Transcript

SPEAKER_00
0:04

Hey Bible, how are you?

SPEAKER_01
0:05

Hi, Ginger. How are you doing today?

SPEAKER_00
0:07

I'm great.

SPEAKER_01
0:09

Are you?

SPEAKER_00
0:10

It should be better to step back to the vacation.

SPEAKER_01
0:13

I know, but it's that vacation fatigue. It's like 20,000 steps a day.

SPEAKER_00
0:21

Oh my goodness.

SPEAKER_01
0:22

Lots of public transportation and all things that you need to do in a big city. So yeah.

SPEAKER_00
0:27

What was your favorite?

SPEAKER_01
0:29

Well, I love Montreal, actually. It's probably my favorite. It's a very diverse city.

SPEAKER_00
0:35

Yeah.

SPEAKER_01
0:35

Um, in many, many ways. Um, yeah, I I could live there actually, to tell you the truth.

SPEAKER_00
0:41

Oh man, you know, when Joe and I went there, it was part part-time there, and and then we jumped over to Quebec City. I needed you as my tour guide in Montreal because I didn't do half the things that I think you did.

SPEAKER_01
0:53

I think we hit I think we hit most of them. Two days in Montre in Quebec City was was good and perfect. Um, but Montreal we spent, I think, six, seven days.

SPEAKER_00
1:03

So oh my gosh, that's incredible.

SPEAKER_01
1:05

Fantastic. Okay. Well, you're going on vacation soon, right?

SPEAKER_00
1:08

Yeah, we hope so. You know, we've had some challenges with our new camper, a refrigerator that hasn't been used more than two times, is now being completely replaced. And oh it's a it's a long side story, but we'll get it and we're gonna head out and do a workation next week. So we're pretty excited. That's fantastic.

SPEAKER_01
1:27

Okay, so what are we what are we doing today, Ginger?

SPEAKER_00
1:30

Well, we are going to tie in the new news with helping our listeners learn a little bit more about our July 23rd conference. Yes. Okay. I you know, I think most of the conferences healthcare providers attend are predominantly clinically based. Yes. With hot new topics and, you know, statistics and you know, sometimes repeating all the same old stuff too. That you hear a lot, right? But you need the CME. Yeah. And as we're going to talk about today, we we've changed it up to a much more business approach and professional, professional issues. So let's start with a giant professional issue that I do believe, although I'd have to go back to January, Denise. I think this was our first new news ever, which is the Nebraska home birth case.

SPEAKER_01
2:20

Yes, I remember this new news. Okay. So is it um old new news?

SPEAKER_00
2:26

No, this is new new news. Okay, so this is yeah. This is the ongoing saga um in the media, June 24th, from the Pacific Legal Foundation, who happens to be one of our speakers for the conversation.

SPEAKER_01
2:40

Yes, that was a perfect tie-in.

SPEAKER_00
2:42

And the headline says Nebraska mothers sue to restore home birth freedom. Yes. So there are three uh families in the state that are suing the state. Um, and I just want to read a little bit of this. I won't go too far into it, but I think it's really important to understand that Nebraska is the only state, the only state that bars certified nurse midwives from attending home births. And midwives who do can face felony charges. So we know that Heather Swanson, you know, a friend of mine, actually attended the home birth of one of the mothers suing by getting um an appeal or a granting uh from a judge to allow her to do it. It was a beautiful home birth. It was in the media. And you know what I I love going back to William Murray's discussion, and I really need to read the history of the war in Ireland. Yes. How the mothers rose up on both sides, the Protestant and Catholic sides, and said, enough already. I think that's happening in Nebraska. Okay. I I think it needs to happen.

SPEAKER_01
4:00

We need uprisings.

SPEAKER_00
4:02

Yeah, I mean, the provider, we can't do it ourselves. We've been trying and we don't get anywhere in the legislature.

SPEAKER_01
4:08

I mean, we're we're we already know those that are practicing clinical are tired. So we need, you know, we need people to help. We need everybody to rise up. Yeah. I agree.

SPEAKER_00
4:20

It's so the Pacific Legal Foundation attorney uh that's representing, well, it's a team representing these mothers, uh, say it's denying them of a fundamental fundamental freedom of constitutional protections, and that the government cannot override deeply personal decisions about childbirth without a compelling reason. These women deserve the freedom to choose safe, lawful care with unconstitutional burdens. Now, what's interesting in this to me as well is there is some case law. I don't know if you remember this, Denise, where a woman was forced to have a C-section. I think a uh uh a black woman in the South. Yes. Uh in a court ordered that to occur and it did. It did. It's horrifying. So now we've we've got the law involved in more than reproductive justice in the sense of of abortion rights, but now we're talking about birth choices.

