---that doesn't mean that some employers might not secretly favor a candidate with nursing experience, but in general, they are each eligible for licensed midwifery jobs. The hospital where I am going to be working at in NYC has several CMs. I don't know much about the number of CMs working in RI, but would hope it's the same.

    Unfortunately, going outside of those 3 states (and several more states are trying to gain recognition for CMs, so in the next few years you might have many more options for places to seek work), CMs are not able to work, which stinks.
    Britmw likes this.
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    so far as I know, CM is ONLY currently recognized in 3 states: NY, NJ, and RI. I believe the credentials may be almost interchangeable there, but there may be a difference in pay scale. Please note, however, if you move to another state, you will need to be certified both through NARM and the particular state to practice, and will not be able to do hospital deliveries.
    Britmw likes this.

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