PURPOSE:
This presentation tells the story of designing a workshop to re-centre physiologic birth in the curriculum of our midwifery education program. Our project was inspired by insights from students, midwives and faculty at Toronto Metropolitan University and by provincial data about midwifery outcomes. Although our program is founded on strong principles supporting physiologic birth, student experience in our academic classes and in clinical settings did not consistently create confidence in birth as a healthy life event. On reviewing our curriculum, we realized that historically we had "taken physiologic birth for granted", assuming most of the births that students attended with community-based midwives would have minimal intervention. As our profession has grown, culture has evolved, and Ontario midwifery practice in many settings includes higher rates of birth interventions. We realized that we need to more deliberately teach to physiology.

DISCUSSION:
The Physiologic Birth workshop is planned to balance the scientific and the social aspects of birth and midwifery care: to inform and inspire confidence. The design integrates evidence about clinical outcomes and best practices, storytelling (passing on knowledge and skill from experienced practitioners), reflections on the midwifery role and identity, the impact of physiologic birth on midwifery sustainability, and practical skills sessions. It is co-created by community midwives, evidence experts, and faculty members with input from graduates. Although we are working to strengthen content to integrate best practices for physiologic throughout the curriculum, the workshop format highlights physiologic birth skills and holds a similar place and status in our curriculum as other key workshops, which focus more on complex care and emergency skills.

EVIDENCE WHERE RELEVANT:
n/a

KEY MESSAGE:
As culture and midwifery practice become increasingly technological, midwifery education can highlight physiologic birth and inspire confidence in midwifery skills. Obstetric violence (including three-minute presentation competition)