ARDMS Midwife Sonography Exam Update (4/28/20): Due to both COVID-19 and some ARDMS technical problems, the application window for the Midwife Exam has been extended until April 30. Due to the closing of most Pearson testing sites (due to COVID), the testing window has been extended until May 30. Due to the limited windows for testing and the scoring methodology, the final score release for those taking the exam will be postponed until July.
Midwives are encouraged to consider obtaining an ARDMS Midwife Sonography Certificate when adding ultrasound as an expansion to their clinical practice. The Midwife Sonography examination assesses the knowledge, skills, and abilities in the areas of the female reproductive system as well as the fetus in the first, second, and third trimesters of pregnancy. By earning the Midwife Sonography Certificate, midwives gain a critical edge in promoting public safety in women’s point-of-care ultrasound.
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.
ARDMS Ultrasound Education and Certification
Beginning in 2013, ACNM worked with the American Registry of Diagnostic Medical Sonographers (ARDMS), to develop a means for CNM/CMs to be able to become certified in Point of Care (POC) bedside ultrasound examinations. The first Midwife Sonography Examination was given by the ARDMS in 2017.
Midwives are increasingly adding ultrasound as a skill to their practice. The reasons are many, e.g. to be able to make bedside diagnoses that matter in overall care of the women in their care. As more midwives are covering triage in L&D, the skills for assessing fetal presentation, placental location and biophysical profiles. Others are utilizing ultrasound for identification of IUD placement and first trimester assessment of gestational age and well being of the pregnancy. Dating in the second trimester is helpful for late registrants and for supervision of fetal growth. It is also important to have the skill to assess cervical length and integrity. Multiple approaches to gaining education in ultrasound follows. Also of great interest to many is the Midwifery Sonography Examination to obtain certification in scanning.
Application Dates for Midwife Sonography Examination
Administration Dates for Midwife Sonography Examination
December 10, 2019 – February 18, 2020
March 3, 2020 – April 2, 2020
How can you get the education you need for practice as well as the 12 credit hours in ObGyn ultrasound to take the certification exam? ACNM has partnered with Pegasus Lectures, Inc. to provide several online lectures to meet the ARDMS requirements and to provide the credit hours you need (http://pegasuslecturesmediacen... are a number of other organizations and publications that now provide information, online lecture, classroom lecture and/or hands on scanning that will meet the specific requirements for this exam.
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. http://newmexico.midwife.org/i... Midwife Sonography Examination
What do you need to do to become certified?
Hold an active CM or CNM Certification
Submit 12 ARDMS-accepted CMEs or education hours in OB/Gyn ultrasound earned within 5 calendar years of application submission
(ACNM CEUs related to ultrasound are acceptable.)
Apply at: ARDMS.ORG/MYARDMS
Pay the $300 application fee
Submit the required documentation within 21 days of applying
Schedule the Exam
Prepare for the Exam Review the content outline at
PRACTICAL EXAM Must be completed within 2 years of passing the written exam
Submit documentation demonstrating successful performance Completion of 8 cases across defined domains through direct observational assessments.
Submit documentation demonstrating successful performance completion of 8 cases across defined domains through a combination of direct observational assessments and simulation. 3 of the 8 cases may be through simulation.
IF the written exam was passed more than 6 months ago, 5 New ARDMS-accepted CMEs or education hours in OB/Gyn ultrasound are required
CERTIFICATION Receive your Midwife ARDMS Sonography Certificate within 4 - 6 weeks of successfully completing the practical examination
Background: 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.