Nurse Midwives

Diagnose and coordinate all aspects of the birthing process, either independently or as part of a healthcare team. May provide well-woman gynecological care. Must have specialized, graduate nursing education.

Tasks Include:

Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconception care.
Provide prenatal, intrapartum, postpartum, or newborn care to patients.
Document patients' health histories, symptoms, physical conditions, or other diagnostic information.
Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations.
Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
Develop and implement individualized plans for health care management.
Document findings of physical examinations.
Explain procedures to patients, family members, staff members or others.
Initiate emergency interventions to stabilize patients.
Manage newborn care during the first weeks of life.

The data sources for the information displayed here include: O*NET™; US Department of Labor (BLS); Virginia Workforce Connection. (Using onet291)

Projections Quick View:

Virginia: No Data

National: +7.1%

Education

Master's Degree

Job Zone:

Five: Extensive Preparation Needed

Income Range:

Highest ($50,000 and up)

Median Earnings:

National

$129,650.00

State

$130,860.00

Regional

Nurse Midwives

Description

Career Cluster:

Health Science

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Education

Required Level of Education

Master's Degree = 81.25%
Post-Master's Certificate - awarded for completion of an organized program of study; designed for people who have completed a Master's degree but do not meet the requirements of academic degrees at the doctoral level. = 15.62%
Post-Baccalaureate Certificate - awarded for completion of an organized program of study; designed for people who have completed a Baccalaureate degree but do not meet the requirements of academic degrees carrying the title of Master. = 3.12%

Related Work Experience

None = 42.42%
Over 1 year, up to and including 2 years = 39.39%
Over 2 years, up to and including 4 years = 9.09%
Over 6 months, up to and including 1 year = 6.06%
Over 4 years, up to and including 6 years = 3.03%

On-Site or In-Plant Training

Over 1 month, up to and including 3 months = 36.36%
Over 3 months, up to and including 6 months = 30.30%
Up to and including 1 month = 15.15%
None = 12.12%
Over 1 year, up to and including 2 years = 3.03%
Over 2 years, up to and including 4 years = 3.03%

On-the-Job Training

Over 1 month, up to and including 3 months = 36.36%
Over 3 months, up to and including 6 months = 30.30%
Anything beyond short demonstration, up to and including 1 month = 12.12%
Over 6 months, up to and including 1 year = 9.09%
None or short demonstration = 6.06%
Over 1 year, up to and including 2 years = 3.03%
Over 2 years, up to and including 4 years = 3.03%

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Tasks

Core Tasks Include:

Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconception care.
Provide prenatal, intrapartum, postpartum, or newborn care to patients.
Document patients' health histories, symptoms, physical conditions, or other diagnostic information.
Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations.
Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
Develop and implement individualized plans for health care management.
Document findings of physical examinations.
Explain procedures to patients, family members, staff members or others.
Initiate emergency interventions to stabilize patients.
Provide primary health care, including pregnancy and childbirth, to women.
Order and interpret diagnostic or laboratory tests.
Prescribe medications as permitted by state regulations.
Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.
Write information in medical records or provide narrative summaries to communicate patient information to other health care providers.
Conduct clinical research on topics such as maternal or infant health care, contraceptive methods, breastfeeding, and gynecological care.
Establish practice guidelines for specialty areas such as primary health care of women, care of the childbearing family, and newborn care.
Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in midwifery.
Plan, provide, or evaluate educational programs for nursing staff, health care teams, or the community.
Instruct student nurse midwives, medical students, or residents on the birthing process.

Supplemental Tasks Include:

Manage newborn care during the first weeks of life.

