Medical Training & Scope of Practice 2017-10-03T20:22:32+00:00

Olympia Obstetrics and Gynecology offers services through Obstetrician and Gynecologists (MDs), and Certified Nurse Midwives (CNM). Birth is considered a natural experience by our team, not a medical condition. The majority of CNMs deliver babies in accredited hospital or birth center settings and many OB/GYNs have a holistic approach to preventive care.

We know you have a choice in who provides your care, so make sure you choose a care provider with the right specialty certifications (not just a license) to meet your women’s healthcare needs. OB/GYN MDs & Certified Nurse Midwives are uniquely qualified to provide you specialty care.


Obstetrician-gynecologists have completed four years of medical school and are licensed physicians. They then complete an additional four year obstetric/gynecology residency program. OB/GYNs take a written and oral exam, and meet surgical and delivery experience requirements in order to become board certified by the American College of Obstetrics and Gynecologists.  They complete continuing education requirements to become recertified every few years.

The OB/GYN scope of practice includes everything a CNM does plus management of high risk/complex pregnancies, gynecological problem evaluation and treatment, and surgical care including c-sections, in office procedures such as ablations, leeps, colposcopies, and laparoscopic/robotic assisted surgery at Providence St Peter Hospital.

Certified Nurse Midwives

Certified nurse midwives are BSN prepared registered nurses who have completed a rigorous two year didactic and clinical masters program focusing on the specialty of nurse midwifery. CNMs take a written exam to be certified by the American College of Nurse Midwives (ACNM) and are licensed in the state where they practice both as RNs and Nurse Practitioners. CNMs with hospital medical staff privileges must meet both current experience requirements and threshold birth / delivery levels.

Certified nurse midwives offer women annual gynecological exams and family planning services, full-spectrum prenatal care, care during pregnancy and childbirth, and postpartum follow-up care. CNMs have experience in providing labor support with many different birth preferences such as pain management, birthing positions, and labor support.