; (ii) hospital administrators; (iii) graduate medical education leaders; (iv) doula leaders; (v) individuals with experience in community birth settings; (vi) patients; (vii) high-risk birth experts; and (viii) quality improvement leaders. (B) Geographic diversity In appointing members under subparagraph (A), the Secretary shall ensure a balance of members representing rural areas and members representing urban areas. (b) Duties The group established under subsection (a) shall— (1) examine evidence, trends, and differential use or access by income, geographic area, and race and ethnicity associated with birthing practices that include— (A) cesarean sections, repeat cesarean, and vaginal birth after cesarean; (B) electronic fetal monitoring and intermittent auscultation; (C) birth positions, including upright positioning and ambulation; (D) labor with doula support; (E) evaluating indications for cesarean delivery, including cervical dilation and duration of pushing; (F) operative vaginal deliveries; (G) manual fetal rotation; (H) amnioinfusion and scalp stimulation; and (I) cervical ripening methods; (2) assess the role of the culture of care, maternity care financing, and health education with respect to the trends under paragraph (1); and (3) identify case studies of the provision of exemplary birthing care. (c) Recommendations The group established under subsection (a) shall, not later than 1 year after such establishment, issue— (1) best practices for— (A) evaluating birthing skills; (B) improving curricula for health professionals engaged in birthing; and (C) the incorporation of midwives and doulas into residency curricula for obstetricians; and (2) recommendations for policies and practices to improve maternity care overall. . 8. MACPAC study on doulas and community health workers