I am interested in CNM and WHNP and would love to do a dual program in the future. I am in the NY/Long Island area. Does anyone know if there are any dual programs around here?
Also, I know CNMs can see patients for well women care......what is the real benefit of pursuing the WHNP in addition to CNM? What can the WHNP do that the CNM cannot? Is it worth the money for school to do both? I know they complement each other nicely.
Specializes in Nurse Leader specializing in Labor & Delivery.
From what I've heard, WHNPs are absolutely able to provide HRT to transgender patients , whereas CNMs who do so are practicing in a grey area. ACNM hasn't made an explicit position statement, but the WHNP association has - just from what I hear, could be wrong.
Yes, you are wrong. As previously mentioned, the scope of WHNP and CNM are exactly the same, except CNM can ALSO deliver babies. There is nothing a WHNP can do that a CNM cannot.
Yes, you are wrong. As previously mentioned, the scope of WHNP and CNM are exactly the same, except CNM can ALSO deliver babies. There is nothing a WHNP can do that a CNM cannot.
What exactly am I wrong about? NPWH has a very clear and empowering position statement, "Healthcare for Transgender and Gender Non-Conforming Individuals" - ACNM's is wishy washy at best. The scopes of practice as written by each national organization are not exactly the same - so stop throwing that around. NPWH has made it clear that WHNPs can care for trans-anyone. CNMs who care for trans-women who aren't the partner of another patient with a cervix seem to be in a grey area.
Maybe you have more insight to offer on this matter?
Specializes in Nurse Leader specializing in Labor & Delivery.
You stated "I could be wrong" and I pointed out that yes, you are wrong. A CNM can indeed manage HRT for a transgender person, if she is comfortable doing so.
What exactly am I wrong about? NPWH has a very clear and empowering position statement, "Healthcare for Transgender and Gender Non-Conforming Individuals" - ACNM's is wishy washy at best. The scopes of practice as written by each national organization are not exactly the same - so stop throwing that around. NPWH has made it clear that WHNPs can care for trans-anyone. CNMs who care for trans-women who aren't the partner of another patient with a cervix seem to be in a grey area.
Maybe you have more insight to offer on this matter?
National organizations like ACNM don't write scopes of practice, each state's board of nursing/midwifery does that. As far as I'm aware, there are no states where WHNPs are able to prescribe HRT for trans-women but CNMs cannot. ACNM's position statement is here:
It states that it is absolutely appropriate for midwives to prescribe HRT for trans-women, although it asserts that they should undergo specific training to do so, which is obviously a given. I'm not sure where the "grey area" is that you're talking about, although maybe I'm just not understanding your point clearly.
Hey, hope it's okay that I butt in and ask some questions! I am looking into what I want to do after I have obtained my BSN and Midwifery has always been at the top of my list of what I'd like to eventually do. From what I'm gathering in this thread is that being a CNM isn't just about obstetrics and delivering babies, would you mind elaborating on what areas a CNM can work? Also, is it difficult to find areas for a CNM to practice? In the area I am at now they don't allow CNM to come in for delivery so I'd end up having to move elsewhere, which isn't a big problem for me, currently.
klone, MSN, RN
14,857 Posts
Yes, you are wrong. As previously mentioned, the scope of WHNP and CNM are exactly the same, except CNM can ALSO deliver babies. There is nothing a WHNP can do that a CNM cannot.