The below clinical requirements are the minimum number required to fulfill ATMMTP graduation requirements.
The student must complete a minimum of all of the following:
Attendance at a minimum of 10 births in the role of an observer
In the role of an assistant (learning the skills of a midwife):
25 prenatal exams, 3 of which must be the initial physical exam and medical history
10 postpartum exams
20 newborn exams
20 births – 18 must occur prior to births as Primary Midwife under Supervision
Primary Midwife under Supervision (PMUS)
Students must learn, practice, and perfect the skills necessary to provide all components of each requirement before care can be provided as PMUS. As PMUS the student must be able to competently provide all aspects of care, and be able to communicate the rational for the care and her clinical decisions, all while under the direct supervision of an approved preceptor.
In the role of Primary Midwife under Supervision the student must complete a minimum of the following:
75 Prenatal exams
20 Initial physical exams and histories
40 Postpartum exams
20 Newborn exams
Each birth must include one prenatal and one postpartum exam as either an assistant or as PMUS
The 25 births as PMUS must include the following:
10 “Full Continuity of Care” births (includes 5 prenatal exams as PMUS spanning 2 trimesters, the newborn exam, and 2 postpartum exams)
3 “Continuous Continuity of Care” births (same as above but includes all prenatal care beginning no later than 15 weeks gestation)
At least 10 of the births as PMUS must be out-of-hospital births
A total of 3 of births as PMUS may be intrapartum transports; the student must accompany the woman to the hospital. Only 1 of the 3 transports may be a Continuous Continuity of Care client
In addition to the above requirements:
At least 5 of the 55 total births must be home births (any role)
At least 2 of the 55 total births must be planned hospital births (any role)
At least 5 of the 55 total births must be under the supervision of a Licensed Midwife (as opposed to a CNM or physician)
All required clinical requirements must be supervised and verified by ATM approved preceptors.
The student's ATM Clinical Summary forms will be used for verification of the student's performance of each clinical requirement.
The clinical component (apprenticeship period) must be ongoing for a minimum of twenty four (24) months duration. The clinical time will be verified by the preceptor in a letter stating that the student has completed an apprenticeship period of at least 24 months.
All clinical requirements must be met and the appropriate forms sent to the Course Coordinator at least ten weeks in advance of the scheduled NARM exam for the student to be eligible to take the exam.
Required skills will be learned according to specific techniques described in the Practical Skills Guide for Midwifery, by Weaver & Evans.