NCMB and physician supervision of certified nurse midwives: the facts

A great deal of misinformation is circulating regarding the NC Medical Board's interest in home birth and, more specifically, its role in physician supervision of certified nurse midwives (CNMs).

Here are the facts:

  • The Medical Board does not have a position on home birth. It is neither for it nor against it.

  • The Board does not license CNMs and has no direct authority to affect the ability of these practitioners to provide care to patients.

  • To practice lawfully, CNMs must be supervised by a licensed physician in accordance with criteria set out in Article 10A of the NC General Statutes. Proper supervision includes having detailed written guidelines that describe the clinical roles of the CNM and the supervising physician, written guidelines that describe how and under what circumstances the CNM and the supervising physician will communicate, and a formal process for periodically reviewing care, among other things.

  • The Board has no policy that would prohibit physicians from supervising CNMs and has no plans to adopt such a policy. Any physician who meets the requirements of state law and related administrative rules may supervise CNMs.

Comments on this article:

Post a comment on this article

Please do not include links to external websites in your comment. Please limit comments to no more than 300 words. The NCMB reserves the right to edit comments to meet the length limit. Abusive or profane remarks and personal attacks will not be published. The editor will make every effort to review and post comments in a timely fashion.

Please answer the question below: