Ria21

Okay yeah that makes sense!! Thanks so much for your advice!!

Thanks for your response! The first job doesn't seem to offer much support as it seems pretty busy, kind of like a hospitalist cnm role (youre on your own, sink or swim). The second job has a couple of seasoned midwives that seem nice enough to take me under their wings. First job: only perk is the schedule Second job: perk is a supportive environment! No first assist in either role. Salaries are comparable

Hello there my fellow birthworkers! I just recently passed boards and officially a CNM!! I have been interviewing and have 2 offers so far! Just wondering if you can give any advice on what to look for in first Midwife job! 1. University hospital: Two 8hr clinic days, two 12 hr shifts on L&D, managing GYN consults from ED, triage, and the floor. Comanaging high risk deliveries with one physician as backup. Problem is they are short staffed, very eager to higher. Sensing high stress environment, with no support. But may be great opportunity for various experiences. 2. Private practice/community hospital: Two 8hr clinic days, plus 36hr call shifts (can take call from home, one 24hr, one 12hr). Only manage patients from practice, physician backup from practice. OB hospitalist in house at all times as well. This group seems very supportive of new grad, laid back environment, not high stress. Only problem is...it seems like lower volume than previous offer (about 60 deliveries/month) and 36hr call shift!! But I'd get support and patience as I blossom into a Midwife! Team seems great! Thoughts on which I should put as priority? Experience in high stress environment? Or support for new grad, with long call shift? What would you say would be most important as a new grad midwife?

LOL! No worries!! So does that mean you're going to do the Whnp!!?? Awesome!! You're gonna love it☺

@atyourcervixxWhich WHNP program offers CenteringPregnancy? Did you mean training to facilitate and run A CenteringPregnancy program?? Tell me more!!?

Hey! I would totally do the dual program! Here's why...you want to be on the labor floor. WHNP may exclude you from that in some states. You are more marketable with both. A LOT of places hire CNMs over Mps because they can deliver if they have to (ie being a provider in a triage OB unit at a hospital). There are even 12 hr CNM positions in a hospital. And also clinic only CNMS who round on PP in hospitals. Do the dual program, you'll have more options! I'm a WHNP now doing the midwifery program. Just do it in one shot!☺ NPs* not Mps LOL

Hey guys! If you're a full time RN at Johns Hopkins hospital or Johns hopkins university, does anyone know what their tuition reimbursement/remission policies are?? Does anyone know how much they'll cover for tuition, especially if attending johns Hopkins university?

Hi! So I'm a WHNP and I do understand the dilemma! When I was applying for my Master's, I applied for both the NP and CNM program as I love women's health (and they didn't have a dual option! I ended up choosing the WHNP program because it worked for me at the time. I would recommend doing the CNM program or do a dual program if available. You can always opt out of deliveries if you need to. Some hospitals do hire Whnps on the labor floor as well. Doing everything except deliveries. A dual program would be best!

I agree with you Numenor! I do think the majority of DNP programs are fluff and you're pretty much doing the same thing as in an MSN research class. It drove me crazy for yeeears and I refused to get a DNP as well. My feelings about this were SUPER strong. I honestly think the best thing is to get another degree that you can monetize (ie maybe an MBA if that's your thing or a subspecialty certificate (for example...maybe doing Psych NP if you're a FNP and want to work in psych). I am a WHNP considering my options of becoming a midwife (since I'm relocating to a state where WHNPs only work in offices and I love Being in the hospital setting on the labor floor and wouldn't mind delivering babies). Now with that being said, I am finally warming up to the idea of a DNP because I want to teach within the next 5 years, be involved in health policies and want to have practical application to those roles. I would only consider programs that actually give me something WORTH MY MONEY, no fluff! Now, is it necessary? No. But looking at the market, you do have a competitive edge with a DNP + the experience. If marketability doesn't require it, then no need to think about it. But these recent times have shown us to be prepared for anything life throws your way. If your job is paying for it, go at it at your own pace!

Just a quick update! I ended up resigning from the position. I was fighting too many battles and outing too many fires. It was exhausting! It really put a bad taste in my mouth for clinic work in a private office. Hoping I will be able to find a group that practices differently and actually do as they say?

I believe it! I do agree that they are seemingly looking for someone to do the role of nurse and NP. it's definitely not what we discussed on interview so my impression of the role was different. And yes, people hear "NURSE practitioner" and they just think nurse. It's such an ugly battle.

Thanks For the advice! I agree that helping here and there adds confusion. There really is no one person to talk to...i expressed my thoughts in a meeting but to no avail. I will try again this week, but I'm starting to conclude that this place was just not ready to receive an NP and just doesn't want to adjust.

I see patients with the doctors for now...which is why I say no to these other requests. There is so much more involved in my actual role that I could use that time for. Smh...just kinda mad at myself that I ended up in this situation. I know I have a lot to offer this office, but not if they're giving me other tasks that the up my time

I agree with not doing anything the doctors don't do. I started saying no to the requests of giving injections, drawing blood etc. One of the doctors told me that my attitude is "bad" bc I'm expected to do whatever is asked of me. I don't think they see the consequences of that...I could just leave but I honestly thought these were growing pains that could get worked out?

I agree that it's quite bizarre! I think the office is trying to cut corners as I'd be cheaper than MD. I do receive NP salary though, but I guess with the expectation of playing a dual role, which is deceiving. *sigh*