{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:08:18Z","timestamp":1787166498006,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006426","name":"State of New Jersey Department of Health","doi-asserted-by":"publisher","award":["dfhs23mdw001"],"award-info":[{"award-number":["dfhs23mdw001"]}],"id":[{"id":"10.13039\/100006426","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Hands\u2010on clinical education is essential to midwifery training, yet the US system relies heavily on informal networks of clinical preceptors. Challenges in securing placements may affect students\u2019 preparedness and satisfaction with training, but empirical data are limited. This study examines how responsibility for and difficulty in securing clinical placements are associated with the early\u2010career midwives\u2019 reports of the quality of their midwifery clinical education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a national cross\u2010sectional survey in 2024 of certified nurse\u2010midwives (CNMs) and certified midwives (CMs) who received American Midwifery Certification Board certification between 2019 and 2024. The primary independent variable measured the process of finding a clinical placement, combining the responsibility for finding a placement (school vs student) with the difficulty of securing it. Logistic and linear regressions assessed associations with multiple measures of training quality, adjusting for age, race\/ethnicity, degree type, year of certification, and number of placements. Open\u2010ended responses were analyzed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fewer than half of respondents (46.0%) reported that their school had primary responsibility for their placements, 37.8% arranged their own placements with difficulty, and 16.2% arranged their own placements without difficulty. Compared with other students, those who were able to find their own clinical placements without difficulty had higher\u2010quality clinical education across all measured outcomes, including greater satisfaction, a greater sense of competence as a midwife, better clinical learning environments, and more positive perceptions of preceptor support and midwifery\u2010aligned philosophy. Qualitative findings described high stress, lack of school support, and reliance on personal networks to secure placements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The burden of finding clinical placements negatively affects student clinical training experiences. Variability and inequity in the current clinical placement system threaten the quality of midwifery education and, ultimately, the strength of the midwifery workforce. A structured, equitable, and formalized clinical placement system is needed to ensure consistent, high\u2010quality midwifery education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jmwh.70097","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T17:15:07Z","timestamp":1774286107000},"page":"395-403","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Midwifery Students\u2019 Experiences Obtaining Clinical Placements and Associations With Training Quality: \u201cI Had to Figure It Out on My Own\u201d"],"prefix":"10.1111","volume":"71","author":[{"given":"Laura D.","family":"Lindberg","sequence":"first","affiliation":[{"name":"School of Public Health, Rutgers The State University of New Jersey  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Blumenfeld","sequence":"additional","affiliation":[{"name":"Midwifery Program, Division of Advanced Nursing Practice, School of Nursing, Rutgers The State University of New Jersey  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Tierney","sequence":"additional","affiliation":[{"name":"Department of Sociology Western Michigan University  Kalamazoo Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Alspaugh","sequence":"additional","affiliation":[{"name":"College of Nursing University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2021.06.010"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2022.103510"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12175"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12517"},{"key":"e_1_2_8_6_1","unstructured":"Accreditation Commission for Midwifery Education (ACME).Criteria for programmatic accreditation of midwifery education programs with instructions for elaboration and documentation. ACME website.2019. Accessed July 15 2025.https:\/\/theacme.org\/wp\u2010content\/uploads\/2023\/08\/Exhibit\u2010I\u2010Criteria\u2010for\u2010Programmatic\u2010Accreditation\u2010FinalCopyright\u2010May\u20102019\u2010Revised\u2010August\u20102020\u201022.pdf"},{"key":"e_1_2_8_7_1","volume-title":"Midwives: Information on Births, Workforce, and Midwifery Education","author":"Farb J","year":"2023"},{"key":"e_1_2_8_8_1","unstructured":"American College of Nurse\u2010Midwives (ACNM).Student and New Midwife Committee Report.ACNM;2022. Accessed March 2 2026.https:\/\/legacy.midwife.org\/acnm\/files\/cclibraryfiles\/filename\/000000008889\/2022%20student%20Report.pdf"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2019.09.010"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.105174"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2023.103907"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2024.103991"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384436"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12048"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2018.03.005"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2023.104818"},{"key":"e_1_2_8_17_1","unstructured":"National Resident Matching Program (NRMP).2023 NRMP Main Residency Match\u00ae: Match Rates by Specialty and State.NRMP;2023. Accessed July 11 2023.https:\/\/www.nrmp.org\/wp\u2010content\/uploads\/2023\/03\/Match\u2010Rates\u2010by\u2010State\u2010Specialty\u2010and\u2010Applicant\u2010Type\u20102023.pdf"},{"key":"e_1_2_8_18_1","volume-title":"Medicare Graduate Medical Education Payments: An Overview","author":"Villagrana MA","year":"2022"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2025.102435"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/JPN.0000000000000815"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12363"},{"key":"e_1_2_8_22_1","unstructured":"VanderlaanJ.Access to Midwifery Care National Chartbook.American College of Nurse\u2010Midwives;2023. Accessed December 1 2024.https:\/\/midwife.org\/wp\u2010content\/uploads\/2025\/02\/Access\u2010to\u2010Midwifery\u2010Care\u2010National_Chartbook_20241024.pdf"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.70097","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jmwh.70097","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.70097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T11:28:40Z","timestamp":1781350120000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.70097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,23]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/jmwh.70097"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.70097","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,23]]},"assertion":[{"value":"2026-03-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}