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Tools and Technology

Tools Include:

Surgical clamps or clips or forceps or accessories (Allis clamps)
Infant scales (Baby scales)
Resuscitation masks or accessories (Bag valve mask BVM resuscitators)
Blood collection syringes (Blood drawing syringes)
Medical aspiration or irrigation syringes (Bulb syringes)
Colposcopes or vaginoscopes or accessories (Colposcopes)
Floor grade forceps or hemostats (Curved forceps)
Floor grade forceps or hemostats (Curved hemostats)
Surgical needle holders for general use (Curved needle holders)
Electronic medical thermometers (Digital medical thermometers)
Surgical scissors (Episiotomy scissors)
Vacuum blood collection tubes or containers (Evacuated blood collection containers)
Fetal or gynecological ultrasound or echo units (Fetal doppler units)
Acute care fetal or maternal monitoring units or accessories (Fetal heart rate monitors)
Medical syringes with needles (Hypodermic syringes)
Medical oxygen masks or parts (Infant oxygen masks)
Clinical incubators or infant warmers (Infant warmers)
Intravenous tubing with catheter administration kits (Intravenous IV administration equipment)
Lancets
Notebook computers (Laptop computers)
Mechanical stethoscopes or accessories (Mechanical stethoscopes)
Medical tape measures (Medical measuring tapes)
Patient floor scales (Medical scales)
Microscope slides
Surgical clamps or clips or forceps or accessories (Mosquito forceps)
Surgical clamps or clips or forceps or accessories (Obstetrical forceps)
Oxygen concentrators
Medical oxygen masks or parts (Oxygen delivery masks)
Flow sensors or regulators or components (Oxygen flowmeters)
Medical nasal cannulae (Oxygen nasal cannulae)
Personal computers
Personal digital assistant PDAs or organizers (Personal digital assistants PDA)
Medical staff isolation or surgical masks (Protective face shields)
Reflex hammers or mallets (Reflex hammers)
Surgical clamps or clips or forceps or accessories (Ring forceps)
Specimen collectors (Specimen collection containers)
Blood pressure cuff kits (Sphygmomanometers)
Floor grade forceps or hemostats (Straight hemostats)
Surgical needle holders for general use (Straight needle holders)
Medical suction cannulas or tubes or accessories (Suction catheters)
Surgical gloves
Surgical scissors
Suturing kits or trays or packs or sets (Suturing kits)
Surgical clamps or clips or forceps or accessories (Tissue forceps)
Tourniquets
Transcutaneous electric nerve stimulation units (Transcutaneous electric nerve stimulation TENS equipment)
Surgical clamps or clips or forceps or accessories (Umbilical cord clamps)
Surgical scissors (Umbilical cord scissors)
Urinary catheterization kits or accessories (Urinary catheters)
Vaginal exam specula
Vaginal ultrasound or echo probes or accessories (Vaginal ultrasound probes)

Technologies Include:

Medical software

Acrendo Medical Software Ob/Gyn EMR
Allscripts Professional EHR
Amkai AmkaiCharts
Bizmatics PrognoCIS EMR System
Cerner Millennium
ChartWare software
digiChart OB-GYN
e-MDs software
eClinicalWorks software
GE Healthcare Centricity EMR
Greenway Medical Technologies PrimeSuite software
Medscribbler Enterprise
MicroFour PracticeStudio.NET EMR
NextGen Healthcare Information Systems EMR
Practice Partner Total Practice Partner
SOAPware software
StatCom Patient Flow Logistics Enterprise Suite
SynaMed EMR
Texas Medical Software SpringCharts EMR

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Special Requirements

Nurse midwives need to be licensed registered nurses and completed at least a bachelor degree in nursing. Some employers prefer applicants with master degrees in nursing. Prospective nurse midwives must complete an accredited nurse-midwifery program. They complete courses in anatomy and physiology, embryology, neonatology, gynecology and obstetrics, obstetric procedures, family planning, antepartum, intrapartum, and postpartum, and breastfeeding. Most nurse midwives obtain the Certified Nurse Midwife designation from the American Midwifery Certification Board. The requirements include graduating from a nurse-midwifery program that is accredited by the American College of Nurse-Midwifes and passing a national certification examination. Some states require this national certification. Certified Nurse Midwives must complete continuing education to maintain their certifications.

