The ExamSim provides simulation of the ARDMS Midwife Sonography examination with interactive test-taking, three timed full length exams, a patented algorithm to help the user determine their level of preparedness to sit for the exam, and more!
By using this invaluable ExamSim tool to prepare for your Midwife Sonography Exam, you will have studied the key concepts, focused on your areas of weakness, and used your valuable study time efficiently and effectively.
After the eligibility requirements have been met and your application has been approved, you can take the computer-based examination. The Midwife Sonography examination is only offered during select periods of the year. See schedule below.
Application Dates for Midwife Sonography Examination
Administration Dates for Midwife Sonography Examination
December 5, 2018 - February 20, 2019
March 6, 2019 - April 3, 2019
Updated eligibility requirements were developed that
accurately reflect midwifery scope of practice which should enable more
midwives to become eligible to take the exam.
With more midwives taking the exam, we're confident the exam process
will meet national certification standards for the midwifery community. ACNM members can review the updated eligibility requirements,
certification process, testing locations, and sign up for exam reminders at www.ARDMS.org/MW.
Sign-up for the
ultrasound Pegasus education programs at www.pegasuslectures.com. ACNM's ultrasound
education partner has an online exam simulation program, a comprehensive,
modular eCourse to teach ultrasound principles, and it offers hands-on
Expansion of midwifery practice to include ultrasound
The scope of midwifery practice may be expanded beyond the core competencies to incorporate additional skills and procedures that improve care for women and their families. The performance of ultrasound examinations is one skill which can be integrated into midwifery care according the expansion of practice guidelines outlined in Standard VIII of the Standards for the Practice of Midwifery (ACNM, 2011).
In 1996, ACNM published the first clinical bulletin providing guidelines for midwives who expressed an interest in incorporating third trimester ultrasound examinations into their clinical practice. The document was retired in 2009 yet clinical practice has changed in that many midwives are now adding all trimesters of ultrasound examination and gynecologic ultrasound to their clinical practice (ACNM Survey, 2010). ACNM published an updated position statement in 2012 titled "Midwives: Performance of Ultrasound in Clinical Practice." The statement reviews scope of practice, expansion of practice beyond the core competencies, avenues for practice expansion, reimbursement, licensing and regulation. The statement posits "With appropriate additional training as outlined by ACNM, AIUM, ACOG or AWHONN, midwives may perform ultrasound examinations within the scope of midwifery practice. It is not necessary for midwives to achieve competency in all types of ultrasound; they may tailor their education and training to the specific type of ultrasound examination(s) they wish to perform."
In August of 2013, a survey was presented to all ACNM members to determine clinician demand. The results of the survey validated a call for action as evidenced in the following:
91% of respondents
agreed that there is a need for the development of a credential/certificate
examination in women's health ultrasound.
95% of those in favor
of a credential/certificate believe that improved patient care would be the
biggest benefit to the midwife community.
83% of respondents
said they would be interested in obtaining a credential/certificate examination
in women's health ultrasound.
Of these, only 9% felt
that their current level of knowledge would be sufficient to take a credentialing/certification
examination in ultrasound.
In 2013, the ACNM Board of Directors approved the formation of a joint task force with the American Registry for Diagnostic Medical Sonography (ARDMS) to explore how best to support midwives' ability to become credentialed and reimbursed for performing ultrasound. Key members of ACNM worked collaboratively with ARDMS to develop a midwife specific test with leadership from Cydney Menihan CNM, RDMS and Diana Dowdy CNM, RDMS.
Ultrasound Education Task Force
The ACNM Board of directors charged a newly formed task force to develop didactic and clinical education opportunities for midwives across the nation. Content objectives for didactic and clinical courses were developed and disseminated. An affiliation between Pegasus Lectures and ACNM was developed to offer midwives on-line didactic education and test review courses.
ACNM encourages an ultrasound educational component that includes the following:
instrumentation relevant to type of exam to be performed (e.g., physics of
ultrasound, proper use of machine and transducer selection, ALARA principle).
and components as described by AIUM for a specific exam to be performed (e.g.,
imaging parameters for each trimester).
landmarks defined by AIUM pertinent to type of exam to be performed (e.g.,
landmarks for biometry).
exam (e.g., indications for POC versus the Standard Examination).
implications of normal and abnormal findings (e.g., documentation,
(e.g., output, frequency, length of exams).
Components of a
complete ultrasound report (e.g., orientation of image, documentation).
(e.g., explanation of procedure, communication of results).
didactic content can be specific to type of sonograms to be performed (e.g.,
first-trimester dating vs. cervical length).
By the completion of the clinical component, each midwife will be able to perform OB/GYN ultrasounds by successfully visualizing each anatomic structure and obtaining the necessary measurements in the following areas: physics and instrumentation relevant to the exam being performed. Task force member Anthony Lathrop adapted a rubric for members to document hands-on competency achievement and include in their ultrasound education portfolio. A complimentary copy of this rubric is available on ACNM Store.
Clinical instruction will include,
and components as described by AWHONN, ACOG or AIUM for the type of exam to be
anatomic landmarks as described by ACOG or AIUM pertinent to the type of exam
to be performed.
type(s) of exam(s) being performed.
of normal and abnormal findings,
Components of a
complete ultrasound report.
education.8. Process of
informed consent regarding the scope and limitations of the various ultrasounds
of informed consent regarding the scope and limitations of the various
Other educational venues have adopted midwifery specific learning objectives:
Dowdy, D. (2016). Keepsake Ultrasound: Taking Another Look. Journal of Radiology Nursing, 35(2), 119-132.
Lathrop, A., & Blackburn, M. (2011). Learner Portfolios and Hands‐On Workshop to Facilitate and Evaluate Nurses' Learning in Obstetric Ultrasound. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 40(5), 654-661.
Menihan, C. A. (2000). Limited sonography in collaborative midwifery practice. Journal of Midwifery & Women's Health, 45(6), 508-516.
Shaw‐Battista, J., Young‐Lin, N., Bearman, S., Dau, K., & Vargas, J. (2015). Interprofessional Obstetric Ultrasound Education: Successful Development of Online Learning Modules; Case‐Based Seminars; and Skills Labs for Registered and Advanced Practice Nurses, Midwives, Physicians, and Trainees. Journal of Midwifery & Women's Health, 60(6), 727-734.
The ACNM New Mexico Affiliate has developed a toolkit to guide members on expanding their practice following Standard VIII of the ACNM Standards for the Practice of Midwifery.
ACNM (1996).Limited Obstetrical Ultrasound in the Third Trimester(Clinical Bulletin No. 1) Washington, D.C.