SPEAKER_01
5:21

Correct.

SPEAKER_00
5:22

And it's getting kind of crazy.

SPEAKER_01
5:26

Yeah, I do remember that case. Um, you know, I I I it was it I think she was actually in labor and wasn't progressing.

SPEAKER_00
5:34

Yes.

SPEAKER_01
5:35

And um, and then they forced her. Um, it it it's just it's horrifying to think about.

SPEAKER_00
5:40

Like I can't I can't imagine that happening in a work environment.

SPEAKER_01
5:43

In the midst of I know, I I can't even imagine like I also the healthcare providers, all of them involved. Um, just that being in pain and being exhausted and then being forced to have something happen to you by court order.

SPEAKER_00
5:58

So the courts and the legal system is is creeping in more than ever before, sometimes uh to defend and sometimes to perhaps abuse.

SPEAKER_01
6:08

Right. You know, right. It borders on abuse if not completely is.

SPEAKER_00
6:12

So well, okay, so why don't we jump into the conference?

SPEAKER_01
6:16

Right. All right, so um, where do we start? So that they are coming as one of our speakers.

SPEAKER_00
6:22

Yeah, but you know what? Let's back up just a second and tell me what your thoughts are. Like you're around, we've already talked about a lot of midwives in your practice. Why would it why would a clinical midwife want to attend a non-clinically focused conference?

SPEAKER_01
6:38

So, I mean, I think actually it's good to move away from a clinical focus all the time because that's what we're always in. I think it's necessary to move outside of those circles. Um, we don't always have a lot of time and energy to do that, but this is this is like a short day that that really focuses on a lot of key ways that people can become involved as as midwives, as providers, as as even non-midwives, um, to really protect maternal health. So moving away from the things that we're always inundated with, saturated with, all the clinical issues, and really give us, I think, some, you know, hope and tools. I do, I do think hope is a good one, but hope and tools for how we can work individually and in groups to, you know, to not just focus on the individual patients, but really to take it, you know, broad. And you know, what do we call that? An umbrella view or something. Balcony view.

SPEAKER_00
7:40

Yeah, and and sort of to go back to Simon Senec, why? You know, give them the why these things are important.

SPEAKER_01
7:46

Right, right. So I think it's it's good. Shake it up a little bit. Get interested. You need to like stimulate different parts of our brain and our spirit and our body.

SPEAKER_00
7:56

Yeah. And you know, it's a perfect time because the workforce shortage is struggling, both in retention and growth. It is. You're you're taking care of higher volumes of people because of their few fewer providers. Um, you know, there's just so much going on, and we're being talked a lot about. And so being prepared to be in those conversations, I think that I think these speakers will touch on those issues. So we're good. Yeah. Well, we are nesting because of how um our accrediting body, KU AHEC Area Health Education Centers with University of Kansas CME, is allowed to administer um educational credits, a front and back pre and post session um before the 5.5 CME core content, all on the same day. Yes. So guess who we're starting with, Denise? One of your friends. One of my friends. We're starting at nine in the morning on a Thursday, July 23rd, with Lonnie from the doctor's company. Lonnie, I love Lonnie. So nine Central Standard Time? Nine Central Standard Time. Um, and Lonnie and one of his colleagues, uh Julie Brightwell, an attorney, will be speaking on um risk management for midwives in particular from the doctor's company actuarial data.

SPEAKER_01
9:28

So in addition to the 5.5 CMEs, we actually have you know several other sessions that will provide invaluable information. Okay, Lonnie's really worth worth really meeting, right?

SPEAKER_00
9:40

Yeah, yeah.

SPEAKER_01
9:41

So I would love to hear from the other one as well. So yeah, uh important content.

SPEAKER_00
9:46

Lonnie has actually spoke to several midwifery education programs to their completing students. And Julie and I were on a panel at ACNM um in Palm Desert last year talking about specific cases. And actually, we're gonna do another panel um this fall in Kansas City. Okay. Um, the doctors company really embraces advanced practice providers and have come to the table for independently practicing CNMs and CMs. And I think they're coming as a sponsor. We want to thank them very much for doing that part for us, but also for the information they're gonna present. Great, right. Okay.

SPEAKER_01
10:30

So what um, you know, why would somebody want to like listen to that? Like for somebody who which which parts, Ginger, will that will really pique their interest?

SPEAKER_00
10:42

Risk reduction.

SPEAKER_01
10:44

All right.