North American Registry of Midwives:

Educational Validation

The Certified Professional Midwife (CPM) may be educated through a variety of routes, including programs accredited by the Midwifery Education Accreditation Council (MEAC), the American Midwifery Certification Board (AMCB), apprenticeship education, and self-study. If the midwife’s education have been validated through the graduation from a MEAC-accredited program; certification by the AMCB as a CNM/CM; or legal recognition in a state evaluated by NARM for educational equivalency, the midwife may submit that credential as evidence of educational evaluation and may apply to take the CPM examination. If the midwife is preceptor-trained or received education outside of the United States, with the exception of UK Registered Midwives, he/she must complete the NARM Portfolio Evaluation Process (PEP).

The NARM Portfolio Evaluation Process (PEP) involves documentation of midwifery training under the supervision of a preceptor. This category includes entry-level midwives, internationally educated midwives, and experienced midwives. Upon successful completion of the documentation portion of PEP, the applicant must successfully complete the NARM Skills Verification. Then the applicant will be issued a Letter of Completion that can be submitted to NARM’s Application Department as validation of midwifery education.

Certification

When the applicant has completed one of the approved educational routes of entry, the applicant may apply to become a Certified Professional Midwife (CPM) and take the NARM Written Examination.

The Written Examination consists of 350 multiple-choice questions. This examination is administered in two 4-hour sessions. The NARM Written Examination is the final step of the CPM certification process. This examination is also administered as the final part of national and international legal recognition processes. The NARM Written Exam is only given in the United States.

Educational Content Areas

The education of all entry-level CPM applicants must include the content areas indentified in the following documents:

1)             The Core Competencies developed by the Midwives Alliance of North America (MANA)

2)             The NARM Written Test Specifications

3)             The NARM Skills Assessment Test Specifications

4)             The NARM Written Examination Primary Reference List

5)             The NARM Skills Assessment Reference List

Experience Requirements

1)             As an active participant, the applicant must attend a minimum of 20 births.

2)             Functioning in the role of primary midwife under supervision, the applicant must attend a minimum of 20 additional births:

A.            A minimum of 10 of the 20 births attended as primary under supervision must be in homes or other out-of-hospital settings

B.            A minimum of 3 of the 20 births attended as primary under supervision must be with women for whom the applicant has provided primary care during at least 4 prenatal visits, birth, newborn exam, and one postpartum exam.

C.            At least 10 of the 20 primary births must have occurred within 3 years of application submission.

3)             Functioning in the role of primary midwife under supervision, the applicant must document:

A.            75 prenatal exams, including 20 initial exams

B.            20 newborns exams

C.            40 postpartum exams

Other Required Documentation

The applicant must provide:

1)     A copy of both sides of current CPR (both Adult & either Infant/Neonatal Resuscitation) Certification

2)     Written verification of:

A.    Practice guidelines

B.    And informed consent document

C.    And emergency care form

3)     Documentation and verification of experience, knowledge and skills on the appropriate NARM forms.

For more information, please see the NARM Candidate Information Bulletin.

Required Fees:

North American Registry of Midwives Fees:

PEP fee

$700.00

Certification fee

$700.00

Recertification fee

$150.00

The data sources for the information displayed here include: Virginia Career VIEW Research. (Using onet291)

Nurse Midwives

Knowledge

%	Subject	Description
95.50	Medicine and Dentistry	Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
83.25	Psychology	Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
79.75	Customer and Personal Service	Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
79.50	English Language	Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
76.50	Biology	Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
70.25	Sociology and Anthropology	Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.
68.25	Therapy and Counseling	Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
66.75	Education and Training	Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
53.00	Mathematics	Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
51.50	Law and Government	Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Skills

%	Subject	Description
78.00	Active Listening	Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
78.00	Speaking	Talking to others to convey information effectively.
78.00	Critical Thinking	Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
78.00	Social Perceptiveness	Being aware of others' reactions and understanding why they react as they do.
75.00	Reading Comprehension	Understanding written sentences and paragraphs in work-related documents.
75.00	Active Learning	Understanding the implications of new information for both current and future problem-solving and decision-making.
75.00	Monitoring	Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
72.00	Writing	Communicating effectively in writing as appropriate for the needs of the audience.
72.00	Complex Problem Solving	Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
72.00	Coordination	Adjusting actions in relation to others' actions.
72.00	Service Orientation	Actively looking for ways to help people.
68.75	Judgment and Decision Making	Considering the relative costs and benefits of potential actions to choose the most appropriate one.
56.25	Learning Strategies	Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
56.25	Instructing	Teaching others how to do something.
53.00	Systems Analysis	Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
53.00	Time Management	Managing one's own time and the time of others.
50.00	Systems Evaluation	Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Abilities

