Labor and Delivery Online Teamwork Course

Challenging Conversations in Obstetrics


Course Details

For Labor and Delivery nurses, nurse practitioners, physician assistants, midwives, obstetricians and anesthesiologists

  • Credits Earned
    Eligible Credits
    4.0 AMA PRA Category 1 Credits

    Meets the ABOG annual Improvement in Medical Practice (Part IV) MOC requirement
  • Course Duration
    Course Duration
    4 hours: 2.5 hours of live video conference time and 1.5 hours of pre-/post-course self-work activities

Labor and Delivery clinicians can improve their skills in managing and debriefing clinical events and managing difficult conversations. There is now a well-publicized need to facilitate a culture of safety, creating an environment that is more open to discussion of medical errors and how team performance can mitigate such errors. By providing training, reflection and deliberate practice in these areas, this online experiential teamwork course for Labor and Delivery Clinicians addresses these needs that are not provided in any other venue.

The primary aim of this 4-hour online course is to enhance teamwork and improve performance in communication and negotiation at the point of care. This will facilitate reduction of medical errors and adverse events related to miscommunication in real clinical settings. Participants will receive tools and techniques for better managing challenging conversations in obstetrics and practice them in simulated clinical settings. Group sessions will allow for practice and supportive feedback provided by trained CMS instructors. This course is designed for Interprofessional obstetric teams, including Obstetricians, Midwives, L&D RNs, NPs, PAs and Anesthesiologists because effective collaboration and teamwork among these clinicians is so important in the provision of safe obstetrical care. The tools that will be presented and participants will practice can be helpful to any discipline when negotiating clinical care.


NOTE: Tuition covers 1 person to participate in the course. No additional viewers are allowed. If you would like us to run this course exclusively for members of your department or institution, please Contact Us.

Physicians $1,495 USD
Midwives, CRNAs, NPs, PAs $700 USD
Staff Nurses & Technicians $270 USD

Course Topics Include:

  • Teaming
  • Communication techniques
  • Communicating at the Point of Care
    • Conflicts at the Point of Care
    • Negotiation techniques at the Point of Care

Course Objectives

Participants will:

  • Learn and practice communication techniques for navigating challenging conversations (speaking up; Advocacy/Inquiry; negotiation)
  • Describe mindsets that support team performance and safe patient care on Labor and Delivery (team functioning is a collective accomplishment; situational humility; the value of multiple perspectives).

Continuing Medical Education (CME) Credit:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Massachusetts Medical Society and Center for Medical Simulation. The Massachusetts Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

The Massachusetts Medical Society designates this live activity for a maximum of 4.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for risk management study.

Nurses, Midwives, and other healthcare providers will receive a “Certificate of Attendance” with credit hours that may be converted to CEs or CEUs. Massachusetts-licensed nurses can find information about converting CME to CEU at this site. Nurses from other states should check with their respective State Board or credentialing body for guidance on this process.

ABOG-approved Simulation Course

Meets the annual Improvement in Medical Practice (Part IV) MOC requirement
The ABOG MOC standards now allow participation in ABOG-approved Simulation Courses to meet the annual Improvement in Medical Practice (Part IV) MOC requirement. We are very pleased to announce that the Center for Medical Simulation’s Improving Teamwork and Crisis Resource Management (CRM) for Labor and Delivery Clinicians course is approved to meet ABOG Improvement in Medical Practice requirements until 12/31/2022. Please review the current ABOG MOC Bulletin for further information.

Course Requirements

Please contact the Course Director if you have not participated in Crisis Resource Management or Team Training.


Please review the important policy information below.

The Center for Medical Simulation accepts payment by credit card, wire transfer, money order or cashier’s check in U.S. dollars. Personal checks are not accepted. You will be receiving an invoice via email, no paper invoices are issued. Your payment is due immediately upon receipt.

If you have any questions regarding pricing or our policies, please Contact Us.

If you must cancel we will refund your tuition less a processing fee provided another paid candidate is able to fill your seat. Otherwise, you will forfeit half your tuition. If you would like to switch to a course offered at a different date, we will apply your tuition toward the new course provided another paid candidate is able to fill your current seat. Otherwise, you will forfeit half your tuition. If you still want to switch to another course date we will apply half of your paid tuition and you will be billed for the remaining half. Please note that the tuition for a course offered at a later date may be higher. In that case, individuals switching to the later course date will need to pay the difference in the tuition fees.

Processing Fees

  • $250 for administration and processing for Healthcare Simulation Essentials: Design and Debriefing course (formerly known as the Comprehensive Instructor Workshop) and Advanced Instructor Course participants
  • $100 for administration and processing for MOCA, Anesthesia and Labor and Delivery Crisis Resource Management Training and Gateway Debriefing Skills course participants

If you have any questions regarding pricing or our policies, please Contact Us.

You will be informed of acceptance to your selected course/workshop by email within two weeks of our receiving your completed application. Your tuition is due immediately upon acceptance. Once accepted you will receive another email containing an invoice with payment instructions.

Please note that acceptance does not mean enrollment. Once accepted, you are placed on a wait list.

You are not enrolled, and do not have a reserved seat, until we have received your full tuition. Course seats are filled in the order we receive tuition payments. Since our courses fill quickly it is important for you to send in your tuition immediately to secure a seat.

Once your tuition payment is received, you will be taken off the wait list and enrolled in your desired course/workshop provided a seat is still available. If all seats in your preferred course/workshop are filled by the time we receive your tuition payment, you will be informed that it is full and given the option to remain on the wait list in the event that a seat later become available, switch to another course at a later date with available seats or receive a refund.

If you have any questions regarding pricing or our policies, please Contact Us.

Required to Observe or Participate in the Course

Confidentiality of Information

During your participation in courses run by the Center for Medical Simulation (CMS), you may observe the performance of other individuals managing medical events and debriefing of those events. It is also possible that you may be a participant in these activities. You are asked to maintain and hold confidential all information regarding performance of individuals and details of the simulated cases.

By applying for this course, you acknowledge to having read and understood this statement and agree to maintain the strictest confidentiality about any observations you make regarding the performance of individuals and the simulated cases.

Permission to Review Video Recordings for Educational Purposes

During the course, you may participate in realistic simulated cases of medical events and/or simulated debriefings that may be video recorded for review during debriefings as part of the educational experience. The goal is for the facilitators to provide focused feedback to the team. The faculty may review these recordings at a later date for quality improvement of the training.

By applying for this course, you acknowledge to having read and understood that you may be video recorded in the course and agree to allow CMS faculty to review these video recordings for educational purposes.

If you have any questions regarding pricing or our policies, please Contact Us.