NARM Policy states that a preceptor for a NARM PEP applicant must be credentialed as a Certified Professional Midwife (CPM), Certified Nurse Midwife (CNM), or Licensed Midwife who has an additional three years of experience or 50 births, including ten (10) continuity of care births beyond the primary birth experience requirements for CPM certification. Preceptors must …Read more »
Entry Level Applicants
IMPORTANT: Updates to CPM Eligibility Requirements
Life as a CPM
A Certified Professional Midwife (CPM) is a knowledgeable, skilled and professional independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM) and is qualified to provide the Midwives Model of Care. The CPM is the only midwifery credential that requires knowledge about and experience in out-of-hospital settings.
Most CPMs own or work in private home or birth center based practices throughout the United States, Canada, and Mexico. Providing continuous care for women throughout their childbearing cycle, CPMs generally carry a relatively low client load (averaging 3-6 births per month) which allows for more personalized and comprehensive care than typical obstetrical practices. The scope of practice of the CPM is derived from the NARM Job Analysis, state laws and regulations, and individual practice guidelines developed by each midwife according to her skills and knowledge.
Based on the MANA Core Competencies, the guiding principles of the practice of CPMs are to work with women to promote a healthy pregnancy, and provide education to help her make informed decisions about her own care. In partnership with their clients they carefully monitor the progress of the pregnancy, labor, birth, and postpartum period and recommend appropriate management if complications arise, collaborating with other healthcare providers when necessary. The key elements of this education, monitoring, and decision making process are based on Evidence-Based Practice refers to a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables midwives and their clients to address healthcare questions with an evaluative and qualitative approach. Evidence based decisions flow from a process that includes the assessment of current and past research, clinical guidelines, and other information resources in order to determine the best course of care.Evidenced-Based Practice and Informed Consent refers to the rights of healthcare consumers to be fully informed about testing or treatment options so that they can then make an educated “choice” among those options.Informed Consent.
How to Become a CPM — Entry Level
The Certified Professional Midwife was developed to provide competency-based certification for midwives who are primarily apprentice-trained in out of hospital birth. The CPM credential allows multiple routes of entry to the profession in order to encourage innovation in education, adaptability to evolving best practices of the profession, diversity in the pool of credentialed midwives and broad accessibility to the profession.The competency-based model for certification assures well-educated, skilled and competent providers.
Aspiring Midwives can:
- Apprentice with a qualified midwife, completing an Entry-Level Portfolio Evaluation Process (PEP).
- Attend a midwifery program or school.
- If the school is accredited by MEAC, graduation qualifies you for the NARM written exam. (See Equivalency Applicant page for more information)
- If the school or program is not MEAC accredited, you must complete the Entry-Level Portfolio Evaluation Program.
NARM’s Portfolio Evaluation Process (PEP) is an educational evaluation process that includes verification of knowledge and skills by qualified preceptors. Completion of this process qualifies applicants to sit for the NARM skills and written examinations.
Candidates applying for certification through NARM’s Portfolio Evaluation Process (PEP) will undergo a 3-step process:
STEP 1: Verification of Experience and Skills.
- Fulfill the General Education Requirements (described in the Candidate Information Booklet).
- Document the fulfillment of these requirements on the appropriate NARM application forms.
- Phase 1: Births as an Observer
10 births in any setting, in any capacity (observer, doula, family member, friend, beginning apprentice).
- Phase 2: Clinicals as Assistant Under Supervision
20 births, 25 prenatals (including 3 initial exams), 20 newborn exams, 10 postpartum visits as an assistant under the supervision of a qualified preceptor.
- Phase 3: Clinicals as Primary Under Supervision
20 births, 75 prenatals (including 20 initial prenatals), 20 newborn exams, and 40 postpartum exams as a primary midwife under supervision. Continuity of Care births are required in this phase. CPR and NRP are submitted with this phase. The verification of Knowledge and Skills (Form 201a) will be submitted with this phase and may have been signed during Phase 2 or 3.
- Phase 1: Births as an Observer
- Provide verification from the preceptor(s) that you have achieved proficiency on each area listed on the Skills, Knowledge and Abilities Essential for Competent Practice Verification Form.
- Provide an affidavit from the preceptor(s) asserting that you have developed and utilize:
- Practice guidelines;
- An informed consent document;
- An emergency care form.
- Provide three professional letters of reference.
- Pass the NARM Skills Assessment given by a NARM Qualified Evaluator (QE) or submit completed Second Verification of Skills form.
Upon fulfillment of the above requirements you will be sent a Letter of Completion of NARM’s Portfolio Evaluation Process, which will qualify you to sit for the NARM Written Exam.
STEP 2: Application for Certification Written Examination.
- Submit the CPM Application Form (400) and your Letter of Completion of NARM’s PEP Program to register for the exam.
Upon approval of your application materials, you will be receive a letter of intent from the Testing Department to register for the NARM Written Examination.
STEP 3: Phase 4
- Five Additional Births as Primary Under Supervision
After you pass the NARM Written Examination and have submitted all other required documentation, you will receive your Certified Professional Midwife (CPM) Certificate.
Recertification is required every three years.
The Candidate Information Booklet (CIB) is a comprehensive guide to all aspects of the certification process. It is recommended that all candidates have a copy of the CIB as they move through the process of documentation of experience, knowledge and skills.
The CIB also contains information on the NARM Skills and Written Exams, including test specifications and textbook lists. A paper copy can be ordered through the applications department or you can simply download an electronic copy.
The CPM credential requires that all candidates demonstrate a mastery of critical clinical components of midwifery care. The experience that leads to this proficiency can take many forms. For Entry-Level candidates seeking certification through the Portfolio Evaluation Process (PEP), NARM relies on experienced preceptors who validate the knowledge and skills acquired by their apprentices. Similar to a medical intern or resident, a midwifery apprentice is exposed to a variety of experiences that affirm didactic knowledge. NARM encourages aspiring midwives to establish solid and lasting apprenticeships with qualified preceptors who can provide the best examples for professional practice.
The NARM Application Packet contains forms for documentation of experience, knowledge and skills, along with detailed instructions on how to fill out each form. All Entry Level Pep candidates must submit a completed application to the Applications Department in order to be eligible for the Written Exam.
Submission deadlines for testing are listed here.
NARM will continue to accept documentation on the older forms for clinicals obtained prior to September 1, 2012. Applicants who submit those forms are still required to submit the additional skills/clinicals on the current Form 111. For example, if you have Active Participants births on the old Form 111, prenatals, postpartums, etc will still need to be submitted on the new form.
The NARM Written Examination is offered at regional sites on the third Wednesdays of February and August and is also offered on Thursday during pre-conference workshops at the annual MANA Conference, which is usually in the fall. Applications are accepted year-round, but must be received by specific dates to in order to register for each …Read more »
Very few applicants make it through the process without needing to ask a few questions. We have complied some of the more frequently asked questions (and answers!) for you here. If you don’t find your question’s answer here, you can contact us at firstname.lastname@example.org Are online CPR courses accepted by NARM? No. While we understand …Read more »
Certified Professional Midwives are regulated on a state by state basis. To find out the specific information for the states that regulate CPMs, please refer to the charts linked here:
Legal Status of Direct Entry Midwifery
Direct Entry Midwifery State Laws and Regulations
See all State information here: