AME’s 2016 Annual Member Meeting

Calling all AME members, midwives, midwifery educators and stakeholders!

Please join us:

AME 2016 Annual Members Meeting
Thursday, December 15, 2016
4:00 – 5:30 pm Eastern Standard Time

3:00 – 4:30 pm Central Standard Time
2:00 – 3:30 pm Mountain Standard Time

1:00 – 2:30 pm Pacific Standard Time

Please join my meeting from your computer, tablet or smartphone.

You can also dial in using your phone.
United States +1 (646) 749-3122

Access Code: 701-534-285

First GoToMeeting? Try a test session:

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Nominations to the AME Board of Directors

AME members:  please take a moment to consider our two nominees to the Board of Directors, and stay tuned for an elections ballot from AME.  Follow each candidate’s linked name to view her CV, and then stay tuned for election ballots from AME.

  1. Claudia Booker (CV)
  2. Patricia Ross (CV)

Many thanks!

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Evidence-informed Practice, MANA 2016, NARM Job Analysis & More!

Enhancing Research Literacy: A Resource for you

As we welcome the autumn season, we share with you an exciting new resource to help you achieve excellence as a midwifery educator: Introducing Achieving Competency in Evidence Informed Practice (EIP) – A Resource Guide for Educators!

The Project to Enhance Research Literacy (PERL) has developed a resource guide to advance understanding of the Academic Collaborative for Integrative Health’s (ACIH) competency in EIP that includes examples an educator might draw from and modify to fit a specific program or course. The guide is available through the PERL website. Take short a video tour or access the full guide here.

AME represents midwifery educators on the ACIH Board of Directors, and is proud to have contributed to this project. Evidence-informed practice rests on the triad intersection between the best available research, clinical expertise, and client context. Learn more about accessing health sciences literature, critical appraisal of the literature, applying research to practice, and—most importantly—how to teach these areas to students by using the FREE EIP Resource Guide for Educators! You will find learning objectives, readings, multimedia materials, vignettes, and much more to help you on your educator journey.

MANA session on evidence-informed practice

Are you going to MANA this year? Make sure to attend a special breakout session on Evidence-informed Practice at MANA 2016! AME’s Dr. Courtney Everson, in collaboration with April Kline and Shannon Anton, will be presenting a 90 minute session called “Walking the Labyrinth: Research Literacy, Evidence-Informed Practice, and Shared Decision-Making”. This session is geared towards midwifery educators – we encourage you to attend!

AME will be represented at MANA 2016 in a variety of other ways as well!

  • When you check in at the MANA Table, be sure to also pick up your AME Educator ribbon! Remember: preceptors are educators, administrative staff are educators, academic faculty are educators. Help us spread the word on the importance of excellence in midwifery education and take pride in your role as an educator by wearing your AME Educator badge ribbon at MANA!
  • AME lunch gathering for educators: On Saturday during lunch, we will have a couple of tables reserved in the back of the lunch area for AME. Come sit with us and chat with fellow educators. Board Member Courtney Everson will be there to greet you (with AME Educator ribbons in tote!)
  • AME is proud to have sponsored and mentored two students to present at MANA 2016! Come learn from them: Gengi Proteau (Midwives College of Utah) presents on “Fetal Distress, Shoulder Dystocia, and the Fetal Vagus Nerve” and Kelsey Scherer (Birthwise) presents on “Oral Vitamin K Supplementation of the Newborn and the Prevention of Vitamin K Deficiency Bleeding: An Evidence-Based Update for Midwives”.

NARM Job Analysis Survey – deadline October 9th

AME strongly encourages you to participate in the 2016 NARM Job Analysis! If you are a CPM, you should have received a notice (with reminders) from NARM with your personal survey link. The deadline for taking the survey is October 9th. What issues and competencies are important to you as educators? Make sure those are represented in the NARM Job Analysis! In particular, AME encourages you to push for competencies in evidence-informed practice & research fluency as well as anti-oppression & cultural humility in midwifery care. This is your chance to help influence the midwifery profession!

Board Elections

Stay tuned for a special email on upcoming Board elections. An electronic vote will take place for AME members in October. We are excited for the candidates on the ballot and hope you are too!

