CEU Information

NARM Workshops

NARM can offer a variety of workshops to be presented at state midwifery association meetings or regional conferences. Only CPMs may attend the Test Writing workshop; all midwives, students, and consumers are welcome at other workshops. No fee is charged by NARM for the workshops. The sponsoring organization may charge a fee to help cover the expenses or raise funds. The sponsoring organization is expected to provide airfare, housing and local transportation for the NARM instructor. Continuing Education credits will be awarded for all workshops. For more information, call 1-501-296-9769 or write testing@narm.org.

The following 2 hour workshops are open to anyone:

Midwifery Ethics

In today’s maternity services ethical issues are everywhere, and yet there is often a poor understanding of how practitioners deal with them. Many qualified midwives, while believing that they are ethical in their work and lives, might find it difficult to define what this means in practice. We all have to make decisions everyday with clients, other health care providers and our own families. This workshop explores the ethical issues that face midwives in today’s world, as well as strategies for resolving these issues. Participants will discuss the ethical issues relating to accountability, autonomy, confidentiality, informed consent, and the use of technology.

Preceptor-Apprentice Relationships

This session is designed to meet the needs of both preceptors and apprentices and to help avoid common problems in the preceptor-apprentice relationship. Discussion includes the role and responsibility of the preceptor and apprentice, advantages and disadvantages to the apprenticeship model of education, avoiding common misunderstandings between preceptors and apprentices, and documenting the apprenticeship for the NARM application process.

NARM and the CPM Process

This workshop explains the development of the NARM process and the requirements for CPM certification. The session is designed for apprentices who intend to apply for CPM certification and for the preceptors who will train them to meet these requirements. It is also a very valuable workshop for anyone who is interested in seeking legislation to license midwives using the CPM process as a basis for licensure. Participants will become familiar with all routes of entry into the CPM process, how the criteria for certification were determined, and how each element of the process contributes to the reliability and validity of the credential.

MANA Statistics – Web Based Data Entry

This workshop explains the MANA Statistics Collection Project, including the web based data entry system, so that all midwives can enter their personal statistics into the MANA database for use in analyzing and publishing research on direct-entry midwifery. Participants will learn how to enter their date on the web (and options for not entering on the web), how this information may be used, and how to retrieve their own personal or group statistics. This workshop requires an internet connection.

Charting for Midwives

Midwives often view documentation as a necessary chore, but one that is not as important as providing hands on care. Yet Documentation is one of the most critical skills that a midwife will perform. Although we tend to approach documentation casually, our entire career could depend upon the accuracy and completeness of our charting. How much should be charted and why? In documenting we need to keep in mind the possible legal and ethical complications, and the legal relevance of malpractice. Documentation is also a key component of verifying apprenticeship training. All preceptors and apprentices should be familiar with NARM requirements for charting and documentation of apprenticeship.

The Current Legal Status of Direct-Entry Midwives across the Country

Direct-entry midwives are licensed in 28 states; 26 use all or part of the CPM process for licensure eligibility; the other two use the ACNM’s CM credential for direct-entry licensure. This workshop presents the requirements for licensure in 28 states, and the current status of midwives (prosecuted or ignored) in the remaining states. Ongoing work toward licensure is also discussed.

NARM also offers a full day presentation for states that are working toward legislation for midwives, and a two-day workshop for CPMs who write questions for the NARM exam. If either of these workshops are sponsored, NARM will pay the travel expenses of the instructor. Any of the other workshops may be added to the agenda. The local host will arrange the location, housing, and meals. CEU credit is also offered for these workshops.

Preparing for Legislation

This workshop is for midwives and consumers who are preparing to lobby for legislation to license midwives in their state. The workshop is an overview of the legislative process and lobbying strategies, and includes actual training for lobbying, including writing fact sheets, giving interviews, making the best use of the 15 minute or 2 minute opportunities for speaking with legislators, giving testimony at public hearings and legislative committee sessions, and answering tough questions spontaneously. Information is drawn from the recent experiences in states that have been working on legislation. An update of the current status of midwifery legislation across the country is included.

The Item Writing workshop (writing questions for the NARM Exam)

The test writing workshop brings together groups of CPMs to discuss the midwifery knowledge and skills that are essential components of the practice of midwifery. Based on real-life experiences, teams of midwives craft scenarios related to problems they have encountered in prenatal, birth, or postpartum situations, research these scenarios in the reference texts, identify the knowledge necessary to solve the problem, and develop multiple choice answers to evaluate that knowledge. Discussions are lively and stimulating, and participants find the process to be rewarding on a personal and professional level. Additionally, participation by CPMs in the development of test questions is integral to the reliability and validity of the Certified Professional Midwife credential. NARM Certification was created by midwives, for midwives, and is administered by midwives on the NARM Board. The NARM exam is written by midwives, with focus on the practical aspects of midwifery care and knowledge. Your participation makes a better exam! Participants must be CPMs. At least 10 participants must register for this workshop.

Other CEU Opportunities

The following are either required for recertification or have been suggested as an avenue to get CEUs:

Cultural Competency (required):

All applicants and CPMs are required to complete a workshop, module, or course on Cultural Competency for certification and recertification. Approved Courses/Modules are:

There are several online sites that provide Cultural Competency modules for health care providers and offer CEUs.  A Google search should bring up quite a few options.  Please note that Cultural Competency modules are not required to have CEUs attached, but if they do you may also use them in Category 1.  If there are no CEUs provided the course/module must be health care related and presented through an institution or other recognized source.  A certificate of completion may be submitted as proof of participation.


A total of 30 CEUs are required in each 3 year recertification period. 5 CEUs must be in a Peer Review workshop or 5 hours of Peer Review participation. CPMs have the option of documenting an additional 25 hours of continuing education or retaking the NARM Written Exam.

More detailed descriptions of CEU requirements as well as forms for CEU documentation are available in the Recertification Application Packet.

Description of CEUs

Category 1: (maximum 25 CEUs)
Class or coursework that is granted accredited CEUs in the field of midwifery, women’s health, or the evaluation and care of the newborn

Category 2: (maximum 10 CEUs)
Class or coursework in the field of midwifery, women’s health, or the evaluation and care of the newborn without accredited CEUs

Category 3: (maximum 15 CEUs)
Research, writing, and teaching related to the field of midwifery, women’s health, or the evaluation and care of the newborn.

Category 4: (maximum 5 CEUs)
Documented self-study or life experience related to the field of midwifery, women’s health, or the evaluation and care of the newborn.

Category 5: (maximum 15 CEUs)
Serving as a NARM QE, NARM item writer/subject matter expert (beyond workshop), participation in the NARM Accountability Process, and/or serving as a MANA DOR Statistics Reviewer or as a specified MEAC volunteer.

Category 6: (maximum 10 CEUs)
Filing MANA statistics forms, midwife code.

Category 7: (maximum 10 CEUs)
Serving as a midwife in an out-of-country maternity center or clinic.

• Each hour spent in continuing education is equal to one CEU hour.
• NARM encourages CPMs to broaden their knowledge to include both allopathic and non-allopathic areas of study.

Contact Us:

NARM Phone and
Fax Number

For all Departments

NARM General Information

Debbie Pulley
5257 Rosestone Dr.
Lilburn, GA 30047

NARM Applications and Testing Department

PO Box 420
Summertown, TN 38483

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