Interdisciplinary teaching. A survey of CNM participation in medical education in the United States.

Nurse-midwives have participated informally in the education of medical students and residents for many years, yet little is known about their formal involvement in medical education. A two-part survey was conducted to investigate the extent and characteristics of nurse-midwifery participation in medical education in the United States. The initial questionnaire was sent to every department of obstetrics and gynecology chair listed in the directory of the Association of Professors of Gynecology and Obstetrics and addressed the use of certified nurse-midwives (CNMs) as educators within their respective departments. A subsequent questionnaire was distributed to CNMs participating in medical education and addressed their demographic characteristics, roles within the medical school faculty, and attitudes regarding work in medical education. More than one half (54%) of U.S. allopathic medical schools are formally using CNMs as educators, with the strongest involvement reported in the West and Northeast. Nearly as many CNM respondents are participating in the education of family medicine residents (57%) as in obstetrics and gynecology (59%). Most CNMs (93%) involved in medical education are also involved in nurse-midwifery education. Eighty percent of CNM respondents perceived congruency between educating student physicians and their philosophy of nurse-midwifery practice.