%	Subject	Description
81.25	Written Comprehension	The ability to read and understand information and ideas presented in writing.
78.00	Oral Comprehension	The ability to listen to and understand information and ideas presented through spoken words and sentences.
78.00	Oral Expression	The ability to communicate information and ideas in speaking so others will understand.
78.00	Deductive Reasoning	The ability to apply general rules to specific problems to produce answers that make sense.
78.00	Problem Sensitivity	The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem.
75.00	Written Expression	The ability to communicate information and ideas in writing so others will understand.
75.00	Inductive Reasoning	The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
68.75	Speech Clarity	The ability to speak clearly so others can understand you.
68.75	Near Vision	The ability to see details at close range (within a few feet of the observer).
68.75	Speech Recognition	The ability to identify and understand the speech of another person.
65.50	Information Ordering	The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
59.50	Category Flexibility	The ability to generate or use different sets of rules for combining or grouping things in different ways.
59.50	Selective Attention	The ability to concentrate on a task over a period of time without being distracted.
53.00	Fluency of Ideas	The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity).
53.00	Memorization	The ability to remember information such as words, numbers, pictures, and procedures.
53.00	Flexibility of Closure	The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
53.00	Perceptual Speed	The ability to quickly and accurately compare similarities and differences among sets of letters, numbers, objects, pictures, or patterns. The things to be compared may be presented at the same time or one after the other. This ability also includes comparing a presented object with a remembered object.
53.00	Arm-Hand Steadiness	The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.
53.00	Time Sharing	The ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).
50.00	Originality	The ability to come up with unusual or clever ideas about a given topic or situation, or to develop creative ways to solve a problem.
50.00	Speed of Closure	The ability to quickly make sense of, combine, and organize information into meaningful patterns.
50.00	Manual Dexterity	The ability to quickly move your hand, your hand together with your arm, or your two hands to grasp, manipulate, or assemble objects.
50.00	Finger Dexterity	The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects.
50.00	Visualization	The ability to imagine how something will look after it is moved around or when its parts are moved or rearranged.

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Work Activities

%	Subject	Description
98.50	Assisting and Caring for Others	Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
95.50	Documenting/Recording Information	Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
94.75	Getting Information	Observing, receiving, and otherwise obtaining information from all relevant sources.
91.75	Identifying Objects, Actions, and Events	Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
90.25	Making Decisions and Solving Problems	Analyzing information and evaluating results to choose the best solution and solve problems.
89.75	Updating and Using Relevant Knowledge	Keeping up-to-date technically and applying new knowledge to your job.
89.50	Establishing and Maintaining Interpersonal Relationships	Developing constructive and cooperative working relationships with others, and maintaining them over time.
88.00	Communicating with Supervisors, Peers, or Subordinates	Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
82.50	Monitoring Processes, Materials, or Surroundings	Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.
79.75	Organizing, Planning, and Prioritizing Work	Developing specific goals and plans to prioritize, organize, and accomplish your work.
78.75	Evaluating Information to Determine Compliance with Standards	Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
78.75	Performing for or Working Directly with the Public	Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.
77.50	Interpreting the Meaning of Information for Others	Translating or explaining what information means and how it can be used.
76.50	Processing Information	Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
75.00	Working with Computers	Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
75.00	Resolving Conflicts and Negotiating with Others	Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.
74.25	Developing and Building Teams	Encouraging and building mutual trust, respect, and cooperation among team members.
73.50	Analyzing Data or Information	Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
72.75	Training and Teaching Others	Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.
70.50	Coordinating the Work and Activities of Others	Getting members of a group to work together to accomplish tasks.
68.00	Coaching and Developing Others	Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills.
66.00	Providing Consultation and Advice to Others	Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.
64.75	Scheduling Work and Activities	Scheduling events, programs, and activities, as well as the work of others.
62.50	Judging the Qualities of Objects, Services, or People	Assessing the value, importance, or quality of things or people.
62.50	Performing General Physical Activities	Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling materials.
62.50	Guiding, Directing, and Motivating Subordinates	Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
62.00	Thinking Creatively	Developing, designing, or creating new applications, ideas, relationships, systems, or products, including artistic contributions.
61.00	Communicating with People Outside the Organization	Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
61.00	Developing Objectives and Strategies	Establishing long-range objectives and specifying the strategies and actions to achieve them.
56.50	Handling and Moving Objects	Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things.
55.25	Performing Administrative Activities	Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.
54.00	Inspecting Equipment, Structures, or Materials	Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Work Styles

