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Cnm Medical Expert Witness

Expert Witness No.1426



     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



     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 



     Patient Satisfaction at the Daystar Health Center: A Descriptive Evaluation Research Study.  Unpublished Master's thesis, University of Miami, May 1990

     Advanced Practice Nursing and the Caring Component of Client Satisfaction. 

Unpublished, University of Miami, May 1990



Active: Florida RN-ARNP (CNM)

Texas RN license


Related Work Experience

November 2011 to present:

University Perinatal Associates

Maternal Fetal Medicine and Perinatology

Ruel Stoessel, MD, FACOG

Palm Beach Gardens, FL

Palm Springs, FL

Port St. Lucie, FL


November 2011 to July 2014;

Premier Associates for the Healthcare of Women

Director, CNM Service

Bethesda Memorial Hospital

Boynton Beach, FL

Ruel Stoessel, MD, FACOG


October 2000 to January 2012;

 Staff CNM, Nurse Midwifery Service, State of Florida Department of Health, Martin County Health Department, Stuart and Indiantown, FL.  OB census: 500+ deliveries per year. 


April 2002 to 2007:

Nurse practitioner, women’s health services, Treasure Coast Chapter Planned Parenthood; Stuart, West Palm Beach, Lake Worth, and Vero Beach, FL.


August 1998 to October 2000:

Staff CNM, Nurse Midwifery Service, Martin Memorial Health System, Stuart and Indiantown, FL.  OB census for CNM service, average 400+ deliveries per year. Service closed due to budget constraints, October 2000.


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


April 1999 to July 2000:

Part time CNM, The Women’s Center, Martin Memorial Health Systems, Stuart, FL Gynecology


1998 to present:

 Practice consultant for site specific, full scope midwifery protocols for collaborative MD/CNM services throughout the country

Legal nurse consultant

Training; Medical Legal Consulting Institute, Houston, Texas


April 1997 to August 1998:

CNM in western Palm Beach County with Robert L. Hatton, M.D. including management of high risk obstetrics, obstetric sonography and first assistant for C-sections. Hospital closed in March 1998.

Robert L. Hatton, M.D.

Everglades Regional Medical Center

Pahokee, FL  33467


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. 


Barbara Fitchett, CNM, MSN

The CNM Group

Baltimore, MD


January 1994 to January 1997: Associate in joint CNM/MD private practice, Doctors and Midwives Group.  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 at Babies by the Sea; a Birth Center.   

Annual OB census 300 births per year.


Doctors and Midwives Group               

Frank Ferrin, MD and Edmund Boulting, MD

Helen Swallow, CNM, MSN

Key West, FL  33040


June 1990 to January 1994:

Associate in joint CNM/MD private practice, Doctors and Midwives Group.  Full scope CNM practice with offices in Key West, Marathon and Islamorada, Florida.  Hospital privileges for obstetrics at Lower Florida Keys Health Systems (formerly Florida Keys Memorial Hospital).


Doctors and Midwives Group                   

Willard J. Morse, Jr., MD

Helen Swallow, CNM, MSN

Key West, FL  33040


December 1986 to September 1988:

Obstetrics and gynecology office RN for a collaborative MD/CNM private practice with W.J. Morse, Jr., MD and Helen Swallow, CNM.  Maintained per diem status as a labor and delivery nurse at Florida Keys Memorial 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 with an 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 with an obstetrical census of 10,000 births per year.


University of Texas Medical Branch Hospitals

Galveston, TX  77550


August 1981 to March 1984:

Licensed midwife in private practice in the North Texas area, with the support and backup cooperation of J.M. Rampoldi, MD and B. Schenck, DO.  Over the years, I have attended approximately 250 births in a home birth setting.


Midwife Associates

Roxanne Struve, LM, Betsy Schenck, DO

Denton, TX  76201


April 1978 to December 1980:

 Licensed midwife in private practice in the greater Houston area with the support and backup cooperation of Dr. Stogre, MD and Dr. Kondejewski, MD, Family practice.


Rosemary Stogre, MD and Richard Kondejewski, MD

Family Practice Associates

Texas City, TX  77590


January 1978:

Completed requirements to become a Licensed Midwife in Texas through the Houston Association for Midwife Education, in conjunction with the Texas Department of Health.


January 1976 to April 1977:

Studied and worked under the supervision of Dr. Harold Graves, MD, at a medical mission on the Mexican-Guatemalan border.  Responsibilities included both classroom and clinical experiences in prenatal, intrapartum, postpartum, and newborn care.


Dr. Harold Graves, MD

Clinica Valparaiso

La Mesilla, Huehuetenango



December 1975 to December 1977:

Emergency medical and emergency relief worker, during the Guatemalan earthquake of February 1976.

Instituto Naturista Adventista

Lon Cummings, director

Casilla 228

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