SPEAKER_00
10:44

Malpractice risk reduction. Okay. In an age of ever um changing tools, like do you have an AI scribe? Uh, are you writing narrative? Are you doing check boxes? Are are you having things co-signed? Timely consultation, all the things that could in fact bear uh a great deal of evidence on a malpractice case. Okay.

SPEAKER_01
11:12

All right.

SPEAKER_00
11:12

Risk risk reduction. Um really important.

SPEAKER_01
11:16

All right. So, I mean, we all face that, like those practicing clinically or those who have practiced clinically, there's always, you know, those cases, those fears.

SPEAKER_00
11:25

Um really how do you see 25, 30 patients in a day and do adequate charting on everybody?

SPEAKER_01
11:32

Well, I you know, that's right. I mean, AI is coming in to to be a scribe um and using a lot of templates, but you know, yeah, making sure you're not you're really changing the templates to fit the case scenario, et cetera, et cetera. So okay.

SPEAKER_00
11:48

I think the other thing too is a lot of uh students and new graduates simply don't get this content.

SPEAKER_01
11:55

No. Okay. I totally have to agree with that.

SPEAKER_00
11:59

Yeah, and we do have a reduced rate for students, it's $75. Um so you know, I I think while students are definitely focused on psycho motor skills and and management plans, malpractice liability is huge. We are the we we have the largest malpractice rates of any other advanced practice specialty. Uh, you know, so to the tune of maybe four to five times higher per year if you're paying out of pocket. Yeah. So really, really important uh to to understand some of those issues around your increased liability as an advanced practice provider.

SPEAKER_01
12:42

Yeah, the doctor's company has always has also provided, you know, occasional like conferences that you can attend, webinars, right?

SPEAKER_00
12:49

Right, right. And they have a free um freely accessible library with incredible educational uh opportunities, but there's a CME out right now, a free 1.0 CME on um risk reduction that you can log on to their webpage without even being a care uh written underwriter by them and get the CME for no cost.

SPEAKER_01
13:13

Will there be any opportunity to ask questions of Lonnie? Absolutely. Okay, so I think we have time. I mean, I do think this is really, really important to not just for new graduates, students who aren't getting the content, but just a refresher course for people who've been, you know, things are shifting. So a refresher course for people have been in the field for a long time.

SPEAKER_00
13:36

Yeah.

SPEAKER_01
13:37

Okay.

SPEAKER_00
13:37

So then we will move to the official opening of the day, which is our keynote speaker.

SPEAKER_01
13:44

Oh, everybody who knows us knows who our who knows our keynote speaker.

SPEAKER_00
13:50

Yeah, William Urey. He's gonna be with us. And um, he originally was not gonna send a PowerPoint because my gosh, the guy could just stand up and speak for an entire day without notes. Right. But he decided to send a PowerPoint and I've seen it and it's really fantastic.

SPEAKER_01
14:07

Is it okay? I'm gonna wait to be surprised.

SPEAKER_00
14:10

Yeah. So um he's I think he's really trying to focus on us, our profession. Okay. And if you've lit, you know, for those who are listening today, if you've not listened to his podcast with us, I would really encourage you to go back and listen.

SPEAKER_01
14:29

Set the stage, you know, set the stage for this incredible speaker. And, you know, yeah. I think this is gonna be uh I I'm really looking forward to listening to Yuri again.

SPEAKER_00
14:41

Yeah. So if you know, in my mind, this a once-in-a-lifetime opportunity.

SPEAKER_01
14:47

Right.

SPEAKER_00
14:48

This this individual is so incredibly world-renowned for him to agree for free, Denise. Yes, to to come and speak to us, a very small cohort of healthcare providers in our country, and really embrace and understand our challenges and how to navigate them, how to negotiate, how to step back and build coalitions. This guy has got it all for us to learn from.

SPEAKER_01
15:19

I mean, he has such well, you mentioned the you know, the Irish history of you know, women coming together, mothers, but he really ties in so much more than that, even the the unions, union, you know, creating unions and really how it's very based on people coming together and fighting for you know, for basic rights, for you know, safety, for health. And he really does, he really has, I think, embraced midwifery, you know. I think he's really enjoyed taking that perspective as well, and and looking from a historical as well as just an economical basis.

SPEAKER_00
15:58

So you know what he's got me thinking about, you know, it's it's sort of I don't know if it's because when you get older, you just sort of your mind wanders constantly.

SPEAKER_01
16:06

Or I don't know what that's like, Ginger. I'm not never gonna get old.