%	Subject	Description
97.75	Concern for Others	Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
95.50	Stress Tolerance	Job requires accepting criticism and dealing calmly and effectively with high-stress situations.
95.25	Dependability	Job requires being reliable, responsible, and dependable, and fulfilling obligations.
94.00	Integrity	Job requires being honest and ethical.
91.75	Cooperation	Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
91.75	Self-Control	Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
91.00	Attention to Detail	Job requires being careful about detail and thorough in completing work tasks.
88.75	Persistence	Job requires persistence in the face of obstacles.
86.25	Adaptability/Flexibility	Job requires being open to change (positive or negative) and to considerable variety in the workplace.
83.25	Social Orientation	Job requires preferring to work with others rather than alone, and being personally connected with others on the job.
79.50	Initiative	Job requires a willingness to take on responsibilities and challenges.
79.50	Analytical Thinking	Job requires analyzing information and using logic to address work-related issues and problems.
75.75	Achievement/Effort	Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
75.75	Leadership	Job requires a willingness to lead, take charge, and offer opinions and direction.
74.25	Independence	Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
62.00	Innovation	Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Work Values

%	Subject	Description
94.50	Relationships	Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
77.83	Achievement	Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.
72.17	Independence	Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.
66.67	Working Conditions	Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.
66.67	Recognition	Occupations that satisfy this work value offer advancement, potential for leadership, and are often considered prestigious. Corresponding needs are Advancement, Authority, Recognition and Social Status.
50.00	Support	Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Work Context

%	Subject	Description
100.00	Face-to-Face Discussions	How often do you have to have face-to-face discussions with individuals or teams in this job?
98.80	Physical Proximity	To what extent does this job require the worker to perform job tasks in close physical proximity to other people?
98.20	Contact With Others	How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it?
97.00	Electronic Mail	How often do you use electronic mail in this job?
96.20	Telephone	How often do you have telephone conversations in this job?
95.00	Frequency of Decision Making	How frequently is the worker required to make decisions that affect other people, the financial resources, and/or the image and reputation of the organization?
94.40	Indoors, Environmentally Controlled	How often does this job require working indoors in environmentally controlled conditions?
94.20	Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets	How much does this job require wearing common protective or safety equipment such as safety shoes, glasses, gloves, hard hats or life jackets?
93.80	Consequence of Error	How serious would the result usually be if the worker made a mistake that was not readily correctable?
93.40	Freedom to Make Decisions	How much decision making freedom, without supervision, does the job offer?
91.80	Work With Work Group or Team	How important is it to work with others in a group or team in this job?
91.20	Exposed to Disease or Infections	How often does this job require exposure to disease/infections?
90.40	Impact of Decisions on Co-workers or Company Results	What results do your decisions usually have on other people or the image or reputation or financial resources of your employer?
89.60	Deal With External Customers	How important is it to work with external customers or the public in this job?
89.60	Importance of Being Exact or Accurate	How important is being very exact or highly accurate in performing this job?
83.80	Coordinate or Lead Others	How important is it to coordinate or lead others in accomplishing work activities in this job?
82.40	Structured versus Unstructured Work	To what extent is this job structured for the worker, rather than allowing the worker to determine tasks, priorities, and goals?
80.00	Responsible for Others' Health and Safety	How much responsibility is there for the health and safety of others in this job?
76.40	Time Pressure	How often does this job require the worker to meet strict deadlines?
74.60	Frequency of Conflict Situations	How often are there conflict situations the employee has to face in this job?
74.40	Letters and Memos	How often does the job require written letters and memos?
72.20	Sounds, Noise Levels Are Distracting or Uncomfortable	How often does this job require working exposed to sounds and noise levels that are distracting or uncomfortable?
72.20	Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls	How much does this job require using your hands to handle, control, or feel objects, tools or controls?
70.60	Deal With Unpleasant or Angry People	How frequently does the worker have to deal with unpleasant, angry, or discourteous individuals as part of the job requirements?
70.00	Exposed to Contaminants	How often does this job require working exposed to contaminants (such as pollutants, gases, dust or odors)?
67.60	Responsibility for Outcomes and Results	How responsible is the worker for work outcomes and results of other workers?
63.20	Spend Time Standing	How much does this job require standing?
61.80	Importance of Repeating Same Tasks	How important is repeating the same physical activities (e.g., key entry) or mental activities (e.g., checking entries in a ledger) over and over, without stopping, to performing this job?
60.60	Cramped Work Space, Awkward Positions	How often does this job require working in cramped work spaces that requires getting into awkward positions?
58.80	Level of Competition	To what extent does this job require the worker to compete or to be aware of competitive pressures?
57.60	Spend Time Sitting	How much does this job require sitting?
51.80	Spend Time Bending or Twisting the Body	How much does this job require bending or twisting your body?
50.40	Spend Time Making Repetitive Motions	How much does this job require making repetitive motions?