Onward and upward, educators!



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Join Our Board!



Board of Directors


The Association of Midwifery Educators is soliciting nominations to the Board of Directors for two year terms starting fall 2016. Self-nominations are welcome. If nominating another person, please make sure they are willing to be placed on the ballot. Nominations will close on Monday August 22, 2016.

AME believes that education is the very foundation of a healthy and thriving midwifery profession. For 10 years now AME has worked tirelessly to support excellence in midwifery education through connection, collaboration and communication. Midwifery educators need the resources to train the professionals of the future and it is our mission to provide them with this support.   Some of our proud accomplishments include:

  • AME website offering numerous valuable resources for educators
  • Annual educator workshops at MANA
  • Preceptor as Educator online professional development series
  • Online provider of continuing education for NACPM webinars
  • Co-presenter with NACPM of CPM Symposium 2012
  • Member of Academic Collaborative for Integrative Health (ACIH) (formerly ACCAHC)
  • The Clinical Directors Collaboration, a monthly meeting of school clinical directors

AME is a not-for-profit 501(c)(6) member organization. Our bylaws require that our members elect the Board of Directors.   To learn more about AME, visit our website at and click on “About us.” Consider nominating yourself or someone you believe would be a good leader in midwifery education. Interested persons must join AME to be included on the ballot.

Term:  The Elections Committee of AME is inviting nominations for a two-year term beginning Fall 2016, with the possibility of additional terms.

Expectations: Board members are volunteers and are required to attend regular board and committee phone conference call meetings, attend an annual, in-person board meeting usually scheduled around the national MANA conference, and participate in the work of AME. Board members can expect to donate 8-10 hours per month to AME board work. Directors do not receive any salary for their services, but by resolution of the Board of Directors, the expenses of attendance, if any, may be allowed for attendance at each regular or special Board meeting.


  • Educator in midwifery or related health professions. An educator would include academic faculty and clinical instructors or preceptors.
  • Member of AME (join at
  • The knowledge, skills and passion for the work of supporting midwifery education in a changing political, cultural and social landscape.
  • Commitment to the work of undoing racism in midwifery education.
  • Current or former midwifery licensure (CPM, CNM or state licensed) is highly desirable.
  • Exceptions to the above requirements may be made for applicants with skills specific to the needs of AME to meet its strategic initiatives.

Membership: Membership is open to all who value midwifery education – midwives, educators, consumers, supporters and educational institutions. Annual dues:

  • Individual member: Midwifery program faculty, preceptor, instructor, staff or administration. Cost: $45/year
  • Institutional member: A midwifery program or institution. Cost on a sliding scale:
    • small (1-3 employees) $150/year
    • mid-sized (4-12 employees) $200/year
    • large (13+ employees) $300/year
  • Supporting member: Any individual or organization that supports the work of AME.  Cost: $35/year

To join visit AME’s website at and click on “Join AME Today”.

Election procedure:

  • AME’s administrative coordinator will email a call for nominations to all AME members
  • Any member in good standing may self-nominate
  • Anyone may nominate a member of AME who has agreed to be placed on the ballot
  • The nominee must complete the AME Board of Directors Application form
  • All nominations will be considered for inclusion in the election ballot
  • The Elections Committee will prepare the ballot
  • The Election will take place electronically
  • Each current member will receive the ballot, with timeline and instructions for voting
  • Each individual member shall have one vote. Each institutional member shall have a number of votes proportional to the size of the institutional membership: a small institution – one vote, a mid-sized institution – 2 votes, and a large institution – 3 votes.

To make a nomination: Contact Abby Hall Luca, AME administrative coordinator, at for a Board of Directors Application form.

