Midwives: Offering Personalized Care Throughout a Lifetime

Grace Ferguson-Pell, CNM, WHNP, RN

It is a common misconception that midwives provide only natural childbirth or pregnancy services. In fact, all New York State licensed midwives, both Certified Midwives and Certified Nurse Midwives, offer a unique brand of care throughout a patient’s lifetime, from adolescence to post-menopausal years.

“A midwife is an independent practitioner who focuses on reproductive health,” says Grace Ferguson-Pell, CNM, WHNP, RN, a certified nurse midwife at the Midwife Practice at Mount Sinai Doctors at Delancey Street, in Manhattan’s Lower East Side.  “And many Mount Sinai patients who are pregnant and at low to moderate risk choose to be cared for by a licensed midwife.”

Midwives provide a wide range of care, including:

  • Contraceptive counseling
  • Menstrual cycle issues
  • Prenatal care
  • Attending births
  • Postpartum visits
  • Annual reproductive health exams like cervical cancer screening and testing for sexually transmitted diseases

Lesley Cohen, CNM, MSN, MPH

Midwives also support patients through menopause and perimenopause, providing ongoing reproductive health services such as screenings, symptom management, and education.

They also focus on providing care for the individual.

“Certified Nurse Midwives are clinically trained in the full scope OB/GYN, but their nursing background brings a depth of empathy and compassion to their care delivery,” says Lesley Cohen, CNM, MSN, MPH, a certified nurse midwife at Mount Sinai West.

“In general, we view health from a wellness perspective,” she says. “This allows me to create strong relationships and truly connect with the patients in my care.”

By developing a mutual understanding with patients, Ms. Cohen strives to make them feel comfortable and at ease, which means patients will be more open about their health and any concerns.

Gail Rivera, MSN, CNM

Gail Rivera, MSN, CNM, a certified nurse midwife at The Mount Sinai Hospital, says midwifery care places a focus on wellness that positions the patient at the center of decision-making.

“Midwives turn the medical approach from illness to optimal health,” she says. “We focus on the natural processes of pregnancy, labor, delivery, and breastfeeding using medical interventions as needed.”

A midwife for more than 30 years, she has worked in a variety of settings, including at a birth center, at home, and at high-risk labor and delivery units.

“I know from experience how critical it is to engage patients,” she says. “I come from a humble background and am a bilingual Afro-Latina woman,” she says. “I have seen how important cultural connections can be in establishing a good, trusting relationship with a patient.”

Suzanne Ricca-Hinchey, CNM, MS

Suzanne Ricca-Hinchey, CNM, MS, a certified nurse midwife at The Mount Sinai Hospital, says she ensures she provides patients with personalized care.

“Our training requires us to be present, connect, and overall to educate,” she says. “We follow the same accepted standards of all professionals, with the focus of individualizing our care to consider the unique situation of each patient.”

Ms. Ricca-Hinchey is passionate about the opportunity to guide patients into motherhood.

“Birth can be messy and overwhelming,” she says. “Birth can also be calm and transformational. It’s always unpredictable. New parents deserve to feel strong and empowered so they can properly nurture and protect the next generation. If I have my hands in accomplishing this, I have done my job.”

Ms. Ricca-Hinchey keeps a photo taped to the inside of her locker that was given to her by a patient in her labor room following delivery.

“Looking at this photo reminds me that I am part of the story for this family, and for every family I assist in labor and birth,” she says. “It reminds me to remain purposeful in my words and interactions because it shapes the experience, and it will all be repeated when the story is told.”

“I Am a Mount Sinai Nurse”

What is a Mount Sinai nurse? A Mount Sinai nurse is so many things: a team player, dedicated caregiver, critical thinker, continuous learner, mentor, patient advocate. And so much more.  At Mount Sinai, we believe that a Mount Sinai nurse is the nurse all other nurses aspire to be. Together and individually, they create excellence every day. Read what our patients are saying about our nurses and listen to how some of them describe what makes them a Mount Sinai nurse.

Rivkah Eisner, RN

“From the onset of labor all the way through to bringing us to the post-partum floor, Rivka worked with dedication, wisdom, and high energy to ensure a healthy and positive experience. Rivka exuded an attitude of collaboration and accommodation. She made us all feel that we were a team, and she was there to assist in every way. She was kind, focused, respectful, and full of helpful energy.” Click here to watch the video.

