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  • Ruth Mankoff CNM, MS,

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    • Ruth Mankoff is a Senior Nurse-Midwife in the midwifery practice at the Bronx Municipal Hospital Center. She was formerly on the faculty of the graduate program in Nurse-Midwifery at Columbia University. She is a member of the ACNM and AWHONN.

  • Nancy DeVore CNM, MS,

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    • Nancy DeVore is Director, Women's Health Center, Bronx Municipal Hospital Center, and the Director of Midwifery Practice, Albert Einstein College of Medicine. She is a member of the ACNM and AWHONN.

  • Margaret Comerford Freda EdD, RN, FAAN

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    • Margaret Comerford Freda is an Assistant Professor in the Department of Obstetrics and Gynecology at the Albert Einstein College of Medicine. She is a member of the American Academy of Nursing and AWHONN.

4Bronx Municipal Hospital Center, Pelham Parkway, Women's Health Center 1N55, Bronx, NY 10461.


Although certified nurse-midwives collaborate with ob/gyn residents in teaching settings, they are rarely given the opportunity to have input into how residents learn to deliver ambulatory care. This study is a preliminary evaluation of a program in which one nurse-midwife was assigned responsibility for the orientation and preceptorship of all post-graduate year 1 residents to the ambulatory care setting in an inner-city women's health center. At the end of the academic year, all of the post-graduate year is completed an evaluation of their orientation. Findings included positive responses to the preceptorship orientation and agreement that the residents were comfortable with the competence and educational background of the CNM preceptor. The recurring theme was that orientation by a CNM was an appropriate learning experience. Suggestions for improvement of the program are included.