The NARM Written Examination is now computer-based and the test is given year-round. Candidates will schedule their preferred test date directly with the testing company once their application process has been completed to the stage of testing.
The NARM Skills Exam
All skills, and the supporting knowledge base behind them, must be verified during training by a qualified preceptor.
Performance of skills must be verified a second time by someone who was not responsible for the initial training, either by:
- A NARM Qualified Evaluator (PEP Skills Assessment)
- A second instructor (MEAC-accredited program)
- A second CPM preceptor (NARM’s Second Verification of Skills option)
- A state licensing process (State License application), or
- By a midwife with another accredited midwifery credential (CNM/CM)
Performance on the NARM Skills Assessment is evaluated according to the breakdown of skills steps in the Practical Skills Guide for Midwives.
Basis for the Test
The knowledge base for competency is measured by the NARM Written Examination. All candidates, regardless of route of application or verification of skills, must pass the NARM Written Examination.
The NARM Job Analysis determines the knowledge and skills that are tested for certification. All of the knowledge and skills must first be verified through an educational process, and must be taught and evaluated by an instructor or preceptor. The testing process serves as a second verification of the acquisition of knowledge and skills, providing an evaluation through a performance assessment and a written exam.
The exam questions are written and reviewed by specially trained CPMs according to standards set for accreditation by the [National Commission for Certifying Agencies]. The passing score for all exams is set through a process called the modified Angoff Method, which allows for evaluation of the difficulty level of each item on a mathematical scale. …Read more »
The exam content outline and reference books are available in the Candidate Information Booklet (CIB). The content outline is called the Test Specifications. The best way to prepare for the exam is to go through the content outline and study those topics in the reference materials. Think about situations where you would need to apply …Read more »
There are two ways to register for the NARM exam. You must be a CPM candidate, or have been approved to take the exam for licensure by a state licensing agency. CPM Candidates: Candidates who are applying for the CPM certification must submit a NARM application to the NARM Applications Department. Application forms are based …Read more »
The test will begin at 8:30 am. Candidates should arrive at the test site by 8:15 to allow time to check in. Candidates must bring their Admission Letter and another form of photo ID such as a driver’s license or passport with the same name. The exam is given in two parts of 150 questions …Read more »
Official test results will be mailed approximately two weeks after the test date. If the candidate wishes to receive the test results at an address different from where they received the Admission Letter, please notify the Test Department of the new address by e-mail at email@example.com. CPM certificates will be mailed approximately 4 weeks after …Read more »
NARM Computer Based Testing
NARM has contracted with a computer testing company to administer the NARM exam via computer beginning in June, 2014. Candidates may take the exam, upon attaining eligibility, on the date of their choosing at one of the approved computer testing centers. The NARM application process remains the same but once an applicant qualifies through Phase 3, the exam is individually scheduled with a computer testing center. Numerous approved testing centers are located throughout the country.
The previous application deadlines were based on the old testing dates. Now that testing is on demand, there is no longer a need for application deadlines. When an application is complete through Phase 3, the applicant will receive information on scheduling the exam. A list of testing sites can be found below. The list will be updated as new test sites are added.
For more information, contact the NARM Test Department at firstname.lastname@example.org.
NARM Written Exam Testing Locations
AL: Birmingham (2 sites)
AR: El Dorado
AR: Fort Smith
AR: Little Rock
CA: San Diego
CA: San Jose
CO: Colorado Springs
FL: Fort Myers
FL: Miami (2 sites)
FL: Orange Park
FL: St. Augustine
FL: St. Petersburg
IN: Fort Wayne
IN: New Albany
IN: South Bend
IN: Terra Haute
MI: Ann Arbor
MI: Farmington Hills
NC: Spring Lake
SC: Greenville (2 sites)
TX: El Paso
TX: Houston (2 sites)
UT: Salt Lake City
WI: La Crosse
PO Box 671427
Chugiak, AK 99657
When is the NARM Exam given?
The NARM Exam is now computer-based testing. Candidates who have been approved to test can set up a convenient test date directly through the testing company.
Are their any additional fees beyond NARM’s fees?
Yes, test site fees will be paid directly to the testing company or test site. This information will be clarified when you receive your information packet from the testing company.
How long is the test? How much time do we have?
The test is a 7 hour, 300 question, multiple choice exam. It is given in two parts. Part one begins at 8:30am, and part two begins at 1:00pm. Three and a half hours are allowed for each part. You may leave the testing room when you finish each part.
What is the best way to prepare for the exam?
All content areas should have been taught and evaluated by instructors or preceptors during training. Students should study the content outline and the reference texts listed in the Candidate Information Booklet. Questions may be related to definitions, normal and abnormal signs and symptoms, differential diagnosis, treatment by the mother and midwife, and conditions for appropriate referral or transport.
On the Day of the Exam:
Are there rules about what we can bring to or take from the testing room?
Yes, but this will be up to each individual test site.
Can I submit comments?
A comment sheet is provided to each person taking the test. Comments may be written while you take the test, and turned in to the proctor. You may also use the comment sheet as “scratch paper” but you may not take it with you when you leave. The purpose of the comment sheet is to provide feedback to NARM about suggested improvement in the question or answers. The purpose is NOT to write an essay to explain your choice of answer. The comments will not change your score. The comments will be considered as a part of the test revision process.
What is the passing score?
Each version of the exam may have a slightly different raw score for passing, but it ranges between 79%-81%. The score is reported on a scale where 75 is the passing score. A scaled score of 75 or higher is passing.
What happens next if I pass the exam?
You will receive a preliminary pass or fail immediately after you finish the exam. An official letter reporting your exam results will be sent 2-3 weeks after the exam date. If you have completed all requirements for certification, your CPM certification will be sent 3-4 weeks after notification. If you tested as a student in a MEAC-accredited program, your certification will be sent after the school notifies NARM of your graduation. If you registered for the exam through a state licensing agency rather than through NARM, your scores will be sent to your licensing agency. You may apply for the CPM certification after you receive the license.
What happens next if I do not pass the exam?
Your official notification letter will contain a registration form to retake the exam. Submit the registration form and retake fee by the deadline listed on the form. You will have six months to retake the written exam. Candidates can only take the exam once every three months, maximum four times a year. If a candidate does not pass within three years of application, a “currency” application must be submitted documenting ten additional supervised births. For more information, contact NARM. There is no maximum number of times you may take the NARM exam. Some states that give the exam for licensure do have a maximum number of times the test may be taken.
What else might delay my certification?
- Cardio-Pulmonary Resuscitation (adult) and neonatal resuscitation certification cards must be submitted with the application. These must be kept current during the testing process. If the cards are due to expire within three months at the time all certification requirements are met, new cards must be submitted.
- Audits are done on every sixth application. Random audits do not stop the candidate from proceeding through the testing process, but if discrepancies are discovered during the audit, they will need to be resolved before certification is issued.
- Complaints against a CPM candidate must be resolved before the certification is issued.