Will Novini, BSN, RN

My CSICU/ CVIVU (Cardiac Surgical Intensive Care Unit) center nurse Will Novini was a godsend. He got me through the two most difficult days after my surgery. I can’t say enough about how good he was.” Click here to watch the video.

Beth Lungaro, BSN, RN

“Nurse Beth Lungaro in the ER was truly outstanding. After 11 hours there, she would still show a beautiful smile, warm manners, and incredible efficiency. We could not have asked for a better nurse.”

Grace Tesoriero, NP

“I came in experiencing a great deal of pain and was angry at everyone I encountered because I just couldn’t manage it anymore. But Grace treated me as if she could feel exactly what I was going through. Her presence was calming, and just being with her made me feel better. I was truly blessed to have seen her that day.”

Uzoma Nwaekpe, RN

“One night, at 4 am I mentioned to Umoza that I was looking forward to having a conversation not about medical stuff. He stayed for 10 minutes, recited Shakespeare beautifully, and we discussed poetry. Are you kidding me? There is more intelligence, creativity, and perseverance in this group of nurses.”  

Tristen Castillo, BSN, RN and Shirley Liu, RN

“As a husband on behalf of his wife, I want to give special recognition to Tristen Castillo and Shirley Liu, whose compassionate attention and calming presence made a difficult situation much easier to bear. Nurse Castillo was thorough, kind, attentive. Nurse Liu brought a warmth and gentleness that immediately put us at ease.”

John Schwartz, RN

“John Schwartz is an outstanding professional RN. He emphasized that any unusual symptoms are important to bring to the attention of nurses.”

Spotlight on Simulation: Jared M. Kutzin, PhD, DNP, MS, MPH, Senior Director of the Simulation Teaching and Research Center at The Mount Sinai Hospital

As the largest and consistently ranked “most trusted profession” in health care, nursing can have a strong voice in education and safety on a global level, says Jared M. Kutzin, PhD, DNP, MS, MPH. As a nurse and President of the international Society for Simulation in Healthcare (SSH), he is working to make that vision a reality.

In January 2025, Dr. Kutzin was elected president of the SSH, a global society with 6,000 members from more than 70 countries.

“The Society for Simulation in Healthcare includes health professions, such as nurses, physicians, respiratory therapists, and Emergency Medical Technicians, health educators, standardized patients, researchers, operations specialists, and many others,” he says. “It’s a collection of different groups coming together, from around the world, to improve the safety, effectiveness, and efficiency of health care services.”

The STAR Center

Closer to home, Dr. Kutzin is Senior Director of the Simulation Teaching and Research (STAR) Center at The Mount Sinai Hospital. The STAR Center opened in 2014 as part of the Department of Emergency Medicine of the Icahn School of Medicine at Mount Sinai. Its goal is to provide a realistic training environment for students, residents, fellows, and faculty, while also offering programs for nurses, pharmacists, perfusionists, respiratory therapists, and other health professionals and community members across the Mount Sinai Health System.

“What’s unique about the STAR Center,” Dr. Kutzin says, “is that we are a safe, welcoming immersive space where interdisciplinary and multi-professional teams can learn to work with, from, and about each other. Because simulation sits at the intersection of clinical practice, education, patient safety, quality, process improvement, and administration, we are uniquely positioned to help bridge the boundaries in health care, constantly pushing and making those critical connections among different departments, divisions, units, and hospitals.”

“Simulation represents a shift in the way that we think about teaching people,” Dr. Kutzin says, “how we educate, assess, practice, hone, and study human behavior as it relates to health care. We are giving students, faculty, and staff the ability to learn real-life skills in a safe and controlled environment and to continuously improve the quality, safety, effectiveness, and efficiency of the care we deliver, both individually and collectively.”

One prime example is found in the New Graduate Nurse Fellowship Program in the Department of Emergency Medicine, which has demonstrated a 94 percent retention rate for new graduate Emergency Department (ED) nurses in their first two years of employment. The program features five sessions, with a curriculum that is continually refined. The topics covered—both clinical and nonclinical—allow new graduates to scale up their practice, become more independent, more knowledgeable, and stronger in key areas.

