Certified Nurse Midwife Practitioner Expert Witness

Expert Witness No.1426

Florida

Education

Undergraduate:  Texas Woman's University, Denton, Texas.
 May 1984: Bachelor of Science, Nursing, with minors in Biology and Sociology.

Graduate:  University of Miami, Coral Gables, Florida.
 May 1990: Master's degree in Nursing with specialty in Nurse Midwifery

Clinical training: University of Miami Jackson Memorial Hospital, Jackson North
 Maternity Center, Miami, FL; Women's Center of Martin County, Stuart, FL;
 Doctors and Midwives Group, Key West, FL.
 July 2002: Certified Legal Nurse Consultant, Medical Legal Consulting Institute, Houston, Texas

Awards

1988: U.S. Public Health Service Traineeship Grant.
March 2000: American College of Nurse Midwives/Maternal Child Health Bureau Provider’s
Partnership Fellowship, Washington, DC
May 2000: ACNM Excellence in Teaching Award, University of Miami adjunct faculty member.

June 2003:  Davis Productivity Award, Nurse Midwifery Maternity Program, Martin County Health Department.

Professional Organizations

Member:  American College of Nurse Midwives.
Clinical preceptor: 1991 to present: CNEP (Community Based Nurse Midwifery Education Project),
Frontier School of Nursing and Midwifery, with clinical training for CNM students, in Key West,
Pahokee, and Stuart, FL.

Clinical preceptor: 1991-1994, University of Miami, Family Medicine department.
Adjunct Clinical Faculty, Intrapartum Nurse Midwifery, Fall semesters 1998, 1999, 2000:
University of Miami, Nurse Midwifery Program.

Research

Available upon request

Licensure

Active: Florida RN-ARNP (CNM)

American College of Nurse Midwives.  NACLS certified.

Florida Medicaid provider.

Inactive: Virginia RN license 

Texas RN license

Arkansas RN license

Related Work Experience

October 2000 to present:
Staff CNM, Nurse Midwifery Service, County Health Department,
OB census: 400+ deliveries per year. Florida

April 2002 to present:
Nurse practitioner, Planned Parenthood, Florida

August 1998 to October 2000:
Staff CNM, Nurse Midwifery Service, Martin Memorial Health System, Stuart and Indiantown, FL.
Serving a diverse patient population, including a large population of Guatemalan Mayan Indians
and Mexican migrant farm workers.  Antepartum and intrapartum CNM practice including

October 2000.
Co management of high risk obstetrics. OB census for CNM service,
average 400+ deliveries per year, approximately 30% of total OB volume
Martin County, FL

Fall semesters 1998, 1999, 2000.
Adjunct clinical faculty, part time, Nurse Midwifery Program,
University of Miami, Coral Gables, FL. 

April 1999 to July 2000:
Part time CNM, Women’s Center, affiliate of Martin Memorial Health Systems,
well woman gynecology, Stuart, FL.

1998 to present:
 Practice consultant for site specific, full scope midwifery protocols for collaborative MD/CNM
services throughout the country.

Protocols have been created for practices, New York, New Jersey, Massachusetts, Maryland,
North Carolina, West Virginia, Florida, South Carolina and California.

Legal nurse consultant services to several law firms providing chart review and research for medical
malpractice cases, Houston, Texas.

April 1997 to August 1998:
Full scope nurse midwifery in western Palm Beach County in association with medical doctor
Everglades Regional Medical Center, including management of high risk obstetrics, obstetric
sonography and first assistant for C-sections.  OB census; 800 births per year. 
Pahokee, FL

January to March 1997:
Practice consultant, with The CNM Group, Baltimore, Maryland, providing interim, permanent and
consultant nurse midwifery services for MD/CNM collaborative practice. Baltimore, MD

January 1994 to January 1997:
Associate in joint CNM/MD private practice, Full scope CNM practice, including co-management of
high risk obstetrics, with offices in Key West, Marathon and Islamorada, Florida
Hospital privileges for obstetrics at Lower Florida Keys Health Systems and establishment of birth
center practice.   Annual OB census for the practice, approx. 300 births per year.
Key West, FL

June 1990 to January 1994:
Associate in joint CNM/MD private practice, Full scope CNM practice with offices in Key West,
Marathon and Islamorada, Florida.

Hospital privileges for obstetrics at lower Florida Keys Health Systems   Key West, FL

December 1986 to September 1988:
Obstetrics and gynecology office RN for a collaborative MD/CNM private practice.
Maintained per diem status as a labor and delivery nurse at Florida Keys Hospital,
Key West, Florida.

December 1985 to July 1990:
Staff RN in Obstetrics department at Florida Keys Memorial Hospital.  This is the only obstetrics
facility in the Florida Keys, Obstetrical census of approximately 800 births per year.

1986:  Spring, Summer and Fall Semesters
Adjunct faculty at Florida Keys Community College in the Associate degree program in Nursing
as clinical preceptor.

May 1984 to December 1985:
Staff RN II at the University of Texas Medical Branch, Galveston, Texas.
Worked in the Obstetrics department in the Rooming-In postpartum unit. 
UTMB is a regional tertiary referral center for the State of Texas
Obstetrical census of 10,000 births per year. Galveston, TX

August 1981 to March 1984:
Worked in partnership as a licensed midwife in private practice in the North Texas area, with the
support and backup cooperation of city doctors 

Over the years, I have attended approximately 250 births as a primary attendant and many more as
an assistant in a home birth setting. Denton, TX

April 1978 to December 1980:
Worked as a licensed midwife in private practice in the greater Houston area with the support and
backup cooperation family practice doctors.  Texas City, TX

January 1978:
 Completed requirements to become a Licensed Midwife in Texas
 Houston Association for Midwife Education, in conjunction with the Public Health Department.

January 1976 to April 1977:
Studied and worked under the supervision at a medical mission on the Mexican-Guatemalan
border.  Responsibilities included both classroom and clinical experiences in prenatal, intrapartum,
postpartum, and newborn care.

Clinica Valparaiso La Mesilla, Huehuetenengo, Guatemala,  Central America

December 1975 to December 1976:
Served and studied as a lay medical worker, and emergency relief worker, during the Guatemalan
earthquake of January 1976.
Instituto Naturista Adventista  Antigua, Guatemala, C.A

Special Skills:

Full scope nurse midwifery practice, including freestanding birth center and home birth experience, gynecology and hospital experience with co-management of high risk obstetrics.

More than 1500 + deliveries as a CNM.

First assistant for C-sections.
Basic obstetrical ultrasonography.  Course work completed through the University of Arizona, 1993.

Computer literacy

Experience as a consultant for MD/CNM collaborative practice in Florida and Virginia:

Fluent in both conversational and written Spanish.  I have spent a total of 20 years living in South and Central America.

Certified Legal Nurse Consultant