SPEAKER_00
16:10

Or if it's or if it's a collision of ideas because they're supposed to come together. But you know, I I put a post up today with uh the ABC News last night featured 25,000 Dutch people in orange filling the streets of Kansas City. Our conference is in Kansas City this fall, right? And all I keep coming back to is how did they get national attention? A bunch of people took to the streets. Right. You know what I'm thinking.

SPEAKER_01
16:43

Yes, I'm thinking that you're thinking, and also the the color orange really stuck out. I know that represents you know their country, but it's it also just represents like you know, the march for moms, right?

SPEAKER_00
16:55

Yeah, it does.

SPEAKER_01
16:56

So um a bunch of midwives and midwife families and friends and and moms and babies and everything. I know you're thinking, let's let's let it happen in Kansas City in the heart of the US.

SPEAKER_00
17:09

I am I am I know I know we're gonna we're gonna keep pondering because we don't want 10 people walking, you know. We're not gonna get 10,000 people walking, but even if we got 300 people walking, we would be on the news.

SPEAKER_01
17:25

500. Let's go for 500. Let's go for 500. I hope I can make it.

SPEAKER_00
17:31

So anyway, uh, William Urey. Uh definitely uh I would also suggest get his book before he speaks. Um for us, it was better to get on on Audible and listen to his voice tell his own stories, but I've looked at that book so many times behind me. It will help you get past the initial understanding of his work to really hear the next level of how you can integrate it.

SPEAKER_01
18:01

The why. I mean, it's the why of his work.

SPEAKER_00
18:03

Yeah.

SPEAKER_01
18:04

You know, when he really does look at populations and he has worked with populations around the world. Um so yeah.

SPEAKER_00
18:12

So in essence, the the tone is being set by William Urey for the rest of the speakers. Okay. So let's say you have an issue. You got a big issue. And I remember um one of the uh maybe it was him that we talked with. I can't remember now. We're starting to get up there, Denise. Um where the midwives filed a class action lawsuit, right? And so when you get into that layer of what are your options, sometimes your options are legal. Right. Right? You seek legal advice to help. And Jamie Kavanaugh from the Pacific Legal Foundation will follow William Urey. Um and as a senior policy analyst for for this very large national organization, uh, I think they have over 300 attorneys. I'm not exactly sure.

SPEAKER_01
19:05

That's incredible.

SPEAKER_00
19:06

They're really looking at societal constitutional issues. And as we introduce this whole podcast, the intersection of reproductive issues is is like almost every week something's happening.

SPEAKER_01
19:21

Yes. Well, you're always coming up with new news, Ginger. So yes, something is happening.

SPEAKER_00
19:26

The the Mississippi midwives suing, the Georgia midwives suing, the Nebraska midwives are now.

SPEAKER_01
19:32

I mean, it's just like and now the Nebraska mothers. So yeah. Okay, so we have William, then we have Jamie.

SPEAKER_00
19:40

Yeah. So I'm not exactly sure where Jamie is gonna land her main objectives, but I do know she's gonna talk about regulatory issues and the intersection of those issues with full scope midwifery care.

SPEAKER_01
19:57

Okay, that's great.

SPEAKER_00
19:58

Yeah.

SPEAKER_01
19:59

So this this really hits the cognitive areas of our of our job, and hopefully it will stimulate our you know advocacy in different ways as well.

SPEAKER_00
20:09

So think of restraint of trade cases. I mean, those those are popping up as well. And if you're not in a full scope independent practice state, and you've been banging and banging and banging your head to try to get there, these guys do the work for free.

SPEAKER_01
20:26

I think that's incredible.

SPEAKER_00
20:28

You know, they're sort of like the ACLU.

SPEAKER_01
20:31

So how did, you know, how did you find them, Ginger? Oh, this is a great story.

SPEAKER_00
20:36

So last year, Arden and Leslie and I went to the National Council of State Legislators' 50th meeting in Boston, and we were an exhibitor. Right beside us, because we're on a corner, right beside us was the Medicaid Associations of America, which was a great place to be. That is. Oh wow. Like two exhibits down was Dona. So we felt really welcomed with the doolas. Right. And you know, the I've never seen an exhibit hall this full. Maybe ACOG is close, but I mean, it's like huge. And all of a sudden, one of the one of the sessions comes two women from the Pacific Legal Foundation, and we look like amateur hour in our exhibit. We had like a tiny little banner that you couldn't even read from very far away that was hanging up behind us. We had a fair amount of nice stuff on the table, but you had to really look to see Grow Midwives. And then you're like, who the heck is Grow Midwives? Well, they came and found us and said, This is who we are, this is the work we do. We want to get to know you. And we've sort of been engaged with them ever since.