Dr. Kutzin attributes the program’s success to several key elements, including the selection of the right candidates, the involvement of preceptors on the unit, and the education these new nurses receive from their clinical educators.

“Everybody who comes to us is smart, intelligent, capable, with good foundational knowledge,” Dr. Kutzin says. “What we’re doing for them is putting it all together in a way that allows them to translate everything from their heads into their fingertips. I think that’s the most important aspect of what we do. They also become part of a community of practice that provides the support they need to be successful in these fast-paced, demanding environments.”

STAR Center in the Community

The STAR Center operates successful programs throughout the Health System, including training for interprofessional health teams that include physicians, advanced practice providers, residents, respiratory therapists, and nurses. The Center also recently introduced a mobile simulation vehicle that can bring simulation training to venues within the Health System and the broader community, including Brooklyn, Queens, and the US Open Tennis Championships.

“Mount Sinai is the health sponsor for the US Open, where we are responsible for caring for the players,” Dr. Kutzin says. “We know from other large sporting events that the level of response and the timeliness of that response can greatly impact outcomes. This response includes tournament officials, umpires, ball staff, security personnel, a third-party ambulance service, and additional personnel. Responding quickly, appropriately, and with the right gear requires a massive, coordinated effort. Preparation is critical, and our high-tech simulation enables us to thoroughly consider all the permutations and test the entire system. We literally drop our simulation mannequin on the court, push an activation button from the umpire’s chair, and we’re off: running a code or other emergency and learning all we can. We then debrief as a team to ensure that any lessons that are learned are translated into practice. Year after year, we are constantly refining the response process.”

The STAR Program also has a public health component, which involves outreach to the community to raise health awareness. At Public School 38, staff used simulation mannequins to conduct CPR training, a New York State requirement for high school graduation. At a local elementary school, they partnered with Mount Sinai nurses, physicians, and child life specialists to hold a Teddy Bear Clinic, demonstrating the importance of wearing a bike helmet and explaining what happens if a patient needs oxygen, gets a cast, requires sutures, or undergoes other related procedures.

Looking Ahead

Looking ahead, Dr. Kutzin sees the benefits of better integrating simulation into even more training and preparedness initiatives in health care. He and his team are exploring opportunities to conduct interprofessional education at the undergraduate level through the nursing and medical schools. During the recent renovation of the Emergency Department at The Mount Sinai Hospital, simulation played a crucial role in shaping throughput—moving patients from admission to discharge— and environmental design. And simulation plays an important role in research. A current example involves measuring stress levels of nurses using wearable devices and observing differences following critical events when individuals are exposed to different types of lights or light-filtering devices.

The unwritten mission of everything Dr. Kutzin does is to build connections and span gaps and boundaries continuously. As a nurse who is the elected president of an interprofessional health care society, Dr. Kutzin is a living example of this approach.

Read more about Jared Kutzin, PhD, DNP, MS, MPH

Jared M. Kutzin, PhD, DNP, MS, MPH, is a Professor of Emergency Medicine and Medical Education at the Icahn School of Medicine at Mount Sinai and Senior Director of the Simulation, Teaching, and Research Center (STAR) at The Mount Sinai Hospital. Dr. Kutzin is a registered nurse with advanced degrees in health policy and management, public health, leadership, and medical education. His advanced training includes completing the Clinical Quality Fellowship Program, offered by the Greater New York Hospital Association and the United Hospital Fund, and the Comprehensive Patient Safety Leadership Fellowship, offered by the National Patient Safety Foundation and American Hospital Association. Dr. Kutzin is certified in health care quality (CPHQ), patient safety (CPPS), simulation operations (CHSOS), and as a Nurse Executive- Advanced (NEA-BC).

Dr. Kutzin is a fellow of the New York Academy of Medicine, and the American Academy of Nursing, and was an inaugural fellow in the Society for Simulation in Healthcare (SSH) Simulation Academy. He has served as a Health Resources and Services Administration reviewer and on the Baldrige Board of Examiners. Dr. Kutzin served as Chair for the SSH Certified Healthcare Simulation Educator Committee and is currently a member of the Society’s Board of Directors and an Accreditation Committee site reviewer. He assumed the role of President of SSH, the international simulation society, in January 2025.

