{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:46:13Z","timestamp":1791776773543,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Accreditation Commission for Midwifery Education determines the accreditation criteria and ongoing evaluation for midwifery education programs, which ensures program quality, including clinical education experiences. Increasing evidence about the deficits and strengths in clinical education experience can improve the evaluation process. Little is known about which elements of clinical education are most valued by early career midwives. The purpose of this research was to identify early career midwives\u2019 recommendations to improve clinical education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We surveyed early career certified nurse\u2010midwives (CNMs) and certified midwives (CMs) who were certified between 2019 to 2024 (n = 640) using an electronic mailing list with the American Midwifery Certification Board. We conducted a thematic analysis on 371 (58%) responses to the open\u2010ended question, \u201cWhat recommendations do you have to improve the clinical education experience?\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Recommendations were grouped into 3 themes: (1) programs should protect students from short and long\u2010term harm by securing vetted, trained preceptors and ensuring clinical education promotes balance and prevents burnout; (2) programs should take a more active role in securing and overseeing clinical education; and (3) national accrediting and professional organizations as well as midwifery education programs should lead systemic reform to strengthen midwifery clinical education, including revisions to current clinical requirements and rethinking its funding and structure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Study findings highlight multiple actionable steps for improving US midwifery clinical education. Investing time, resources, and oversight into preceptor preparation is critical to ensure midwifery students learn in safe, welcoming environments. Ensuring that high quality clinical education is available and accessible to all midwifery students is necessary to sustain and grow the workforce.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jmwh.70160","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T10:07:38Z","timestamp":1783764458000},"page":"732-739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Career Midwives\u2019 Recommendations to Improve Clinical Education: \u201cHonestly, We Just Need to Do Better\u201d"],"prefix":"10.1111","volume":"71","author":[{"given":"Amy","family":"Alspaugh","sequence":"first","affiliation":[{"name":"University of Tennessee College of Nursing  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura E.","family":"Britton\u2010Purdy","sequence":"additional","affiliation":[{"name":"Unaffiliated  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura D.","family":"Lindberg","sequence":"additional","affiliation":[{"name":"Rutgers University School of Public Health  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Blumenfeld","sequence":"additional","affiliation":[{"name":"Rutgers University School of Nursing  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,11]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Criteria for Midwifery Programmatic Accreditation of Midwifery Education Programs with Instructions for Elaboration and Documentation","author":"ACME","year":"2019"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.70027"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13755"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13367"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0091\u20102182(80)90006\u20103"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2004.12.014"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2018.01.020"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2022.103510"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010020\u201000480\u20104"},{"key":"e_1_2_8_11_1","volume-title":"Impact of the COVID\u201019 Pandemic on the Hospital and Outpatient Clinician Workforce: Challenges and Policy Responses","year":"2022"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2155\u20108256(23)00063\u20107"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475\u20106773.13922"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/su16093603"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/24731242251405607"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475\u20106773.14037"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12489"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.70097"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384436"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2022.2129597"},{"key":"e_1_2_8_21_1","unstructured":"Midwifery Preceptor Learning Platform.Rutgers Health School of Nursing website. April 21 2025. Accessed December 8 2025.https:\/\/nursing.rutgers.edu\/midwifery\u2010preceptor\u2010learning\u2010platform\/"},{"key":"e_1_2_8_22_1","unstructured":"Birthworker Equity in Education Collaborative.BEE Collaborative website. Accessed December 8 2025.https:\/\/www.beecollab.org"},{"key":"e_1_2_8_23_1","unstructured":"American Midwifery Certification Board 2025 Demographic Report.American Midwifery Certification Board;2026. Accessed May 25 2026.https:\/\/www.amcbmidwife.org\/docs\/default\u2010source\/default\u2010document\u2010library\/2025\u2010demographic\u2010report\u2013final.pdf?sfvrsn=66e533aa_0"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.17074"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.4037\/aacnacc2019833"},{"key":"e_1_2_8_26_1","unstructured":"NRMP.About the National Resident Matching Program.The Match NRMP website. 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