SPEAKER_01
21:50

Oh, that's super hard. That's that's hardcore. That's that's awesome. That in the networking. I didn't say hardcore it, that's hardcore. I think that's amazing.

SPEAKER_00
22:01

Yeah. It's all about networking.

SPEAKER_01
22:03

Well, I mean, I think the work that they're doing, obviously, is very much mirrors what we do.

SPEAKER_00
22:10

The other thing that's fascinating is I, you know, the doctor's company, I sit on the advisory board. It's now going into the fifth year. And this this year in Napa, we go there annually. Guess who one of the guest speakers were? And there were only three brought in in the morning because in the afternoon we're talking about APP issues, but the doctor's company brought in an attorney from the Pacific Legal Foundation to talk about advanced practice providers and the use of the phrase doctor and case going on in California.

SPEAKER_01
22:44

So I'm just seeing this interconnectedness that's happening. So this is more than just taken to the streets of Kansas City. This is a coalition. Yeah. It's already been forming with some incredible people. That we don't know we're out there doing it. I know. Everybody's doing their own little work in a silo. And this conference is bringing everybody together.

SPEAKER_00
23:08

Hopefully. Or telling our constituency, you need to go get out there and find them. They're out there. Right. Okay. Like the Pacific Legal Foundation, I think, is involved in the case of a Missouri advanced practice provider suing the attorney general of the state of Missouri related to scope of practice supervisory requirements.

SPEAKER_01
23:29

All right. If this just doesn't, you know, get everyone stirred up, I don't know what will.

unknown
23:34

Yeah.

SPEAKER_01
23:35

So between William Urey helping us to figure out how to, you know, address those things, and then, oh, this is just this is actually getting very exciting.

SPEAKER_00
23:45

Yeah. It's all it's all building.

SPEAKER_01
23:48

You know what? Pencil it in, people. Pencil it in. This is some really good content.

SPEAKER_00
23:54

Um, then we're gonna give people a short lunch break. Maybe some surprises will come out of that to be to be to be talked about later. And then we come back with somebody who was on our last podcast, Ellen Breslin. Ellen, she's dynamite. She's dynamite. Denise, I've listened to her podcast three times. Okay. Each time I pulled out a little sentence or two to talk to the Kansas affiliates about how we are still being stalemated with the team of grant.

SPEAKER_01
24:27

Okay, I I am putting her back on my list. I was in on vacation, so I literally didn't do anything too petty except forget to speak French all the time. But um, Ellen, I I she is uh she is like a ball of yarn intertwisting all these amazing bits of information, you know, with experience, with passion, you know, and with her knowledge of really going to the core, she gives some really good ideas about instruments.

SPEAKER_00
24:59

And I think what was so hard for me, the reason why I listened, like honestly, three times is it's a new language for me. Right. Policy is like Chinese. If you're unless you're working in policy or lobbying, or very entwined in you know, uh budgets and analysis and you know, things that the legislators want to hear. Yeah, like it's not stuff we do.

SPEAKER_01
25:29

No, it's very taxing to the brain to learn um a new language.

SPEAKER_00
25:33

Um but she lays it out and she's bringing a toolkit.

SPEAKER_01
25:38

Yes. And just in really just how she how you met her as well. I mean, everything is is laid out in that podcast, and then we get to have more of her.

SPEAKER_00
25:49

Yeah.

SPEAKER_01
25:50

You know, yeah. So the history like uh is just amazing again, intertwining midwifery with policy work.

SPEAKER_00
25:57

Yeah. Um, the Cambridge Health Alliance, one of our clients. Um I have somebody at the door, I'm not sure who, but that's okay. Um, we're on a podcast, Hans. That's okay. Uh, we have a house full of all kinds of wonderful people. Um she Ellen showed up at the Cambridge Health Alliance open house for their new birth center. Ellen did? Ellen did. There's pictures of her with the state legislators. She she knows a lot of the people that were there speaking because she's a very dear friend of Kim Emsley Camp.

SPEAKER_01
26:35

Right. Right.

SPEAKER_00
26:36

So it all circles, it all circles back again uh that Ellen is getting more and more connected with our profession and how to nuance conversations, especially with Medicaid plans, which is what we're what we're predominantly interested in in a lot of conversations is Medicaid. So she's gonna give us ideas of how to navigate Medicaid, payment refinement, penetrate Medicaid, tell them the story, get them to listen, persistence, persistence.

SPEAKER_01
27:10

Reimbursement and advocacy related to reimbursement.

SPEAKER_00
27:14

Yeah. Okay. What's the how do you make the case, right? What's the business case?

SPEAKER_01
27:18

Right.