A master educator in the Mount Sinai Institute for Medical Education, Dr. Kutzin serves on several curriculum revision committees at the Icahn School of Medicine. In addition, he is a member of the New York State Board of Nursing and the state Emergency Medical Services Council. Dr. Kutzin was previously the Deputy Editor for Simulation for MedEdPORTAL, the journal of teaching and learning resources of the Association of American Medical Colleges, and is currently on the Executive Editorial Board for the Journal of Emergency Nursing. His research interests include educational methodologies, patient safety and quality, and how the built environment affects care. In 2025, Dr. Kutzin was recognized by Becker’s Hospital Review as a “Great Leader in Healthcare” and as one of “132 Patient Safety Experts to Know.”

Two Mount Sinai Brooklyn Nurses Are Grateful for Their Start as Patient Care Associates

From left: Beth Oliver, DNP, RN, FAAN; Melissa James, BSN; Claudia Garcenot, MSN, MHA, RN; and Nicole Jones, BSN

Melissa James, RN, began her career in health care as a patient care associate (PCA) at Mount Sinai Brooklyn in 2015, but nursing school was always in her plan.  It was also in the family, as Melissa’s mother began her own health care career as a certified nursing assistant, eventually becoming a licensed practical nurse.

In fact, Melissa’s mother encouraged her to become a PCA in order for her to test the waters and make sure nursing was the right path.  Melissa quickly decided it was, and began saving for her nursing education. She attended Long Island University part-time during the day for five years, while continuing to work at Mount Sinai Brooklyn, at times covering both evening and morning shifts, in addition to scribing for a local medical office.

”It was challenging,“ she says, “but doable. My family and work colleagues were tremendously supportive.  And after 16-hour days while I was a student, my current 12-hour shift is a breeze.”

Melissa says her experience as a PCA was invaluable training for a career in nursing.

“It was like having clinical rotations before even starting nursing school. As a PCA, I spent a lot of time at the bedside, which really helped me develop strong patient communication skills, something that might have taken longer had I gone straight into nursing,” she says. “While I’m still very much involved with patients as an RN, the nature of my role has changed. There are certain hands-on tasks I no longer perform as often, but I now have the opportunity to apply critical thinking and collaborate with fellow nurses and the medical team to develop treatment plans.”

Melissa is on the same unit, 2 East, as she was as a PCA. “My unit is special. If you stick your head out the door asking for assistance, people come running,” she says. “We are all committed to helping one another. 2 East works as a team! And, we are a fun, friendly group.”

Nicole Jones, BSN, began her health care journey as a patient care associate at Mount Sinai Brooklyn in 2020. Like Melissa, she always knew she wanted to become a nurse. And she previously majored in Science as an undergraduate. In 2023, she took the next step by enrolling in the accelerated BSN program at the Mount Sinai Phillips School of Nursing.

“Balancing part-time work with the intensity of a 15-month program was challenging, but the support at PSON made all the difference,” she says. “The faculty truly wanted us to succeed—tutoring was accessible, and the close-knit environment made it easy to build strong relationships with both faculty and classmates.”

After graduating in 2024, Nicole started her nursing career in February 2025 at Mount Sinai Brooklyn’s Stepdown Progressive Care Unit, where she cares for patients transitioning from surgery or the Intensive Care Unit (ICU).

“I absolutely love being a nurse and having the autonomy to make decisions in patient care,” she says. “Working as a PCA really shaped me—it not only taught me to prioritize safety and strengthened my appreciation for bedside care, but also prepared me for the demands of nursing school by enhancing my clinical awareness and time-management skills.”

Nicole, like Melissa, is focused on the present but remains open to what the future holds. “I’m considering the ICU as a potential next step to grow clinically, but I’m also interested in pursuing wound care—both areas really speak to different parts of my nursing passion,” she says. “It feels good to be in a place where there are so many meaningful directions to explore.”

