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By Stephanie Tillman, CNM, MSN As with all things in midwifery practice, the search for the first, or the next, midwifery job must be holistic: keep in mind life's logistics, economic demands, and the needs of your soul. What kind of midwife do you want to be?

This article is part of a series by Stephanie Tillman (Feminist Midwife) for ACNM about being a new nurse-midwife. This article specifically talks about resources for the job hunt and strategies to help with that process.

The following is the abstract as stated by the author: "Purpose: To describe factors that ensure a smooth transition from nurse practitioner (NP) student to independent NP during the first year of practice. Data sources: Two contrasting case examples, the authors' experiences, and selected professional literature. Conclusions: Key points to consider upon searching or taking a first NP job include patient, colleague, and clinic factors. Patient factors include mix of patient presentations, complexity of patient presentations, insurance status, and population. Colleague factors include mentorship, charting, mix of providers, and availability of providers. Perhaps most importantly, clinic factors include productivity expectations, practice mission, charting systems, on-call requirements, supervision of other staff, and teaching status. Together, these factors can largely determine whether an NP's days are satisfying or frustrating in a new job. Implications for practice: The transition from NP student to independent NP can be daunting. Although nursing schools and practice sites have responsibilities to ensure the transition is smooth, the new NP is ultimately responsible for the transition. [ABSTRACT FROM AUTHOR]"

This is research article discussing if the "residency" programs that are starting to pop up for new grad APRNs are helpful. I found this interesting because we briefly discussed the residency positions during the new job panel.

This article discusses the transition from student to an NP's first job. Patterns identified included isolation, loss of relationships, changes in professional relationships, and loss of control. Positive aspects of the transition included gains in personal satisfaction and a professional network.