Detroit is an "American Comeback Story"! Five years after filing bankruptcy, the city is a booming, exciting place to be. While there are several reasons for this perception, it is outdated. Historically, Detroit and the Metro-Detroit area has not been viewed favorably outside the region. Metro Detroit A Great Place to Live Detroit: City on the Rise Detroit Duet: 15-minute value-alignment assessment*.Snapshot: 15-minute one-way video interview with standardized questions*.Casper: 100-120 minute online, open-response situational judgment test.To complete Altus Suite visit to create an account and register to complete the following assessments: There should be no additional fee involved. Please note, we are requireing the following for all applicants this year.Īltus Suite - Comprehensive Admissions AssessmentsĪll applicants are required to complete Altus Suite as part of their application for the 2022/2023 admissions cycle. In both cases, the company said it made more sense to consolidate birthing services at its other regional hospital.Ī rally to support Providence midwives is planned for Sunday at the hospital’s Alternative Birthing Center.Welcome to Ascension Providence/MSU CHM OB/Gyn Match, 2023 In just the past year, the health system announced that it would end maternity care at Ascension Macomb-Oakland in Warren, and at Ascension River District in East China Township. Parents want evidence-based, respectful care, and Ascension is eliminating a great option to receive that.”Īscension has also made recent moves to reduce or eliminate maternity care at some of its Michigan hospitals, part of a larger national trend. “One of the great things about midwives is they tend to provide very personalized care, and that's definitely much less available when you have obstetricians who are seeing many, many more clients,” English said. English said that as of now, she’s only aware of one midwife operating at Borgess. Last year, Ascension announced that it would cut its midwife staff at Kalamazoo’s Borgess Hospital. She said that while some hospitals have been expanding midwifery programs due to burgeoning demand, Ascension is cutting back. “Ascension is taking us backward,” said Jessica English, a doula and birth educator based in Kalamazoo. According to a statement provided to WXYZ-TV, the health system said that any patients who want to use a private certified nurse-midwife can do so, so long as the midwife has admitting privileges at Providence. And it's of course very shortsighted.”Īscension told existing patients that it will help them transfer to another health facility if they want a midwife birth. “But you're not going to fire the physicians because you need the physicians, so you fire the midwives. “Whereas midwives will spend more time during the pregnancy and during the birth in the patients’ rooms and still cost less money.
“It’s on that model where physicians can just see as many patients, and they can run from room to room for the births,” she said.
Zielinski said offloading all births to Providence physicians may make sense from a short-term cost-cutting perspective, but it’s ultimately not a good solution. “But when you're using OB-GYNs for straightforward births, it's a vast overutilization of training,” she said.Īscension did not provide a rationale for its decision, and did not respond to a follow-up request for comment. Zielinski said physicians can be valuable members of a birth team, especially with higher-risk pregnancies. Ruth Zielinski, a certified nurse-midwife and University of Michigan nursing professor, said midwives have higher rates of patient satisfaction, lower caesarean section rates, and lower rates of episiotomy and other birth interventions that can raise risks for mothers and babies.
They say there’s overwhelming evidence that midwives provide the highest level of patient care, and have better birth outcomes in low-risk pregnancies. The move has outraged Michigan’s midwifery and birthing communities. In a letter to patients dated January 31, Ascension says that all deliveries at Providence will be supervised by “highly qualified obstetric physicians who specialize in low-intervention births.” Historically, midwives have supervised most of the births there, according to birth workers. A major Metro Detroit hospital has announced that it will no longer keep midwives on staff.Īscension Health says that as of March 1, midwives will no longer staff the Alternative Birthing Center at Providence Southfield Hospital.
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