SPEAKER_00
27:19

And I know other groups have tried to do this. The Institute for Medicaid Innovation had a series to make the business case for Midwifery. I participated, Leslie participated, Arden participated in some of those sessions. To me, the difference with Ellen is she does this work every single day. Right.

SPEAKER_01
27:41

Okay. So she walks the walk. She walks the walk. She talks the talk and she's coming to share her wealth of information.

SPEAKER_00
27:48

So when Ellen hits the stage, be ready to just go. I think I'm gonna listen to this again.

SPEAKER_01
27:55

Right. I mean, I I think I think it's one of those where you just reread the book over and over until you can pull out bits that are useful.

SPEAKER_00
28:03

Yeah. And by the way, we do have permissions now. Anyone that registers, whether you attend or not, will be able to get recordings of every speaker.

SPEAKER_01
28:15

Fantastic. Wow. Which is great. That is great.

SPEAKER_00
28:18

Yeah. Okay. So um we'll talk more about that here in a minute. All right. So guess who follows Ellen Breslin? Somebody we're gonna queue up for a podcast here real soon. Diana Jollis, the Diana Midwife doing a solo presentation.

SPEAKER_01
28:33

Okay. What is she offering us?

SPEAKER_00
28:36

What is she what is Diana bringing us? Well, here's her title Midwives as Agents of Change, leadership, teamwork, and transformation.

SPEAKER_01
28:45

Well, aren't all of these things coming to a head?

SPEAKER_00
28:50

It's like, okay, let's just keep the conversation going about how you create uh create these needs within your practice setting.

SPEAKER_01
29:06

Right. It's almost like an immersive retreat. All of these people coming together. Um I mean, at the end of this, I would expect, you know, you know, cannons going off, like midwives just shooting out and really, you know, going to do some great work.

SPEAKER_00
29:26

Well, and one of the fun things about Diana, but besides the fact she's have you ever heard her speak, Denise? Um I haven't. Formal presentation.

SPEAKER_01
29:37

Not not a formal presentation.

SPEAKER_00
29:38

Yeah, she is a dynamic, really a dynamic speaker.

SPEAKER_01
29:43

Yeah, very engaging. All right. Well, I I'm looking forward to her story. I'm looking forward to what she can bring to the table as a midwife, you know, really taking all the elements that are from the other speakers and wrapping it up in a nice package.

SPEAKER_00
29:57

Yeah. Because really, I mean, Diana represents what you and I have done, practice in multiple settings. Right. She, you know, worked in the birth center with Sister Angela. She's worked in the hospital acute care setting. She actually helped open and alongside Midwifer Unit in Tucson taking their birth center and bringing it in the hospital. She's a prolific researcher for birth center um outcome data. And she worked at CMMI for the federal government when the TMAH grant was being drafted.

SPEAKER_01
30:33

Oh. Did you know that about her, Denise? Um, I think I I did have a hint of that, Ginger, but only because I did a little bit of research. Yeah.

SPEAKER_00
30:42

So once again, Diana is tied right back into policy, right? Advocacy. She was a keynote at ACNM's DC policy gathering a couple months ago. She really has her pulse on the language, the connections, the strategy.

SPEAKER_01
31:01

And it sounds like maybe as you know, as a largely clinical midwife in many different birth centers, she can really break it down. Yeah. You know, when the language becomes, you know, scary or seems heavy, I think she can help break some of that down into very workable steps.

SPEAKER_00
31:21

I, you know, I I think also as a as a researcher, um, she knows how to translate the findings into meaningful conversations.

SPEAKER_01
31:31

Okay. I'm looking forward to hearing Diana.

SPEAKER_00
31:33

Yeah. Then guess who's next? Our last included CME happens to be your panel.

SPEAKER_01
31:42

Oh, my panel. Let me just tell a little bit about our panel. Yeah. So I think, you know, what's what's I fun about the panel that we'll have? Um, we'll have three different groups um of a midwife and an obstetrician. Um, or in one case, the obstetrician won't be won't be present, but their their voices will be heard. Really trying to describe three different collaborative practice models. Um, so really looking at private practice, hospitalist practice, and then like an academic setting practice. And really the story behind it, the logistics of how it came to be, some of the you know, barriers, some of the strengths, some of the success successes, and really just to to give models for anybody going into practice, um, that you know, whether they're currently in practice or they're trying to create new practices, about how it's possible, how each of these models are great models of care, providing midwifery care to a large number of, you know, the uh encompassing the scope of midwifery practice. Um, and I think I think it's very it just makes it, it breaks it down into something that could be quite usable um with references about how it's how it's possible. I keep going back to that. But yeah, yeah, that's we'll be that's what we'll be presenting on. So I'm very excited about it.