A Nurse Practitioner Is Thanked for Her Calming Presence

Grace Tesoriero, NP

A patient recently shared their experience with Grace Tesoriero, NP, Department of Geriatrics and Palliative Care, Mount Sinai Morningside. They said, “I came in experiencing a great deal of pain and was angry at everyone I encountered because I just couldn’t manage it anymore. But Grace treated me as if she could feel exactly what I was going through. Her presence was calming, and just being with her made me feel better. I was truly blessed to have seen her that day.”  

Romelin Bonilla, Practice Manager, Department of Geriatrics and Palliative Care Medicine, says Grace’s commitment to patients is truly outstanding. “This patient encounter is one of many that speak to Grace’s ability to bring comfort and connection during moments of deep vulnerability. Grace approaches each patient with genuine empathy, clinical excellence, and unwavering dedication. She does not just treat symptoms; she connects with people on a human level. Grace is the kind of provider every patient hopes for: attentive, kind, thorough, and deeply committed to making a difference.” 

Grace explains what the patient experience means to her: “A patient’s experience to me is how a patient feels appreciated, accepted, and understood by the provider with their medical concerns, and sometimes with their emotional and personal issues. My goal as a provider is to provide high-quality and effective care while having patients feel comfortable, heard, and acknowledged, with all their issues entrusted to me.” 

A “Rookie of the Year” Nurse Is Dedicated to Learning, Growing, and Helping Others

Olivia DeCurtis, BSN

Olivia DeCurtis, BSN, Assistant Nurse Manager in the Emergency Department, The Mount Sinai Hospital, has long been a fan of the Mount Sinai Health System. “I grew up on Long Island, and when I needed a neurologist as a teenager, I was referred to Mount Sinai. I am still a patient of hers, today!” She majored in health care administration in college, but during her last semester, the COVID-19 pandemic erupted, and she felt a calling to care directly for patients. So she enrolled in the Mount Sinai Phillips School of Nursing. Olivia liked the idea of attending a school affiliated with Mount Sinai and the ability to complete her education in 15 months. As classes began and clinical rotations followed, she fell even more in love with nursing.

Olivia’s first position after graduation was as a New Grad Fellow in the Emergency Department at The Mount Sinai Hospital. Olivia had completed her student clinical hours there, and she felt strongly that it  was the right place for her to begin her nursing career. “I loved the culture, teamwork, and leadership,” Olivia says. “The fellowship was a 24-week immersion into the ED, and everything clicked for me; it felt like a second home. The managers and the preceptors were outstanding and taught me so much.”

Olivia’s dedication, enthusiasm, and growing skills were instrumental to her winning Rookie of the Year Award for both The Mount Sinai Hospital Nurse Excellence Awards and the Mount Sinai Health System Emergency Nurse Awards. Recipients of Rookie of the Year have eighteen months or less experience working in the ED and consistently display confidence, initiative, and high potential in providing clinical care and contributing to the team’s success.

Olivia rose quickly to Charge Nurse and then her current position as Assistant Nurse Manager.

Olivia’s schedule is intense, but that has not stopped her from pursuing a dual MSN/MBA from Johns Hopkins University; she will graduate in 2026. “I feel that my calling is leadership. It comes naturally to me,” she says. “I love the bedside, but in a leadership role, I can be more of a role model and resource for my team and still make an impact in the clinical realm. So much of what I am learning right now in my classes I can apply directly to my clinical work.” Olivia plans to continue her education after earning her master’s degrees, and pursue a doctorate in executive leadership.

Ashley B. Caceres, MSN, RN, Director of Nursing, Emergency Services, The Mount Sinai Hospital, says Olivia is a natural born leader. “Since joining the team as a student, Olivia has showed great promise,” Ashley says. “She has grown tremendously in the department, and even as a new graduate nurse stood out as a leader and role model. I’m excited for what’s ahead.”

Olivia says, “The connections I have made throughout my time at Mount Sinai have been influential in my leadership development. Ashley has been a role model to me and has played an instrumental role in my leadership journey.”

Despite a full plate, Olivia has not forgotten her nursing school origins. She is currently helping a group of students in their final semester prepare for the National Council Licensure Examination (NCLEX). “Vivian Lien, DNP, RN, CNE, Senior Associate Dean for Academic Affairs and Well-Being, was such a wonderful professor and mentor,” Olivia says. “She took me back with open arms. I am thrilled to be helping students cross their educational finish line.”