CPM/ LM/ DEM

Continuing Education Requirements By State

Alabama

No continuing education requirements

Alaska

Renewal of a certificate as a direct-entry midwife shall certify having completed 20 contact hours of continuing education approved by the board during the concluding license period. The 20 contact hours must include the following:

     (1) at least four hours of the required continuing education contact hours must be in pharmacology; no more than two hours of the continuing education hours required under this paragraph may be in alternative medications, including herbology and homeopathy

     (2) at least two hours of the required continuing education contact hours must be for the completion of the self-study program described in 12 AAC 14.430(e)

            (b) No more than 10 of the required continuing education contact hours may be completed in a self-study program.

            (c) For the purposes of this section,

                              (1) one contact hour equals a minimum of 50 minutes of instruction;

                              (2) one continuing education unit awarded by a professional association equals 10 contact hours

                              (3) one academic semester credit hour equals 15 contact hours

                              (4) one academic quarter credit hour equals 10 contact hours

            (d) The contact hours of continuing education required by this section may not be met by courses used to satisfy the requirements of 12 AAC 14.400(b)

Arizona

No continuing education requirements

Arkansas

Each renewal, 20 contact hours of continuing education are needed, and the process can often be completed online as long as licensing has not lapsed.  

California

The license to practice midwifery in California must be renewed every two years, which requires payment of the current fee and certification of 36 hours of approved continuing education. Licenses expire at 11:59 p.m. on the expiration date, which is the last day of the month in which it was issued. It is illegal to practice midwifery with an expired license. 

Colorado

A valid professional license may be renewed every five years with an equivalent of six semester hours of credit from an accepted, regionally accredited college or university, which may include up to 90 clock hours of professional development earned during the validity (from the issuance date to the expiration date) of your professional license. Accepted renewal activities include: in-service education, college/university coursework, involvement in school reform, internships, travel, and ongoing professional development. 

Connecticut

No state licensing regulations

Delaware

The mandatory training must meet the requirements of the Child Protection Accountability Commission (CPAC). To meet these requirements, take the online training course entitled Mandatory Reporting Training for Medical Professionals.  The midwife shall be required to complete thirty hours of continuing education acceptable to the Council biennially. 

District of Columbia

No continuing education requirements

Florida

 If a license is issued in the first year of the biennium (in an even year), the licensee will be required to satisfy all Continuing Education hour requirements prior to their first renewal.

If a license is issued in the second year of the biennium (in an odd year), the licensee will not be required to satisfy all Continuing Education hour requirements prior to their first renewal. The licensee will be required to complete only a two hour course in Prevention of Medical Errors.

Subsequent renewals require 16hr general CEUs, 2hr Prevention of Medical Errors CUEs, 1hr Laws and Rules CUE, 1hr HIV/AID CEU (total 20hr CEUs)

Georgia

A licensed midwife must successfully complete a minimum of ten (10) continuing education hours per year. Two (2) of these hours must be in peer review participation as described in Subsection 300.06 

Hawaii

No continuing education requirements

Idaho

A licensed midwife must successfully complete a  minimum of ten (10) continuing education hours per year. Two (2) of these hours must be in peer review participation.

Illinois

No state licensing regulations 

Indiana

In order to renew your certified direct entry midwife license you are required to have completed no less than fifteen (15) hours of continuing education each licensure year. The Committee is currently on a two (2) year renewal cycle.  

Iowa

No state regulations

Kansas

No state regulations

Maine

No state regulations

Maryland

No state regulations 

Massachusetts

No state regulations

Kentucky

No specific continuing education requirements for licensure renewal 

Louisiana

Evidence of completion of thirty contact hours of continuing education as required by the regulations promulgated by the board.

Michigan

 Must be completed by the end of the 2 year license cycle prior to renewal: At least 30 hours of continuing education that is met by obtaining and maintaining, the credential of CPM from NARM, or an equivalent credential approved by the board. One hour of continuing education in pain and symptom management 

Minnesota

30 hours continuing education every three years

Mississippi

No state regulations

Missouri

No state regulations

Montana

No state regulations

Nevada

No state regulations

Nebraska

No state regulations

New Hampshire

No state regulations

New Jersey

No state regulations

New Mexico

Required to complete minimum 30 hours of approved CE within the 24 months immediately preceding  expiration of license over the last 2yrs. 

New York

No state regulations

North Carolina

No state regulaions

North Dakota

No state regulations

Ohio

No state regulations  

Oklahoma

No continuing education requirements

Oregon

Thirty-five (35) continuing education hours every two years To maintain licensure, a licensed direct midwife (LDM) must complete a minimum of thirty-five (35) continuing education (CE) hours related to services listed in Oregon Revised Statute (ORS) 687.405 every two years. 

