Beginning in 2016, students in MEAC accredited programs who seek CPM certification will have to attend at least ten births in the U.S. or Canada. Due to difficulties in the supervision and oversight of clinical sites, applicants through the PEP program were required to obtain all required clinicals in the U.S. or Canada beginning in June of 2014, but students in MEAC accredited programs were allowed to receive their clinical training OOC if the school provided oversight.

They will still be allowed to train in those sites but will need to have at least ten births in U.S. or Canadian birth sites.

This requirement also applies to Internationally Educated Midwives applying for the CPM credential.

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