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Job Zone Five: Extensive Preparation Needed

Overall Experience
- Extensive skill, knowledge, and experience are needed for these occupations. Many require more than five years of experience. For example, surgeons must complete four years of college and an additional five to seven years of specialized medical training to be able to do their job.
Job Training
- Employees may need some on-the-job training, but most of these occupations assume that the person will already have the required skills, knowledge, work-related experience, and/or training.
Examples
- These occupations often involve coordinating, training, supervising, or managing the activities of others to accomplish goals. Very advanced communication and organizational skills are required. Examples include pharmacists, lawyers, astronomers, biologists, clergy, physician assistants, and veterinarians.
Education
- Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Earnings Benefits*

Region	Entry Level	Median	Experienced
United States	$87,320.00	$129,650.00	$146,770.00
Virginia	$77,020.00	$130,860.00	$134,540.00

Region	Entry Level	Median	Experienced
Alexandria/Arlington	No Data	No Data	No Data
Bay Consortium	No Data	No Data	No Data
Capital Region Workforce Partnership	$61,830.00	$85,860.00	$111,340.00
Central VA/Region2000	No Data	No Data	No Data
Crater Area	No Data	No Data	No Data
Greater Peninsula	No Data	No Data	No Data
Hampton Roads	No Data	No Data	No Data
New River/Mt. Rogers	No Data	No Data	No Data
Northern Virginia	$111,350.00	$134,540.00	$139,720.00
Piedmont Workforce	No Data	No Data	No Data
Shenandoah Valley	No Data	No Data	No Data
South Central	No Data	No Data	No Data
Southwestern Virginia	No Data	No Data	No Data
West Piedmont	No Data	No Data	No Data
Western Virginia	No Data	No Data	No Data

* Earnings Calculations:

Regional Earnings:
   Entry = Annual mean of the lower 1/3 wage distribution;
   Experienced = Annual mean of the upper 2/3 wage distribution.

National and State Earnings:
   Entry = Annual 10th percentile wage;
   Experienced = Annual 75th percentile wage.

