Debra Silberstein, CNM, MSN

Roswell, GA

EXPERIENCE

Nurse-Midwife, The Vancouver Clinic, Vancouver, WA 2017-2022. Full scope midwifery and well woman gynecology in a large multi specialty private practice GYN

• Provided contraceptive services including insertion and removal of IUD’s and Nexplanons.

• Diagnosed and treated PCOS, menstrual irregularities, dyspareunia, post menopausal bleeding.

• Addressed concerns of peri and post menopausal women including prescribing hormone therapy.

• Performed colposcopy and endometrial biopsy.

OB

Supported shared decision making, options, alternatives, water birth.

• Facilitated Centering Pregnancy groups.

• Performed basic ultrasound including first trimester dating.

• First assist on C-Sections.

• Worked closely with in-house maternal fetal medicine department to manage and co-manage high risk pregnancy including GDM, hypertensive disorders, growth restriction, thyroid abnormalities.

• Counseled on genetic and carrier screening.

• Screened and treated postpartum depression, major depressive disorder and anxiety.

• Mentored midwifery and medical students and family practice residents.

• Competent in Epic.

• Served on multi specialty Advanced Practice Committee.

• Participated in workshops on Relationship Centered Communication for Health Care Providers. Women’s Health Nurse-Practitioner, Feminist Women’s Health Center, Atlanta, GA 2017.

• Well woman gynecological care including family planning, STD screening and preventive services.

• Performed physical and psychosocial assessments and monitored health effects and physical changes related to testosterone therapy of female to male patients enrolled in the Transgender Health Initiative. Lead Nurse-Midwife, CIMA-International Women’s Health Services, Atlanta, GA 2005-2016. Lead midwife in a high volume, full scope midwifery and well woman gynecology practice.

• Recruited and oriented staff, published monthly schedules, conducted regular meetings, addressed

• training and support needs of midwife staff.

• Developed strategies to help organization meet goals of patient satisfaction and financial targets.

• Initiated, developed and taught in-house gestational diabetes education class in collaboration with Emory Latino Diabetes Education Program.

• Conducted Centering Pregnancy groups in Spanish and English. Developed diabetic clinic to optimize care of pre-existing and gestational diabetics.

• Competent in Greenway PrimeSuite EMR.

Adjunct Faculty, Emory University School of Nursing, Atlanta, GA 2005-2016. Precepted Nurse-Midwifery students enrolled in an MSN or MSN/MPH joint program. Nurse-Practitioner, Southeastern Gynecologic Oncology, Atlanta, GA 2003-2004.

• Conducted patient visits including initial history and physical exams, chemotherapy visits, pre and postoperative assessments long term follow-up and surveillance.

• Made hospital rounds, took call, coordinated care and referrals.

• Assessed and managed side effects and toxicities of chemo agents. Monitored clinical response via tumor markers, physical exam and imaging studies, and recommended changes when appropriate;

• Performed colposcopy.

• Completed courses on administration of chemotherapeutic agents and colposcopy. EDUCATION

Master of Science in Nursing, Specialization as OB/GYN Nurse Practitioner and Nurse-Midwife, University of California, San Francisco/San Diego Intercampus Graduate Studies Bachelor of Science in Nursing, Emory University, Atlanta, GA Bachelor of Arts in Romance Languages and Latin American Literature State University of New York at Binghamton

LICENSING Current RN and Advanced Practice Nursing Licenses in Georgia and Washington. BLS Current

LANGUAGES Fluent in Spanish

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