Karline has been a practicing midwife in the U.S. and Canada since 1992. She is an alumnus of the University of Miami. She is a faculty member of the Midwifery Education Program at Ryerson University. She serves on the Ryerson Centre for Immigration and Settlement, the Ryerson Centre for Global Health and Health Equity, and the Midwives of Color Committee of the American College of Nurse-Midwives. Research partners include the University of the West Indies and IMPAKT (Hospital for Sick Children, Toronto). Previous areas of research include perinatal outcomes of refugee and migrant women and newborns, perinatal loss, cultural health beliefs, health policy, mental health issues facing newcomer women and psychosocial distress in pregnant Jamaican adolescents mothers, and promoting resilience amongst Jamaican youth.
Clnical Midwifery, Clinical Nursing, Public Health & Community, Global Health, Research
Common Sense Childbirth
March 2014 - April 2014
Freestanding birth centre using continuity of care
midwifery model. Full-time prenatal care Low risk obstetrical clients in
Easy Access clinic and insured clients' clinic.
2014 locums Midwifery work.
Registered Midwife locums contracts
• Temporary contracts to provide intrapartum, prenatal, postnatal and newborn care to low risk obstetrical clients using continuity of care model.
Teaching childbirth education.
Inuulitsivik Health Centre Nunavik, Quebec, Canada
From August 2014
Full-scope midwifery in remote, rural Northern Quebec serving the Inuit (First Nations) community of Puvirnituq. Attending births in health centre, supervised Inuit midwifery students, provided antenatal and gyn care, attended women during Medicav transport from remote village.
Sages-Femmes Rouge Valley Midwives Scar. ON
Up to December 2013
Registered Midwife part time
• 20 primary courses of care and 20 secondary courses of care
Attending births in group of 9 midwives at Rouge Valley Health Care
system (Ajax-Pickering and Centenary Hospitals). Supervise MEP and IMPP students that are completing placements in the practice from time-to-time.
Associate Professor Midwifery Education Program (0.5 FTE)
• Teaching (Midwifery Clinical Skills, 2nd, 3rd & 4th year clinical courses), student advising, supervision of student research, Assisting in Intensives and Workshops, Admissions interviews, Awards Committee, Academic Integrity Committee, MEP Evening Lecture Series coordinator, MEP faculty projects ongoing.
• Guest lecturer: International Midwifery Preregistration Program, Chang School of Continuing Education, Ryerson. Assist in OSCEs, Admissions interviews,
Workshops, Diversity Training, Medication workshops, Mentoring
internationally trained midwives.
- Guest lecturer Community Nursing.
Brampton Civic Hospital, WOHC
(Labour & Delivery, PT)
• Part-time L&D nurse, supportive nursing care, scrub nurse for
C/sections, busy level 2 teaching hospital. Brampton, ON.
Dekalb Women's Specialists
Full scope nurse-midwifery in private practice with 4 OB/GYNs.
First Assist for C/Sections. Privileges at Dekalb Medical Center,
Decatur and Hillandale campuses, GA.
Full scope nurse-midwifery in private practice with 2 CNMs,4 OB/GYNs.
First Assist for C/Sections. Privileges at Gaston Memorial Hospital.
Full scope nurse-midwifery in private practice with 2 OB/GYNs. First
Assist for C/Sections. Privileges at Presbyterian and CMC Hospitals. Charlotte, NC.
Central Carolina OB/GYN
Full scope nurse-midwifery in private practice with 5 OB/GYNs, 3 CNM, 1
FNP. Privileges at Women's Hospital, Greensboro, NC.
Nursing Instructor, Family-Community Department
Florida International University
Teaching, Curriculum Development, Research proposal evaluation,
Student Advising, Clinical preceptorship in L&D, postpartum & nursery.
• Florida International University (FIU): Approaches to Nursing: NUR 4457
& 4457L Childbearing nursing lecture and clinical preceptor; Client
Assessment: NUR 3065, Nurse Practitioner students.
Everglades Women's Health Center
Part-Time/temporary position. Office management of OB/GYN patients in private solo-practice with one OB/GYN.
OB/GYN Specialists of the Palm Beaches
GYN Specialists of the Palm Beaches
• Formerly "Women's Health Services". Full scope nurse-midwifery in hospital based CNM service caring for private and indigent. Office is
operated under the auspices of St. Mary's Hospital and Physician
managed. Contract work also done with the Palm Beach Health Dept.
