Advanced Placement

Nizhoni Institute recognizes that some health care professionals, including but not limited to practicing midwives, foreign educated midwives and licensed health care professionals (licensed vocational nurses, registered nurses, physicians, nurse practitioners, physician assistants, licensed acupuncturists, chiropractic physicians and others) may be qualified to enter a direct-entry midwifery program as Advanced Placement students. Nizhoni Institute of Midwifery has therefore established an Advanced Placement process.

Students accepted for advanced placement are typically individuals who are licensed health care professionals such as nurses, certified midwives, medical and osteopathic physicians, and foreign-educated physicians and midwives with a specialty in women’s health care.

Nizhoni Institute of Midwifery is in the process of creating articulation agreements with other midwifery institutions in order to facilitate transfer of credits for students who are moving into or out of the geographic area served by Nizhoni Institute of Midwifery or who wish to change to a distance education format or who wish to pursue advanced education options.

All Advanced Placement students must apply for admission to Nizhoni Institute of Midwifery, complete the Enrollment Form and submit required fees and documentation, including three professional references.

1. Licensed health care providers without credentialing in family medicine or a women’s health care specialty.

a. This category includes registered nurses, licensed vocational nurses, licensed acupuncturists, chiropractic physicians and other licensed health providers specializing in areas other than family medicine or women’s health care.  This category does not include medical assistants.

b. These students may be eligible to waive the first year of the midwifery education program.  Student transcripts are evaluated to ensure that the student has completed the equivalent of the first year of the midwifery program.  The student’s health care license must be a current, legible, unencumbered from one of the United States.  These students are required to attend the remaining second- and third-year modules of the midwifery education program.

2. Licensed health care professionals with credentialing in family medicine or a women’s health care specialty.

a. This category includes but is not limited to AMCB-certified midwives, adult and women’s health care nurse practitioners, medical or osteopathic physicians with a specialty in family practice or OB/GYN, physician assistants with a specialty in family medicine or women’s health care, and midwives licensed in states that do not have a reciprocity agreement with the State of California.

b. Provide copies of licenses, certifications, transcripts from educational and training programs, etc. that demonstrate that the applicant has met all requirements for the provision of both general and specialized health care services.  Licenses and certificates must be current, legible, unencumbered and verifiable.

c. Successfully complete a preceptorship of at least six months’ duration with an approved preceptor who is actively attending out-of-hospital births.  The AP student’s skills will be formally evaluated and reviewed by the Executive Directors every two months.  The student must successfully demonstrate all clinical requirements as delineated by the North American Registry of Midwives, Midwives Alliance of North America, Medical Board of California and Nizhoni Institute of Midwifery, including requirements for attendance at out-of-hospital births, continuities of care and well-woman care..

d. A student who does not successfully complete all requirements for supervised clinical practice within a six-month time period must extend the preceptorship via an Individualized Learning Contract with Nizhoni Institute of Midwifery.

e. When all clinical requirements have been satisfactorily completed, the student will apply for the Certified Professional Midwife credential.  Upon passing the NARM examination, the student may apply for licensure as a midwife through the Medical Board of California.  An AP student who holds a current Certified Professional Midwife credential does not retake the NARM exam but may apply to the Medical Board for the LM license upon completion of all other requirements as above.

3. Foreign-educated midwives and physicians with credentialing in family medicine or a women’s health care specialty.

a. Provide evidence of formal recognition as a midwife or physician in the country of preparation with a specialty in family medicine or women’s health care.  The Commission on Graduates of Foreign Nursing Schools (CGFNS) assists foreign-trained health care professionals with credentialing information.  They may be reached at 215-349-8767 or at www.CGFNS.org.

b. If an applicant’s native language is not English, the applicant must submit acceptable scores from either the internet-based version (score of 213 or above) or the paper-and-pencil version (score of 550 or above) of the Test of English as a Foreign Language (TOEFL) exam.  An acceptable alternative to a passing TOEFL score is the completion of the online course English 090, Basic Verbal Skills, with a grade of 3.0 or above, from the regionally accredited program Nursingabc.com.

c. Successfully complete a preceptorship of at least six months’ duration with an approved preceptor who is actively attending out-of-hospital births.  The AP student’s skills will be formally evaluated and reviewed by the Executive Directors every two months.  The student must successfully demonstrate all clinical requirements as delineated by the North American Registry of Midwives, Midwives Alliance of North America, Medical Board of California and Nizhoni Institute of Midwifery, including requirements for attendance at out-of-hospital births, continuities of care and well-woman care.

d. A student who does not successfully complete all requirements for supervised clinical practice within a six-month time period must extend the preceptorship via an Individualized Learning Contract with Nizhoni Institute of Midwifery.

e. When all clinical requirements have been satisfactorily completed, the student will apply for the Certified Professional Midwife credential.  Upon passing the NARM examination, the student may apply for licensure as a midwife through the Medical Board of California.  An AP foreign-educated midwife who holds a current Certified Professional Midwife credential does not retake the NARM exam but may apply to the Medical Board for the LM license upon completion of all other requirements as above.

4. Foreign-educated health professionals without credentialing in family medicine or a women’s health care specialty.

a. Provide evidence of formal recognition as a health care provider in the country of preparation.  The Commission on Graduates of Foreign Nursing Schools (CGFNS) assists foreign-trained health care professionals with credentialing information.  They may be reached at 215-349-8767 or at www.CGFNS.org.

b. If an applicant’s native language is not English, the applicant must submit acceptable scores from either the internet-based version (score of 213 or above) or the paper-and-pencil version (score of 550 or above) of the Test of English as a Foreign Language (TOEFL) exam.  An acceptable alternative to a passing TOEFL score is the completion of the online course English 090, Basic Verbal Skills, with a grade of 3.0 or above, from the regionally accredited program Nursingabc.com.

c. These students may be eligible to waive the first year of the midwifery education program.  Student transcripts are evaluated to ensure that the student has completed the equivalent of the first year of the midwifery program.  The student’s health care license must be a current, legible, unencumbered from one of the United States.  These students are required to attend the remaining second- and third-year modules of the midwifery education program.

5. Experienced Midwives who do not hold a current credential as a Certified Professional Midwife.

a. The Experienced Midwife must have been in primary practice for a minimum of five years and must have attended a minimum of 100 births within the last twenty years.  Additional requirements include a minimum of 500 prenatal examinations, 75 newborn exams and 75 postpartum visits.  The midwife must demonstrate at least ten continuity of care cases.  All cases must be verifiable via midwifery charts.

b. Complete a Portfolio Assessment to include a practice portfolio, three professional references with current contact information, and 20 midwifery charts for review by the members of the Admissions Committee.  Additional charts may be required for review by the Admissions Committee.

c. Successfully complete a preceptorship of at least six months’ duration with an approved preceptor who is actively attending out-of-hospital births.  The AP student’s skills will be formally evaluated and reviewed by the Executive Directors every two months.  The student must successfully demonstrate all clinical requirements as delineated by the North American Registry of Midwives, Midwives Alliance of North America, Medical Board of California and Nizhoni Institute of Midwifery, including requirements for attendance at out-of-hospital births, continuities of care and well-woman care.

d. A student who does not successfully complete all requirements for supervised clinical practice within a six-month time period must extend the preceptorship via an Individualized Learning Contract with Nizhoni Institute of Midwifery.

e. When all clinical requirements have been satisfactorily completed, the student will apply for the Certified Professional Midwife credential.  Upon passing the NARM examination, the student may apply for licensure as a midwife through the Medical Board of California.