Pennsylvania

No state regulations

Rhode Island

No state regulations 

South Carolina

Requires Licensed Midwives to  show “evidence of 32 contact hours of continuing education during the licensing period”  in order to qualify for renewal of the license 

South Dakota

No specific continuing education requirements from state (refer to NARM CEU requirements)

Tennessee

No specific state continuing education requirements

Texas

Licensed midwives are required to complete 20 contact hours of approved midwifery education since March 1 of the previous 2-year license period. Additional requirements include proof of a current CPR certification for health care providers from an approved organization and proof of current certification for neonatal resuscitation from the American Academy of Pediatrics. A retired midwifery license requires only 5 hours of approved midwifery continuing education. 

Utah

Current Certified Professional Midwife certificate in good standing with NARM; a current certification in adult and infant CPR; a current certification in newborn or neonatal resuscitation; and documentation of completing the 2 hour approved CE requirement in intrapartum fetal monitoring. 

Vermont

All midwives licensed and residing in this state must complete a minimum of 20 hours of continuing education during the two-year renewal period and must so certify at the time of license renewal. The continuing education requirement does not apply for the renewal period during which a midwife initially obtained licensure. It will begin with the first full two-year renewal period. 

Virginia

No additional continuing education requirements outside of NARM standards except for human trafficking CEUs

Washington

Thirty hours of continuing education (CE) every three years:

  • A minimum of 25 hours must be directly related to the clinical practice of midwifery.
  • Any remaining hours may be in professional development activities that enhance the practice of the licensed midwife.

West Virginia

No state regulations

Wisconsin

No continuing education requirements above and beyond NARM (need to maintain CRP and NRP)

Wyoming

No state CEU requirements above and beyond NARM certification requirements 

Guam

No territory regulations

As of 1/1/2021

Want to Learn More?

NARM supports a health care system where every family in North America has access to skilled and responsible midwives.  

North American Registry Of Midwives

The Certified Professional Midwife credential, issued by NARM, is accredited by the National Commission for Certifying Agencies (NCCA), the accrediting body of the Institute for Credentialing Excellence (ICE, formerly NOCA). The mission of ICE is to promote excellence in credentialing for practitioners in all occupations and professions. The NCCA accredits many healthcare credentials, including the Certified Nurse-Midwife. NCCA encourages their accredited certification programs to have an education evaluation process so candidates who have been educated outside of established pathways may have their qualifications evaluated for credentialing. The NARM Portfolio Evaluation Process (PEP) meets this recommendation. The CPM is the only NCCA-accredited midwifery credential that includes a requirement for out-of-hospital experience. 

               The purpose of recertification is to encourage CPMs to advance and enhance their knowledge and skills and/or to promote continued competence by requiring CPMs to demonstrate current levels of knowledge and skills.

  • Each CPM must complete the Recertification Application and attach all pertinent documentation. Recertification applications may be submitted 90 days prior to the expiration date. A CPM, no matter what route of entry they came through for initial certification, will be considered expired if she/he is more than 90 days past recertification deadline without declaring inactive status.
  • A total of 30 CEUs over three years are required for recertification, including five mandatory CEUs in Peer Review and 25 CEUs in a variety of other categories. In lieu of the 25 CEUs, applicants may re-take the NARM Examination. To request a re-testing form, contact applications@narm.org.
  • Current CPR and neonatal resuscitation. (CPR and/or neonatal resuscitation may not be used as part of your CEU totals for recertification.)

CEUs for Category 1 must have been granted by an accrediting organization such as MEAC, ACOG, ACNM, AWHONN, AAFP, State Health Departments, Nursing or Perinatal Associations. CEUs taught by midwifery associations or non-accredited educational programs will not count unless accredited as CEUs by a third party. Non-accredited CEUs may be listed in Category 2.

               NARM only accepts certification for CPR and neonatal resuscitation from courses that include a hands-on skills component. Online only courses are not accepted. Approved CPR courses include the American Heart Association, the Red Cross, and American Safety and Health Institute (ASHI) Basic Life Support. Neonatal resuscitation courses must be approved by the American Academy of Pediatrics, the Canadian Paediatric Society, or pre-approved by NARM. Courses must be approved for use in the U.S. or Canada.

               For purposes of NARM Recertification, NARM uses the term “CEU” to refer to required continuing education, which may be documented in hours or in units. 1 contact hour is equal to 0.1 units. NARM requires a total of 25 contact hours of continuing education for recertification.

All applicants and CPMs are required to complete a workshop, module, or course on Cultural Awareness for certification. Participation is required for recertification, if not previously submitted for the initial certification. Approved courses/modules such as:

  • A course on cultural awareness within a midwifery education program accredited by MEAC or a specific state approved midwifery education program
  • A course on cultural awareness within a state approved medical/health education program
  • A cultural awareness course offered as a workshop accredited for CEUs by MEAC

              There are several online sites that provide Cultural Awareness modules for health care providers and offer CEUs.  A Google search should bring up quite a few options.  Please note that Cultural Awareness modules are not required to have CEUs attached, but if they do you may also use them in Category 1.  If there are no CEUs provided the course/module must be health care related and presented through an institution or other recognized source.  A certificate of completion may be submitted as proof of participation. Some options include:

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