For further information: Visit the AME website at or call Justine Clegg, AME President at 305-310-4507 or email

Email completed application to: Sharon DeJoy, PhD, MPH, CPH, CPM at

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Now available on Digital Chalk: Best Practices for Risk Management for CPMs

1.5 continuing education hours approved by MEAC for CPMs

Webinar presented by NACPM

Continuing education provided by AME

This webinar is a MUST for all CPMs to learn about the complex issues of liability and how to be protected in case of a lawsuit or administrative hearing. Even though CPM clients are healthy low risk women, and CPMs provide ongoing oversight during pregnancy and labor, there is still the possibility that complications can arise, resulting in an adverse outcome. Health care practitioners in hospitals are well trained in how to deal with adverse outcomes, especially regarding the client’s medical record. Out of hospital practitioners are well trained to provide timely transport and information to medical personnel, but often unprepared for timely documentation that accurately and thoroughly charts the situation, the midwife’s management and rationale for the care provided. The midwife who is dealing with the emergency transport and the family’s needs may not have time in the moment to thoroughly chart the emergency care she’s giving much less her thought process and rationale for what she did and didn’t do. She might not get back to the chart for days. Then when she goes to accurately document what she did and why, it can look like she’s altered records, making her documentation suspect. How can midwives work with electronic records in a way that protects them legally? We know that charting is the key to legal protection and a midwife who gave excellent care and but didn’t chart it accurately or promptly can be vulnerable to civil suit and administrative discipline.  Protecting oneself from liability is an essential skill for any midwife in the US, especially those providing homebirth and birth center services.

This webinar discusses all aspects of liability as it relates to midwives, including home birth practices and birth center-based practices.  The background of liability, including the difference between criminal and civil liability is discussed, as well as administrative proceedings against a midwife by the state licensing authority and the basic legal theories of negligence.  The presenter reviews many best practices to help minimize liability, including documentation of the medical record; responsibilities as a business owner including additional liability concerns; reviewing processes and action plans; reporting of adverse events to appropriate parties; transporting mothers and/or infants; and collaboration with physicians.  E-Discovery requirements are also discussed to better understand the complexities of lawsuits, along with an examination of past claims, including causes and allegations of lawsuits. The presenter answers questions from the audience but is also available by email for additional questions.

The webinar is presented by David B. Pulley, MSM in RMI, CPCU, RPLU, the Vice President at OneBeacon Professional Insurance since 2012. As VP for long-term care team and lead for new business underwriting, he has assisted with complex risk team and program development of midwife and birth center products. His areas of expertise include professional liability, medical malpractice, underwriting, liability analysis, commercial insurance, legal liability, employment practices liability and Directors and Operators insurance. David holds a masters degree in Risk Management/Insurance from Florida State University College of Business and a bachelors degree in Business Management and Finance from Brigham Young University. He serves as Treasurer and Member of the Board of Governors for the Commission for the Accreditation of Birth Centers.

You can create a free login to Digital Chalk and access all of our courses by clicking here.

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IOM’s A Framework for Educating Health Professionals to Address the Social Determinants of Health


The Institute of Medicine’s Board on Global Health Presents…


March 9th, 2016
9:00am to 12:00pm EST
Followed by lunch

The National Academy of Sciences
The Lecture Room
2101 Constitution Avenue, NW
Washington, DC 20418

Please note: A Photo ID is required for security purposes.
Registration and breakfast will begin at 8:30am

This meeting will be webcast.
Webcast videos and PowerPoint presentations will be archived on the meeting website.

Click here to register to watch the webcast or attend the meeting in person.

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New Waterbirth Research and Resources

Educators – classroom faculty and clinical preceptors – need access to the latest information to make sure midwifery students are well prepared for clinical practice. Two new documents on waterbirth are now making their debut in the midwifery world, with a third due out this spring, which will inform midwives, educators, students and consumers.

The first, Maternal & Newborn Outcomes Following Immersion During Waterbirth: The MANA Statistics Project 2004-2009 by Marit L. Bovbjerg PhD, MS, Melissa Cheyney PhD, CPM, LDM and Courtney Everson MA, PhD, was published in the Journal of Midwifery and Women’s Health on January 20, 2016. This article examines data from the MANA Statistics Project 2.0 dataset which included over 18,000 women who gave birth at home and in birth centers with midwives, of which 35% were waterbirths. This is the largest cohort study to-date on waterbirth – examining more than 6,000 waterbirths – and the first large study from the United States. This study finds that being born underwater poses no increased risk of mortality or morbidity to newborns. Babies born in water were no more likely to experience low 5-minute Apgar, neonatal transfer to the hospital, hospitalization or NICU admission in the first six weeks, or neonatal death, when compared to non-waterbirth neonates. For women, waterbirth was not associated with hospitalization in the immediate postpartum period or within the first six weeks, or with maternal infection. However, this study shows that waterbirth did appear to slightly increase the risk of perineal tearing.

