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ATM's Midwifery Training Program
Clinical and Skills Requirements

Clinical Requirements:
75 prenatal exams, including at least 20 initial history and physical exams.
20 newborn exams.
40 postpartum exams.
20 births as active participant.

20 additional births * as primary midwife, under supervision, at least 10 of which shall be out-of-hospital births.

Continuity of care requirements:
* A minimum of 3 of these births must be with women for whom the student has provided primary care during at least four prenatal visits, birth, newborn exam, and one postpartum exam.
* An additional 2 of these births must be with women for whom the student has provided primary care continuously under the supervision of one preceptor for each woman, beginning no later than 15 weeks GA and to include all prenatal care, birth, newborn exam and at least two postpartum exams at 36hrs. 6weeks.

10 additional observations of births in any capacity, 2 of which must be home births.
(A maximum of two transports as active participant and two as primary may be included in the above 50 births)

All required clinicals must be supervised and verified by the preceptor(s). NARM's position statement, found on page three of the booklet How to Become a CPM, states: "The required clinical experience includes prenatal, intrapartal, postpartal and newborn care by a student midwife acting as primary under supervision. The preceptor(s) hold final responsibility for confirming that the candidate provided the required care. The preceptor(s) must be physically present in the same room in a supervisory capacity during that care and must confirm the provision of that care by initializing the appropriate NARM forms". The ATM Midwifery Training Program adheres to this position statement.

The student's ATM Clinical Summary form will be used for verification of the student's performance of each clinical requirement.

The clinical component (apprenticeship period) must be ongoing for at least eighteen (18) months in 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 eighteen months.

All clinical requirements must be met and the appropriate forms sent to the course coordinator at least six weeks in advance of the scheduled NARM exam for the student to be eligible to take the exam.

Skills Requirements:
Students will use the PRACTICAL SKILLS GUIDE FOR MIDWIFERY, by Weaver & Evans to document their skills proficiency. The preceptor(s) must sign off on each skill as the student masters it. There will be a double check on selected skills at the Advanced Skills Workshop (6th workshop). After all skills have been accomplished the student will send the PSGM Skills Verification Forms (signed by preceptor) to the course coordinator. The forms must be sent in at least six weeks before the student is to take the NARM exam.


If you have any questions regarding the ATM Midwifery Program, please email ATMCourse@texasmidwives.com

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Page Last Updated: June 3, 2007

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