Helen Salsbury MD
• Full scope nurse-midwifery in solo MD private practice. First Assist for
Gyn surg & C/S. Peer Review Committee West Boca Medical Center.
Staff Nurse (RN)
Palmetto General Hospital
Provided nursing care in Labor and Delivery. Private hospital. Presented
in-service on care of patients experiencing miscarriage. Miami, FL.
Staff Nurse (RN)
Nursing care in L&D, Post-partum/gynecology/high-risk AP, Cty hosp.
Infusing Diversity & Equity into Experiential Learning
Intro to principles and research surrounding teaching of diversity, equity & inclusion principles in experiential learning settings. The ACNM Disparities Issues Brief identified the need to deliver evidence-informed education that addresses health disparities. This workshop would be helpful to faculty who liaison with their midwifery preceptors and community partners to provide clinical placements for midwifery students. Service and corporate professionals, applied science professionals and researchers have begun to seek effective ways of teaching diversity and equity in the working environment. Universities are charged with preparing students who are able to work effectively across difference in a global community. Midwifery and nursing are not the only professions that require field experience, apprenticeships, internships or other experiential work opportunities. Consequently, there are innovative strategies that can be gleaned from the research which can be applied to clinical learning. An innovative learning exercise will be described which was used in the Ontario midwifery community. There will be an opportunity to review several scenarios that give examples of "working across difference" for both the clinical preceptor and the student. Strategies may address descrimination re. race, ethnicity, immigration status, insurance status, sexual orientation, religion, body size and appearance, ableism, ageism, audism, antifaith bias, socioeconomic class, gender.
2011 PI for Research project (completed): Maternal & Newborn Health Status of Uninsured New Immigr
Ryerson Health Grant funding. (birth outcome research). Co-investigator was Dr. Anneke Joanna Rummens, Hospital for Sick Children, who is now lead for the IMPAKT partnership between HSC and Ryerson FCS. (3 undergraduate students supervised as research assistants for project). Findings disseminated at American College of Nurse-Midwives Annual meeting San Antonio Texas in 2011; Rounds at Mount Sinai Hospital in 2012; Metropolis Conference, Toronto in 2012; CAM conference St. John’s NFL in 2012; Seeking Solutions Uninsured Symposium @ Ryerson 2012.
The Experience of Black Motherhood Amongst Black Women in Toronto
Supervised 1 undergraduate research assistant. Preliminary results for publication in: Book chapter submitted to Demeter Press: Black Motherhood and The Power of the Intersectionality Framework: A Midwifery Perspective on the “New Racism”. In Story, K.A. (Ed.) Reconceiving Black Motherhood, An Anthology (2013).
Psychosocial Factors Associated with Jamaican Adolescent Pregnancy and Suicidal Behaviour
Granted $9796 from International Development Research Centre, Canada Latin America and the Caribbean Research Exchange Grants Program (LACREG) IDRC. Co-principal investigator with Joanna Bennett, PhD, Director University of West Indies School of Nursing, Jamaica. REB approval 2012. Collaborating with researchers at UWI, Victoria Jubilee Hospital and Spanish Town Hospital.
Proefessional Service & Volunteerism
Health Information Technology Section, Division of Standards and Practices (ACNM) 2009-present.
Canadian Association of Midwifery Educators (Bylaws & Accreditation Work) 2010-present
Ryerson Centre for Global Health and Health Equity (2013)
Ryerson Centre for Immigration and Settlement (2011-present)
Midwives of Color – Disparities & Mentoring Subcommittees (ACNM) 2010-present
AOM Work-Life Balance Committee, 2013
CAM - ICM 2017 International Access Sub-Committee 2013
MEP (working group, development of admission requisites for MEP 2010, Awards Committees, Admissions interviews & letter reading).
Ryerson Interprofessional 2011-2013
Aboriginal Studies Subcommittee MEP Ryerson 2011-present
Academic Integrity Committee, Ryerson 2009-present
Coordinator for Midwifery Education Program Evening Speaker Series
NAACOG/AWHONN inpatient nursing 1992
Sigma Theta Thau Honour Society 1998
Qualifications & Certifications
Ryerson University, Chang School
Ryerson Polytechnic University
Centennial College of Applied Arts & Technology
University of Toronto