SPEAKER_00
33:07

You know what I'm so excited about is you know, when we're out there working with hospitals about particular models or even midwives, there isn't a model.

unknown
33:17

Right.

SPEAKER_00
33:18

There is not a model. There are many models. Um, and a lot of it depends on the community, you know, yes.

SPEAKER_01
33:27

Um the the whether you're able to practice independently or not. Exactly. Um, and whether the type of setting that you want to practice in as well. Yeah. Um, it's so there's so many different options. Obviously, we can't include all the models, but it's just a way to provide an example of some things that have worked very well.

SPEAKER_00
33:47

Yeah. And and also the harmony in how the pairs are coming.

SPEAKER_01
33:55

That's true. Oh, I like that word. That's I think actually that's a very good word because I I I'm happy to be able to present about an academic setting and really how it's evolved over 30 plus years. Yeah.

SPEAKER_00
34:09

What'd you start? How many do you midwives you start with?

SPEAKER_01
34:12

Oh, I think that, you know, I wasn't there when it started because it's been over 30 years. And I'm since I'm only 29, you know, that was before I was born. Okay, maybe not. Um, but I think um I I really think they started with a handful, probably four or five. Yeah. And it's now, I think we have 19. Yeah. So with some other per diem. So it's but it's not really just about size, it really is how the relationships have really evolved over time into something that even includes a lot of you know, out of hospital relationships. So um, so which is very, very positive. And we actually have perspectives from some of the out-of-hospital providers as well that will be we'll be including in our discussion.

SPEAKER_00
35:00

So that's wonderful. I'm we're really excited about that.

SPEAKER_01
35:03

It's our community, right?

SPEAKER_00
35:04

Yeah. So we're sort of starting with William Urey. Well, we're really starting with the doctor's company talking about risk and and and mitigation. But when we get into Williams talking about what's possible all the way through to these examples of let's keep the hope up, right? Let's not give up, let's not turn our head, let's not put it in the sand. Right. Let's let's realize that there are ways to make changes.

SPEAKER_01
35:35

Right. And I think it's always important to remember, again, why we do what we do and who we're taking care of.

SPEAKER_00
35:43

Yeah. So after you guys, um we are going to have a post-conference presentation by another major sponsor of ours, Netara, who I'm sure all the healthcare providers know who they are. They're a uh free cell, a cell-free DNA um company doing a lot in the women's health arena and really support midwifery uh providers across the nation.

SPEAKER_01
36:10

Yes.

SPEAKER_00
36:11

Um, a geneticist uh will be talking during that 45 minutes, and we're very grateful for them to come talk about some of the new technologies and options that are available. I think it'll be great.

SPEAKER_01
36:24

Yeah, great way to end it. Oh, we're not ending it. We're not ending it. Oh, I know.

SPEAKER_00
36:30

Okay, and then we have this wild social hour being hosted by you and Leslie.

SPEAKER_01
36:38

Wild. Oh, it's gonna be wild. Okay. I oh, do we have to dress for the part?

SPEAKER_00
36:42

Well, you gotta bring out the alcohol, that's for sure.

SPEAKER_01
36:44

Or the mocktails. We'll bring the mocktails. Okay, or or whatever. Leslie's creating recipes, so that's right. I forgot about that.

SPEAKER_00
36:53

Yeah, we're we're gonna have a social hour. What what do we hope what do we hope happens, Denise?

SPEAKER_01
37:00

You know what? I think just connecting, um, just connecting in a way um where because I think we all know connection is very vital. Um, maybe we create, you know, well, it's gonna be whatever it wants to be, whatever it's gonna evolve into. But I think the main key is connection and and if people want to move forward together in any type of plans, projects, whether it's something on a big scale or whether it's just personal connections.

SPEAKER_00
37:25

Yeah.

SPEAKER_01
37:25

Um, and and I think people can just stay on and you know, and reach out in the in a virtual setting. It'll be interesting um to see.

SPEAKER_00
37:33

It will be, it will be. Uh, you know, what I'm hoping too is is the connections. I just made one on Messenger yesterday.

SPEAKER_01
37:42

Oh.

SPEAKER_00
37:42

Somebody sends me a message and says, I'm you know what, I'm finally gonna, I'm finally gonna stop. I can't do this anymore. I don't want to continue working in this environment.

SPEAKER_01
37:53

Oh.

SPEAKER_00
37:53

I'm gonna be looking for a new job. Okay. Tells me a little bit about herself and what she's looking for. I connected her with a large practice looking for an experienced midwife, and I think she's gotten an interview.