Results are congruent with findings from waterbirth studies in other settings, but are contrary to the ACOG/AAP clinical guidelines “Immersion in Water during Labor and Delivery” (ACOG Committee Opinion #594, April 2014), which acknowledges the safety and potential benefits (i.e., pain management) of laboring in water, but also states that the safety of birthing in water has not yet been established, and thus, these guidelines do not recommend waterbirth. Courtney Everson, AME Board member and co-author of the article, explains that the ACOG/AAP waterbirth guidelines were a primary impetus to this study.

For more information about this article, visit MANA’s blogpost at

Thanks to the Journal of Midwifery and Women’s Health, the article is now open source, so midwives, birth workers and clients can freely access it. You can find it here:

The second document, the MANA and CfM Position Statement on Water Immersion During Labor and Birth, is a joint position paper written for a broad audience including midwives and other health care professionals, consumers, and policy makers. It is co-authored by the Midwives Alliance of North America and Citizens for Midwifery. This paper provides an overview of available research and clinical wisdom on waterbirth. With over 80 citations, including Maternal & Newborn Outcomes Following Immersion During Waterbirth by Bovbjerg et al, and information from waterbirth activist Barbara Harper, the position paper

  • discusses the evidence for the safety of water immersion during labor and birth,
  • describes the benefits of water immersion for mother and baby,
  • suggests how these benefits may improve outcomes for families of color,
  • addresses consumer choice and shared decision making,
  • considers client values and individual needs,
  • lists factors that promote safety and success,
  • concludes with a recommendation that supports the use of water immersion during labor and birth, and
  • advises that water immersion for labor and birth should be made available to all birthing families across birth settings.

The MANA and CfM Position Statement on Water Immersion During Labor and Birth is available on the MANA website at

The authors of the article and the position paper were interviewed for the MANA blog, which you can find here:

The MANA position paper complements the existing ACNM position paper “Hydrotherapy During Labor and Birth” (

The third document is a clinical bulletin that is being drafted by a multi-stakeholder group with midwifery leadership and groundbreaking collaboration. This document will provide clinical guidelines for water immersion in labor and birth that can be used for both in-hospital and out-of-hospital birthing sites. Release is anticipated for this spring.


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Why MEAC Matters

MEAC’s history          

In 1991, a small group of amazingly forward-thinking midwives and midwifery educators met in Flagstaff to talk about advancing US midwifery through education. We called ourselves the National Coalition of Midwifery Educators – NCME. We kicked around the idea of starting our own direct-entry midwifery accrediting organization. It seemed like a monumental undertaking but one which would allow us to define for ourselves the essential components of midwifery education, to create a vehicle to accredit a variety of educational models and to preserve our values. MEAC was born from NCME. I was honored to serve on the first MEAC Board of Directors and I have continued to engage personally in the accreditation process, not only through the experience of securing accreditation and re-accreditation for the Miami Dade College Midwifery Program but also as a site visitor and ARC member, and AME president.

MEAC today

Over 20 years later, MEAC is an accrediting agency recognized by the United States Department of Education (USDE). Ten midwifery schools and programs are currently MEAC accredited, some free-standing, others within public or private institutions of higher learning. MEAC accreditation for midwifery schools is required by several states and increasingly graduation from a MEAC accredited program is a prerequisite for obtaining a state midwifery license. MEAC accreditation is included in the US MERA Principles of Model Midwifery Legislation and Regulation. States seeking to license CPMs that include these principles in their licensing bills will have the advantage of national support from ACNM and a verbal agreement from ACOG not to oppose legislative initiatives.

