Models of Organizational Structure of Midwifery Practices Located in Institutions With Residency Programs


  • Cathy Collins-Fulea CNM, MSN, FACNM

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    • Cathy Collins-Fulea CNM, MSN, FACNM, is the Midwifery Division Head for the Henry Ford Health System in Detroit, Michigan. She is a past chair of the Service Directors Network and a current board member of the American College of Nurse-Midwives.

Henry Ford Health System, 2799 West Grand Blvd., Detroit MI 48202. E-mail:


Four models of organizational structure for midwifery practices that are located in academic institutions with residency programs are described: parallel models, coexistence models, fully integrated models, and blended models. Examples of each of these models are presented along with advantages and disadvantages and overall effect on resident education.