Certified International Midwife- CIM

Your training must include:

- Clinical Training with an IRM-registered preceptor

- Didactic Education through a formal midwifery education program of your choice

Training Duration:

- Minimum of 3 years for didactic and clinical training (note that most candidates take 4-5 years)

- Must complete training within 8 years from the submission of Phase 1 paperwork

Recommendation for board exam and practice preparation:

- Train under multiple preceptors and in various countries

For New Student Registrations in 2023 and beyond:

If registered before 2023, you can be grandfathered into the requirements at the time of your registration, provided continuous and active training under a CIM-registered preceptor.

 Phase 1

1. Submit IRM initial registration and the first 1/3 of the total fee.

2. Download and save the Phase 1 packet.

3. Complete the following in an assisting role:

   - 25 births

   - 25 prenatal/antenatal exams

   - 25 newborn exams

   - 50 postpartum/postnatal exams

4. Obtain BLS CPR certification.

5. Obtain NRP, HBB, or equivalent certification.

6. Submit completed Phase 1 paperwork.

7. Pass the pre-exam with at least 75%, administered by your preceptor, before moving to primary under supervision.

 Phase 2

1. Download and save the Phase 2 packet and skills checklist.

2. Complete the following in a junior primary under supervision role:

   - 25 births with 7 continuity of care (spanning 3 trimesters and postpartum care)

   - Continuity of care births: 4 prenatal and 2 postpartum exams each

   - 1 minimum prenatal/antenatal exam for each non-continuity birth

   - 1 minimum postpartum/postnatal exam for each non-continuity birth

   - 20 newborn exams in the first 24 hours

3. Have your skills list checked off by your preceptor.

4. Submit Phase 2 paperwork and pay the second 1/3 fee installment before moving to Phase 3.

Phase 3

1. Download and save the Phase 3 packet.

2. Complete the following in a senior primary under supervision role:

   - 25 births

   - Minimum of 7 prenatal/antenatal exams spanning 3 trimesters for 20 of the births

   - Minimum of 3 postpartum/postnatal exams for 20 of the births

   - Minimum of 20 newborn exams in the first 24 hours for 20 of the births

   - 7 births in a low-resource, out-of-hospital setting

3. Complete 20 Well Woman/Gynecology unique primary care exams.

4. Provide 20 hours of breastfeeding support in a minimum of 10 dyads.

5. Submit proof of formal training in NASG, Pharmacology for Midwives, and IV therapy for Midwives.

6. Pass the final exam with at least 75% (timed, proctored, 500+ questions).

7. Submit 5 letters of recommendation:

   - 3 from prior clients

   - 2 from practicing midwives (one must be your registered preceptor)

8. Submit official transcripts and proof of completion for a formal midwifery didactic education program.

9. Submit completed Phase 3 paperwork.

10. Pay the final 1/3 fee installment with the submission of Phase 3 paperwork before scheduling the CIM exam.

• Current RM, CM, CNM, CPM or other foreign certification equivalent or Jurisdiction Midwifery License
• Submit the completed initial registration and full exam fee.
• Proof of current NRP, HBB or equivalent 
• Proof of current BLS CPR
• 75 primary births minimum: 25 must have continuity of care spanning 3 trimesters and postpartum - must have charts for all. Audits will be performed. 
• 7 of the 75 primary births required, must be in a low resource setting and 4 must be out-of-hospital - must have charts or other proof for all, audits will be performed. 
• Proof of 20 hours of breastfeeding support  
• Proof of formal training in NASG, Pharmacology and IV therapy for Midwives 
• Receive a passing score of at least 75% on final exam
• Final exam is timed, proctored and comprised of 500+ questions
• 8 letters of recommendation; 5 from former clients and 3 from Midwives or Physicians you have worked with.

• 150 primary births post completion of your training - random audits are performed -must have charts for all 
• In Primary practice for 5+ years post completion of your training 
• 75 of the primary births must have continuity of care spanning 3 trimesters and the postpartum/postnatal  
• 10+ Primary births in a low resource setting; 7 must be out-of-hospital 
• Submit the completed initial registration and full exam fee.
• Current NRP, HBB or equivalent 
• Current BLS CPR
• 50 hours of breastfeeding support 
• Proof of formal didactic Midwifery training
• Proof of formal training in NASG, Pharmacology and IV therapy for Midwives 
• 8 Letters of recommendation; 5 from prior Midwifery clients and 3 from Midwives or Physicians whom have knowledge of your experience, skill level and Good character 
• Passing score of at least 75% on the IRM proctored and timed, 500+ question final exam