This course is the first in the Mission Critical series, exploring the complex ethics of international healthcare work through candid conversation. In this interview, Midwife Megan Felling draws on over a decade of experience to reflect on what it means to provide care in communities that aren't your own—navigating cultural context, power dynamics, resource limitations, and the tensions between organizational mandates and community needs.

This isn't a course with easy answers. It's an invitation to begin asking better questions.


Upon completion of this course, the learner will be able to:

  • Identify tensions between standardized "best practices" and culturally responsive, person-centered care
  • Reflect on the role of humility and ongoing learning in ethical international practice
  • Recognize how power dynamics between international and local staff, organizations and communities, and providers and patients affect care delivery
  • Articulate strategies for providing dignified care in resource-limited settings without imposing external standards as universal
  • Consider their own positionality and assumptions when working across cultural contexts—whether internationally or in their home communities



HiveCE is an approved provider of continuing education by the California Board of Nursing, and this course is provider approved by the California Board of Registered Nursing, Provider Number 17686, for 2 contact hours, through November 30th, 2027. (This is widely accepted nationwide as continuing education for nurses and midwives. This course is accepted by NARM as Category 1 CE for CPM renewal.)

Yes! This course may be used towards Cultural Awareness requirements.


Note: Course completion does not authorize the learner to use skills outside their scope. Please refer to your state guidelines for determining scope of care.

For information regarding our refund policy and other Frequently Asked Questions, please refer to our FAQ. If you have additional questions, please email [email protected].

Megan Felling, CPM, LM

A conversation with

Megan Felling is a Certified Professional Midwife licensed in Washington State. She has practiced in Oregon and Washington since 2013, working in freestanding birth centers and homebirth settings. In addition to her domestic practice, Megan has worked with Doctors Without Borders (Médecins Sans Frontières, MSF) on and off since 2016. Her work with MSF has taken her to projects across Africa, Asia, and the Caribbean, where she has served both as a midwife and as a specialist in sexual violence response. When she is not on assignment, Megan lives in Olympia, Washington, with her two cats and spends lots of time with her niece and nephew.
Megan Felling, CPM, LM

Course curriculum

  • 01
    Exploring Accountability in International Healthcare with Megan Felling
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    • Part 1
    • Part 2
  • 02
    Resources
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    • FGM/C Fact Sheet - GWU - (2025)
    • Eliminating Female genital mutilation - interagency statement - 2008
  • 03
    Integration and Evaluation (to generate CE Certificate)
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    • Content Integration
    • Evaluation Questions

Mission Critical: Exploring Accoutabiliy in International Healthcare

2 HOURS CE FOR MIDWIVES AND NURSES

Equitable Access Program

100% OF COURSE PROCEEDS SUPPORT OUR

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