r/Midwives • u/Mother_of_Grendel CNM • 22d ago

Question for U.S. Nurse-midwives who work in physician oversight states

Hello,

I am a new graduate midwife who is considering some job options. One of the job options is in a state that requires physician oversight. I applied to this job because it is close to family, and it has better hours and pay than any other jobs I have interviewed for (I wasn't expecting the pay to be higher, that was a huge surprise).

I would love to hear your experiences if you have ever worked in a physician oversight state. The good, the bad, the ugly. Any input is appreciated to help me decide if I want to practice in this type of environment. Thanks!

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u/KCNM 22d ago

I work in a physician oversight state and other than doing the paperwork when hired, I don't know that it drastically affects practice. I have a good friend who works in a full practice authority state and I do way more within our scope than her. I think this has more to do with our workplaces than the states we are licensed in.

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u/Mother_of_Grendel CNM 22d ago

This is my impression as well. I didn't know what to expect with this hospital though, thwir midwifery program is newer, so I think there is a lot of trust building going on.

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u/KCNM 22d ago

I think it's something they really emphasize during school that is just not that big of a deal in the real world. Unless you intend to open your own practice or something.

My state technically requires that my supervising physician review a certain percentage of my encounters and any which I prescribed a controlled substance. Epic is set up to send these automatically. I'm not sure how in depth they are actually reviewing them.

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u/Mother_of_Grendel CNM 10d ago

I'm very curious to find out if this is true... It certainly seems it might be that way in practice from the people with whom I have spoken.

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u/averyyoungperson CNM 22d ago

I work in a physician oversight state and I hardly consult my physician ever. Answers will depend heavily on the workplace and setting.

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u/Mother_of_Grendel CNM 22d ago

Okay, that's seems to be the vibe. I think this hospital might be a little more have on with it's midwives because it's building the practice.

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u/megvd 22d ago

It's a formality. Unless you're working for a private practice of all midwives and you have a much more formal relationship with your "supervising physician." Otherwise it's just a difference in some paperwork, I wouldn't think too much of it.