Why accreditation is important

Legislators, educators and policy makers know that national professional accreditation processes are developed by content experts in the field and USDE recognition is the “gold standard” for quality and accountability. Accreditation is a rigorous process that uses MEAC’s curriculum checklist, which incorporates MANA and ICM Core Competencies and NARM requirements for national certification, to look not only at the content of the education provided but also at the quality of the instructors, the financial sustainability of the institution, student services, adherence to state and federal educational regulations, mechanisms to safeguard student privacy, non-discrimination policies, refund policies, student complaint processes, adequacy of clinical placements, support for student success, retention and graduation rates, NARM pass rates, post-graduate employment, and much more. Without the seal of approval of a recognized higher education accrediting body, schools and colleges cannot receive federal funds to offer student financial aid.

MEAC’s standing with USDE

Just like midwifery schools and programs periodically must apply for re-accreditation by MEAC, so must MEAC re-apply for re-accreditation by the USDE. During a recent board of directors meeting, MEAC was observed by a representative of the U.S. Department of Education (USDE). She gave us feedback about our process that has made us aware that we need to adjust some of our systems and policies in order to maintain our federal recognition.

In mid-December MEAC is scheduled to come before the National Advisory Committee on Institutional Quality and Integrity (NACIQI) to defend its application for re-accreditation. NACIQI’s job is to recommend which accreditation agencies should be recognized by the US Department of Education. MEAC is not alone in facing this kind of scrutiny by the USDE. However, MEAC is unusual in that it tries valiantly to do so much with so few resources. Most specialized accrediting agencies receive significant funding from their national professional associations. MEAC does not. MEAC tries to hold down the cost of accreditation and sustaining fees so as not to pose too great a barrier to schools. Consequently MEAC is seriously under-funded for the work it needs to do.

Next steps

In spite of these challenges, MEAC is confident that with the right blend of additional resources, counsel and leadership, MEAC can achieve re-recognition with the USDE. They always have in the past. So, what are MEAC’s next steps and what are the financial implications?

In order to proceed with USDE re-accreditation, MEAC needs to:

  • Send a team of 4 people to the hearing in December ($4,000)
  • Engage an attorney to help plan a strategy and defense ($10,000)
  • Purchase accreditation software to demonstrate consistency and proper enforcement ($20,000)
  • Secure more legal/consultant fees to help with board and staff training ($10,000)
  • Increase staff time to deal with preparing our compliance report ($5,000)

Total cost to MEAC ~ $50,000

What each of us can do 

We can each make a personal gift to a fundraising campaign to underwrite these unanticipated expenses. We can reach out to midwives and educators who have been a part of MEAC’s history. We can enlist the support of all who value the essential role MEAC plays in advancing midwifery. MEAC is a 501-c-3 nonprofit organization so donations are tax deductible.

MEAC matters

The survival of this agency is critical to the continuing development of the CPM credential!  Thank you for whatever you can do to support MEAC through this crisis.

Use this link to make an online donation:

For more information contact:

Tracy Vilella-Gartenmann, Executive Director

Midwifery Education Accreditation Council

1935 Pauline Blvd, Suite 100B

Ann Arbor MI 48103

(360) 466-2080, ext. 1

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Crucial to the advancement of CPMs is educating the public and other health care providers about CPM practice. Ignorance and misconceptions about midwifery care abound in our society. Midwives need to present sessions at national, state, and local conferences that showcase how the midwives model of care can provide better outcomes and save health care dollars. Presenting at MANA will give students and graduates the experience necessary to feel comfortable presenting sessions at conferences in their communities.

For several years now, the Association of Midwifery Educators (AME) has helped midwifery students and recent graduates showcase their research or clinical projects through a special mentoring program.  We help students prepare their abstract, submit it to MANA, and if it’s accepted we help prepare the full proposal.  This year AME will be mentoring up to five midwifery students or recent graduates in order to prepare them to present their research or clinical accomplishments at the 2016 MANA conference in Atlanta, GA October 13-16, 2016.

With the upcoming MANA abstract deadline of January 30, 2016, we ask that administrators, academic directors and faculty identify students or recent graduates who may be interested in this mentorship and have information to share from their research or clinical experiences that would be of interest to midwives or midwifery educators.

