IRM is excited to offer three distinct training pathways that will enable you to sit for the CIM board exam. Each pathway is designed to cater to different levels of experience and qualifications, ensuring that we meet the diverse needs of aspiring Midwives like you.
The first pathway, Entry Level, is perfect for those who have completed a minimum of 75 births under a CIM registered preceptor. This hands-on experience will provide you with the necessary foundation to excel in your Midwifery career.
If you are already certified or licensed elsewhere and have attended at least 75 primary births, the Bridge Entry pathway is the ideal option for you. We recognize and value the skills and knowledge you have gained through your previous certification, and this pathway allows you to seamlessly transition into becoming a CIM board-certified Midwife.
For those who have amassed 5 or more years of experience and have attended a minimum of 150 primary births, the Experienced Midwife pathway is the ultimate choice. Your extensive experience speaks volumes about your expertise and dedication to the field, and we are thrilled to offer a pathway that rewards your hard work.
To make the application process accessible to all aspiring Midwives, we have implemented a tiered scale for the application and exam fees. The tier you fall into will depend on your home country, with fees ranging from $498 to $1500 USD. This ensures that our fees are fair and reasonable, regardless of your background or financial circumstances.
We understand that maintaining your CIM certification is paramount to your professional growth. That is why recertification is required every 4 years, and the cost is also tiered based on your home country, ranging from $85 to $250 USD. This approach allows us to keep the fees affordable and attainable for Midwives across the globe.
To maintain your CIM certification, you will need to demonstrate that you are in good standing, complete 50 Continuing Education Units (CEUs) over the prior certification period, provide proof of yearly peer review, and hold current certifications in NRP/HBB and BLS CPR. These requirements ensure that you stay up-to-date with the latest advancements in Midwifery practice and continue to provide exceptional care to your clients.
Our tiered fee system is based on thorough research, considering both Maternal Child Health statistics and average income statistics for each country. By adopting this approach, we aim to strike a balance between affordability and sustainability while considering the unique circumstances of each aspiring midwife.
We are committed to supporting you throughout your Midwifery journey and providing you with the resources and opportunities to thrive. Choose the pathway that aligns with your experience and goals, and embark on a rewarding career as a CIM board-certified Midwife.
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.
International Registry of Midwives (IRM) is a nonprofit, accredited affiliate of the World Organization of Natural Medicine and Clinics for Humanity™.
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