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Certified International Midwife- CIM

3 training pathway options to sit for the CIM board exam:


  • Entry Level- 75 births under CIM registered preceptor
  • Bridge Entry- certified/licensed elsewhere with 75 primary births
  • Experienced Midwife- 5+ years experience with 150 primary births 


Please see the complete list of educational and experience requirements for each exam pathway below.


Regardless of pathway, the application and exam fee is on a tiered scale depending on your home country. The tiers are 1-3 and range from $498-$1500 USD.



In order to keep initial and renewal CIM fees affordable and attainable to all students and Midwives, this tier system is based on your home country or the country where you hold permanent residency- we can’t base your fees off of the low resource country in which you plan to practice or volunteer in, unless you have permanent residency in that country and live there exclusively.


All 3 exam pathways require recertification every 4 years at a tiered cost of $85-$250 USD, determined by your home country.
Recertification every 4 years requires the CIM to be in good standing, 50 CEU’s completed over the prior certification period, proof of yearly peer review, current NRP/HBB and BLS CPR.



The tiers were developed using both Maternal Child Health statistics and average income statistics for each country. 

Initial Registration & Application for All CIM Board Exam Pathways

Register Now

CIM Entry Level Pathway


Requirements for Entry Level Midwife, training under an IRM registered preceptor are as follows:


Your training must include both clinical training with an IRM registered preceptor AND didactic education through a formal Midwifery education program of your choosing.


The minimum timeframe of your didactic and clinical training, must span 3+ years.

Please keep in mind that 3 years is a bare minimum and in the vast majority of scenarios, your initial training in order to complete the following clinical phases with a preceptor, plus your didactic education, will span 4-5 years before you will qualify to sit for the CIM board exam.


We highly recommend that you train under multiple preceptors and in multiple countries.



The maximum timeframe to complete your training once you have submitted Phase 1 paperwork, is 8 years.


The following requirements are for new student registrations in 2023.

If you registered prior to 2023, you can be grandfathered into the requirements at the time of your registration, if you have been a continuous and active student training under a CIM registered preceptor, since your initial registration.



               Phase 1


  • Submit IRM initial registration and initial 1/3 total fee to register as a student. This payment is made when registering to start phase 1.
  • Download and save the phase 1 packet 
  • 25 births in assisting role
  • 25 prenatal/antenatal exams in assisting role
  • 25 newborn exams in assisting role
  • 50 postpartum/postnatal exams in assisting role
  • Exams do not have to be associated with the same client that was logged for the attended births
  • BLS CPR certification 
  • NRP, HBB or equivalent certification
  • Submit completed phase 1 paperwork prior to moving to phase 2
  • Receive a passing score of at least 75% on the pre-exam that will be administered by your preceptor PRIOR to moving from assistant to primary under supervision



                  Phase 2

  • Download and the save the phase 2 packet and skills checklist
  • 25 births in junior primary under supervision role with 7 continuity of care, spanning 3 trimesters and postpartum care
  • Continuity of care births must have a total of 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 
  • Skills list checked off by preceptor
  • Submit phase 2 paperwork and pay the 2nd installment 1/3 fee installment prior to moving on to phase 3

                

                Phase 3

  • Download and save the phase 3 packet
  • 25 births in senior primary under supervision role 
  • 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 are required to be in a low resource setting and must be out-of-hospital
  • 20 Well Woman/Gynecology unique primary care exams
  • 20 hours of breastfeeding support in a minimum of 10 dyads 
  • Proof of formal training in NASG
  • Proof of formal Pharmacology for Midwives education
  • Proof of IV therapy for Midwives education
  • Receive a passing score of at least 75% on final exam
  • Final exam is timed, proctored and comprised of 377 + questions
  • 5 letters of recommendation; 3 from prior clients and 2 from a practicing Midwife that you have worked directly with (1 must be your registered preceptor)
  • Submit official transcripts and proof of completion for a formal Midwifery didactic education program 
  • Submit completed phase 3 paperwork 
  • Pay final 1/3 fee installment with submission of phase 3 paperwork,  prior to CIM exam scheduling

CIM Entry Level Documents

Phase 1 Entry Level Midwife Packet (pdf)Download
Phase 2 Entry Level Midwife Packet (pdf)Download
Entry Level Skills List Check Off (pdf)Download
Phase 3 Entry Level Midwife Packet (pdf)Download
Phase 3 Entry Level Final Checklist (pdf)Download
Letter of Recommendation (pdf)Download

CIM- Bridge Pathway

Requirements for already certified or licensed Bridge Midwife applicants:


  • 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 OOH - 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 377 + questions
  • 8 letters of recommendation; 5 from former clients and 3 from Midwives or Physicians you have worked with.

CIM Bridge Documents

Bridge Midwife Checklist (pdf)Download
Bridge Midwife Packet.pdf (pdf)Download
Letter of Recommendation (pdf)Download

CIM Experienced Midwife Pathway

Requirements for Experienced Midwife applicant, without training under a CIM registered preceptor:


  • 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 OOH 
  • 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, 377 question final exam

CIM Experienced Documents

Experienced Midwife Checklist (pdf)Download
Experienced Midwife Packet (pdf)Download
Letter of Recommendation (pdf)Download





              


 




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