The AME mentorship includes:

  • Assistance with preparing an abstract to MANA by January 30, 2016.
  • Submitting the abstract to MANA.
  • If the abstract is chosen for presentation at MANA 2016, assistance with preparing the full session proposal and the conference presentation.
  • Housing support during the conference.  Chosen students or recent graduates will be offered a place to sleep at the AME “house” during the conference.

Please forward this to students who are finishing important research or clinical projects.  Interested students should contact the president of AME, Justine Clegg, for further information:

Phone/text: 305-310-4507

BY December 30, 2015.

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AME at the MANA Conference 2015

Every fall midwives and birth workers gather together from all over the U.S. and beyond for three days of learning, celebration and renewal at the MANA (Midwives Alliance of North America) annual conference. This year we convened at the Albuquerque Hotel in Old Town, NM.

Abby Luca, AME’s Administrative Coordinator, shared our accomplishments and plans at the Allied Midwifery Organizations meeting on Wednesday October 14th.

On Thursday we hosted the Educators Day pre-conference. This intimate, interactive day-long event, approved by MEAC for 8 CE hours, explored three topics in depth:

  • Adult learning theory presented by Kim J. Cox, PhD, CNM, FACNM, Assistant Professor of Midwifery at the University of New Mexico College of Nursing.
  • Student assessment and evaluation. Sharon DeJoy, PhD, MPH, CPH, CPM, filled in for our scheduled presenter who was delayed in Hong Kong, Peter G. Johnson, PhD, CNM, FACNM, Director of the Global Learning Office, Jhpiego, an affiliate of Johns Hopkins University.
  • Ethics and Social Justice in midwifery education, presented by Wendy Gordon, CPM, LM, MPH, Assistant Professor at Bastyr University’s Department of Midwifery.

For those of you who were unable to attend MANA, we plan to make recordings available through Digital Chalk, our online platform for continuing education and professional development for midwifery educators.

In addition to our table in the exhibit hall, AME presented two sessions:

  • Breakout session “AME Presents: Forgotten Midwives – A Better Look at the History of Midwifery.”
    JoAnne Myers-Ciecko and Eve German

    JoAnne Myers-Ciecko and Eve German

    Neva Gerke, LM, CPM, MSM and Eve German, LM, CPM, MSM told stories of Native American, African American, and Japanese American midwives in Washington State that showed how race, class, and privilege contributed to midwifery’s mid-century disappearance from the U.S. healthcare system, not only as the result of a choice to uphold the rising medical field and extinguish traditional healthcare systems, but also due to social and racial discrimination.

  • Plenary session “Direct Assessment and what it means to the CPM credential.” I, along with Mary Lawlor, NACPM Executive Director; Sandra Stewart, MEAC Executive Director; and Ida Darragh, NARM Testing Director, gave an overview of Direct Assessment and Competency Based Education, a report on the US MERA Direct Assessment Task Force meeting in August at Shenandoah University, VA, implications for accreditation, a report on the Midwifery Bridge Certificate, and how this could be leveraged by CPMs in states which do not yet have licensure.

On Sunday, AME hosted our annual member meeting gathered around a lunch table. I gave an overview of AME, a “year in review” highlighting accomplishments and future projects. Mary Yglesia walked us through AME’s revised website. We ended with participants sharing thoughts, concerns and ideas about how to improve midwifery education.


From the left: Wendy Gordon, Abby Luca, Sharon Dejoy (above), Mary Yglesia (below), Justine Clegg

On the days following the MANA conference, we met with members of the NACPM Board to discuss plans for the 2016 Symposium, and held our annual in-person Board meeting to review our strategic initiatives and brainstorm about ways to support midwifery educators.

And that’s where you come into this picture. We welcome your comments and ideas. Did you attend the MANA conference this year?   What did you learn? What special, unforgettable memories will you carry back home with you? I will treasure the chance to hug and catch up with midwives I’ve known for years, the connections I’ve made and the knowledge I’ve gained. We invite you to use this space to share your thoughts and ideas and to help us support midwifery educators. Together we can grow the future of midwifery for our children and grandchildren.

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