The data sources for the information displayed here include: US Department of Labor (BLS); Virginia Workforce Connection. (Using onet291)

Nurse Midwives

Employment Projections

USA: 2023-2033

Virginia: 2022-2032

Regions: 2020-2030

	Current	Projected	% Change
United States	7,200	7,700	+7.1%
Virginia	No Data	No Data	No Data

Region	Current*	Projected	% Change
Alexandria/Arlington	No Data	No Data	No Data
Bay Consortium	No Data	No Data	No Data
Capital Region Workforce Partnership	No Data	No Data	No Data
Central VA/Region2000	No Data	No Data	No Data
Crater Area	No Data	No Data	No Data
Greater Peninsula	No Data	No Data	No Data
Hampton Roads	No Data	No Data	No Data
New River/Mt. Rogers	No Data	No Data	No Data
Northern Virginia	No Data	No Data	No Data
Piedmont Workforce	No Data	No Data	No Data
Shenandoah Valley	No Data	No Data	No Data
South Central	No Data	No Data	No Data
Southwestern Virginia	No Data	No Data	No Data
West Piedmont	No Data	No Data	No Data
Western Virginia	No Data	No Data	No Data

* - Estimated

The data sources for the information displayed here include: US Department of Labor (BLS); Virginia Workforce Connection. (Using onet291)

Nurse Midwives

Related Occupations

The related occupations here have similar general capabilities and interests; career explorers may also be interested in the related occupations:

Careers in Therapeutic Services Pathway:

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

View Videos

CareerOneStop Video

View Video & Transcript on CareerOneStop

CareerOneStop Health Science Videos
Overview
Occupations

The data sources for the information displayed here include: New York State Department of Labor; New Jersey Department of Labor; California Occupational Information Coordinating Committee; CareerOneStop. (Using onet291)

Nurse Midwives

Military Training

The following military job classifications are available for this occupation:

Nurse Midwife

The data sources for the information displayed here include: Defense Manpower Data Center. (Using onet291)

Nurse Midwives

Proficiency Ratings

These proficiencies are scored on a scale from 1 to 5 with 1 being not
important to the job and 5 being extremely important to the job.

Proficiency	Rating
Assisting and Caring for Others	5.0
Documenting/Recording Information	5.0
Getting Information	5.0
Identifying Objects, Actions, and Events	4.5
Making Decisions and Solving Problems	4.5
Updating and Using Relevant Knowledge	4.5
Establishing and Maintaining Interpersonal Relationships	4.5
Communicating with Supervisors, Peers, or Subordinates	4.5
Monitoring Processes, Materials, or Surroundings	4.5
Organizing, Planning, and Prioritizing Work	4.0
Evaluating Information to Determine Compliance with Standards	4.0
Performing for or Working Directly with the Public	4.0
Interpreting the Meaning of Information for Others	4.0
Processing Information	4.0
Working with Computers	4.0
Resolving Conflicts and Negotiating with Others	4.0
Developing and Building Teams	4.0
Analyzing Data or Information	4.0
Training and Teaching Others	4.0
Coordinating the Work and Activities of Others	4.0
Coaching and Developing Others	3.5
Providing Consultation and Advice to Others	3.5
Scheduling Work and Activities	3.5
Judging the Qualities of Objects, Services, or People	3.5
Performing General Physical Activities	3.5
Guiding, Directing, and Motivating Subordinates	3.5
Thinking Creatively	3.5
Communicating with People Outside the Organization	3.5
Developing Objectives and Strategies	3.5
Handling and Moving Objects	3.5
Performing Administrative Activities	3.0
Inspecting Equipment, Structures, or Materials	3.0
Staffing Organizational Units	3.0
Estimating the Quantifiable Characteristics of Products, Events, or Information	3.0
Monitoring and Controlling Resources	2.5
Selling or Influencing Others	2.5
Controlling Machines and Processes	2.5
Operating Vehicles, Mechanized Devices, or Equipment	1.5
Repairing and Maintaining Mechanical Equipment	1.5
Repairing and Maintaining Electronic Equipment	1.5
Drafting, Laying Out, and Specifying Technical Devices, Parts, and Equipment	1.0

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Titles

Certified Midwife
Certified Nurse Midwife (CNM)
Certified Professional Midwife
Direct-Entry Midwife
Nurse Midwife
Registered Nurse Midwife

The data sources for the information displayed here include: O*NET™. (Using onet291)

Nurse Midwives

Related Schools

Shenandoah University

The data sources for the information displayed here include: O*NET™. (Using onet291)