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ATM's Midwifery Training Program
Clinical and Skills Requirements

Clinical Requirements:

Minimum Clinical Requirements:

The below clinical requirements are the minimum number required to fulfill ATMMTP graduation requirements.

ATMMTP students must complete the following minimum clinical requirements:

  1. 10 observations of births, 2 of which must be in an out-of-hospital setting
  2. 20 births as an active participant
  3. Functioning in the role of Primary Midwife under Supervision:
    1. 20 births, including a minimum of the following Continuity of Care requirements:
      • 10 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
      • 3 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 (Continuous Continuity of Care)

A maximum of two transports as active participant and two as Primary Midwife under supervision may be included in the above 50 births

  1. Functioning in the role of Primary Midwife under Supervision:
    1. 20 initial physical exams and 20 histories
    2. 75 prenatal exams
    3. 20 newborn exams
    4. 40 postpartum exams

Students must learn, practice, and perfect the skills necessary to provide all components of the clinical requirements before they have the ability to provide care as Primary Midwife under Supervision. Some students may require more than the required minimum to obtain proficiency in the necessary skills required in each clinical requirement.

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 eighteen (18) 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 eighteen 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.

Skills Requirements:
Required skills will be learned according to specific techniques described in the Practical Skills Guide for Midwifery, by Weaver & Evans.


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

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Page Last Updated: September 16, 2009

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