SPEAKER_01
38:08

I think that's amazing. See, this is what I've always hoped, you know. This is you know what's interesting too? I mean, this will be virtual. Um, but you're located in Kansas City, and Grow Midwives is kind of you know, kind of grows out of Kansas City. Um, yeah, it's its roots. And so that will be, you know, right before our national conference in October. So yeah.

unknown
38:30

Yeah.

SPEAKER_00
38:30

What so the networking opportunities, all of us will be on. That'll include Arden. There may be people who have questions about the new coding and billing. Uh Joe will be on. We'll see if we can get Isaac on. We can even do breakout rooms if people want to do certain topic areas. Uh, but we're, you know, committed to hanging around and letting people ask questions and see if we can connect and give resources during that hour.

SPEAKER_01
38:56

So I think this is a good synopsis. If anybody has any questions, you know, respond to the podcast. Um help to further, you know, clarify any of the content.

SPEAKER_00
39:08

Absolutely.

SPEAKER_01
39:10

It's a good time. It's, you know, it's it's I think it's a a fair um it. I think in one day, I I think you'll get what exactly what you need for this, you know, this these concepts.

SPEAKER_00
39:23

So again, it's 5.5 CME. It's $150 for any licensed professional, okay. $75 for students, and I think a grant is awarding money for all the students at UT Memphis to attend. Oh, that's so students. You may go go out there and ask for money from your education programs. Uh you can register through the KU AHEC website, which might be hard, harder for you to do, then just go to our website, Grow Midwives, and there's a link at the top of the home page on how to register for the conference.

SPEAKER_01
39:58

Ginger, that's such a great idea that the school or that a grant is paying for students. Yeah, content that they're never gonna get in the core competencies. Um, what a gift to those students. I wonder if there's any other educational programs that can, you know, scrape up a little grant money for their students as well, maybe for their faculty. There you go. Do they allow the faculty to attend as well?

SPEAKER_00
40:21

I think they are, yeah.

SPEAKER_01
40:22

Oh, that's a gift. You know what? This is like the one if you want to just give something to your staff to show them how much you appreciate them, these are the kind of things. It's not like a pizza party. This is this is really the stuff that matters, right?

SPEAKER_00
40:38

I mean, give it giving um this opportunity to your clinical preceptors.

SPEAKER_01
40:43

Right.

SPEAKER_00
40:43

Oh, that's a great idea. Would be another idea.

SPEAKER_01
40:46

Yeah. I like that idea as well. Because how many times are we trying to think how we could, you know, kind of incentivize the preceptors and kind of gift them something for all the hard work that they do.

SPEAKER_00
41:00

So let's end with the call to action, Denise. Do you have one?

SPEAKER_01
41:05

Oh, ginger.

SPEAKER_00
41:06

Um I can go. You can't. How about this?

SPEAKER_01
41:08

I mean, it's easy. Come and register and be and spend the day with us. I love it.

SPEAKER_00
41:14

That was that was way too easy, was it? No, it wasn't because mine is after you register, invite somebody to register.

SPEAKER_01
41:21

Okay. All right, perfect. Good thing I went first.

SPEAKER_00
41:24

Yeah. So we really hope we we build an audience and show these incredible presenters how much we're committed to learning from them.

SPEAKER_01
41:39

Yeah. I think that I think that's great. And then if you know, if you end up coming to the national conference, maybe you know, there can be a a reunion.

SPEAKER_00
41:47

Yeah, maybe maybe something will be happening.

SPEAKER_01
41:50

Of those breakout groups that that have maybe, you know, created some ideas.

SPEAKER_00
41:55

Yeah. Like a lot of maybe color and maybe something to wear and and and a city permit for a particular sidewalk.

SPEAKER_01
42:03

Oh, do we need a permit?

SPEAKER_00
42:05

I think we do, Denise.

SPEAKER_01
42:06

Oh, I'm such a rebel. I would just be out there taking over the streets.

SPEAKER_00
42:12

Yeah. Um, there's a lot of thinking through here, but I think we uh we we deserve to give some due diligence to raising our voices.

SPEAKER_01
42:23

Right, right, right. Okay, this is this sounds very exciting. I think I'll come, ginger.

SPEAKER_00
42:29

All right. Good to talk to you today, Denise. And be in touch again for our next Possible Smooth Five podcast.

SPEAKER_01
42:38

We'll see you and bring out all that's possible.

SPEAKER_00
42:41

Alrighty.

SPEAKER_01
42:42

Okay, until the next time.

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