Collaborative Practice Model. Madigan Army Medical Center

Peter E. Nielsen, Michelle Munroe, Lisa Foglia, Roxanne I. Piecek, Mary Paul Backman, Rebecca Cypher, Denise C. Smith

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


In 2007, Madigan Army Medical Center implemented a new maternity care delivery model, integrating obstetricians and certified nurse-midwives (CNMs) in a collaborative practice. The change was driven by multiple factors, including patient preference, changes in the resident workweek, and low provider satisfaction. This article describes the elements of successful collaboration, including the structure, effective teamwork principles, role of the CNM in resident education, and preliminary data on mode of delivery, the number of CNM-supervised resident births, and procedures, such as episiotomy and epidural use.

Original languageEnglish (US)
Pages (from-to)399-410
Number of pages12
JournalObstetrics and Gynecology Clinics of North America
Issue number3
StatePublished - Sep 2012
Externally publishedYes


  • Collaboration between midwives and obstetricians
  • Delivery of healthcare
  • Graduate medical education
  • Military medicine

ASJC Scopus subject areas

  • Obstetrics and Gynecology


Dive into the research topics of 'Collaborative Practice Model. Madigan Army Medical Center'. Together they form a unique fingerprint.

Cite this