Daisy Goodman,  CNM, DNP, MPH ’14

I use the training in outcomes measurement and quality improvement I received at TDI every day in my work. However, the most important lesson I learned at TDI is that interprofessional collaboration is essential to deliver high quality care, and that the best outcomes are achieved when we partner with our patients to both design and implement their care.

I have been in practice as a provider of maternity and women’s primary health care for the past 12 years in a variety of settings, including a federally qualified rural health center, community hospitals, and now at Dartmouth Hitchcock Medical Center.  In each context, I have learned more about the impact of substance use disorders on maternal-child health regionally.   My doctoral work at the MGH Institute of Health Professions focused on improving access to care for rural pregnant women with opioid use disorders.  I came to The Dartmouth Institute for Health Policy & Clinical Practice  to learn how to integrate the evidence developed through clinical research into the design and implementation of programs for this vulnerable group of women and their infants.

I have the privilege of being part of the treatment team at the Dartmouth Hitchcock Perinatal Addiction Treatment Program now.  In this role, I have helped establish a weekly prenatal and postpartum clinic for women with opioid use disorders, and coordinate implementation of a screening and intervention program for perinatal substance use at the Department of Obstetrics and Gynecology.   I use the training in outcomes measurement and quality improvement I received at TDI every day in my work.  However, the most important lesson I learned at TDI is that interprofessional collaboration is essential to deliver high quality care, and that the best outcomes are achieved when we partner with our patients to both design and implement their care.

My advice to incoming TDI students is to identify a clinical or policy question that engages you, that you are driven to answer, and to follow this thread through your coursework, projects, internship and capstone as much as possible.  When you emerge from the program, you will have much to offer to improve healthcare in your chosen area.

 


 

knowledge informs change