Welcome to the ACNM Library. You can search for ACNM resources—including position statements, issue briefs, fact sheets, and more—by keyword or category. Please note that state guidance documents are among members-only resources and will not appear as a searchable category or in search results unless you are logged in. In order to view a complete listing of library contents in the drop-down “Category” menu, you must first be logged in to the ACNM site. (Member log-in is located at the upper right hand corner of the page.)
For best results when printing documents from the ACNM Library,
select "Fit to Printable Area" from your printer's page scaling
Credentialing and Medical Staff Privileging
The ACNM Department of Professional Practice & Health Policy frequently receives member requests for assistance with securing credentialing and medical staff privileging. Midwives who are not credentialed and do not have medical staff privileges are often required to admit clients under a physician colleague's name and to have the physician co-sign client history and physical examination documentation.This limitation may impact liability and designated responsibility.
The following is a suggested general approach. Please use as appropriate to your practice.
Below is a list of resources prepared by Barbara Hughes, CNM, MS, FACNM, and presented at the 2008 ACNM Annual Meeting. It includes a number of resources that are useful to presenting an application for credentialing and medical staff privileging.
Background Information about CNMs/CMs
The following are examples* to assist you during your credentialing process.
*Note: ACNM is not suggesting that this sample document from an individual Colorado institution represents a nationwide model to which CNMs and CMs should aspire. It is important to bear in mind when negotiating regarding privileges, that local practice and state law parameters may be more constraining than would be ideal, though progress on each front can still be made.
Guidance from Charting A Course for the 21st Century: The Future of Midwifery, a joint report from the Pew Health Professions Commission and the University of California, San Francisco Center for the Health Professions (1999), is also instructive:
For further information, please contact the Department of Professional Practice & Health Policy via email or at 240-485-1842.