Re-entry Guidelines for Certified Nurse-Midwives and Certified Midwives
The following provides guidelines for certified nurse‐midwives/certified midwives (CNMs®/CMs®) re‐entering the midwifery workforce after a period of time of either not working as a midwife or not working In at least one area of full‐scope practice. However, the needs of each re‐entering midwife must be individually evaluated and a plan for re‐entry developed on a case‐by‐case basis.
I. CNMs/CMs who have maintained AMCB certification, but have not worked as a midwife for the following periods of time, have three routes to re‐entry, based on years out of clinical practice.
A. Less than 2 years without clinical practice: orientation should be determined by the midwifery practice this CNM/CM will be joining. A more structured or a longer than usual orientation may be needed.
B. 2‐5 years without clinical practice: a full‐scope precepted clinical experience should be arranged with a clinical preceptor or preceptors, utilizing continuing education modules or didactic education through a midwifery education program as needed.
C. More than 5 years without clinical practice: didactic knowledge equivalency to a safe, beginning practitioner should be demonstrated through an accredited midwifery educational program as well as a precepted clinical experience
II. Upon completion of the re‐entry plan, the precepting CNM/CM or the sponsoring education program must be able to verify that the re‐entry midwife is at a safe, beginning practitioner level.
III.The precepting CNM/CM or CNMs/CMs may be:
A. At the practice that will be hiring the CNM/CM;
B. At a practice that the midwife contracts to work with;
C. At a practice that has a contract with the midwifery educational program that is providing the didactic component of the re‐entry requirement .
D. CNMs or CMs who have had experience as clinical teachers or are recognized as expert midwives by the clinical practice the midwife will join.
IV. If the re‐entry CNM/CM has maintained practice in some areas (and has only one or several areas in which she is not current), then the re‐entry plan will only need to be targeted to those areas of practice in which the CNM/CM is not current.
V. CNMs/CMs who have not maintained their AMCB certification will need to comply with AMCB requirements for re‐certification as well as these guidelines for re‐entry.
VI. CNMs/CMs must check with their state licensing boards for any additional requirements. State requirements supersede these guidelines.
VII. CNMs/CMs must check institutional requirements for credentialing and privileging. These requirements also supersede these guidelines if the midwife wishes employment at that institution.
VIII.The attached self assessment tool and evaluation may be used by the re‐entry candidate or the precepting site to assist with development of the re‐entry plan.
Reentry Guidelines for Certified Nurse‐Midwives/Certified Midwives 4