Clinical Preceptors

As an apprenticeship-based midwifery education program, a student’s clinical preceptor plays a crucial role in that student’s midwifery education and training. NMI’s precepting faculty are tasked with teaching the hands-on midwifery skills that are fundamental in the transformation each student makes from student into midwife. In keeping with our mission to provide decentralized midwifery education, with midwifery students working in their own communities and fully in touch with the clients and families that they serve, NMI does not provide students with clinical placements. Rather, NMI students are responsible for finding and securing their own preceptorships with a competent maternal-newborn care provider in their own community. Typically, NMI students work with a single preceptor who teaches nearly all clinical skills to the student. Some students work in multi-preceptor practices, or apprentice with two separate midwifery practices at the same time. NMI supports the primacy of the student-preceptor relationship and allows preceptor-student pairs to create their own arrangements for their work together.

Precepting Faculty Requirements

National Midwifery Institute is an equal opportunity employer and educational institution. There shall be no discrimination against any employee, applicant for employment, preceptor, or any student on any basis including actual or perceived sex, gender identity, race, color, marital status, ethnic origin, religion, age, sexual orientation, or disability. This non-discrimination policy applies to all educational policies and programs and to all terms and conditions of employment, which include (but are not limited to): recruitment, hiring, training, compensation, benefits, promotions, disciplinary actions and termination.

Precepting faculty for National Midwifery Institute must be health professionals providing primary care for pregnancy, birth, postpartum, and newborn care, and may also provide reproductive healthcare services for their communities and birth care in an out-of-hospital setting. This may include midwives (LMs, RMs, CPMs, CNMs, etc.), family practice physicians, and other care providers. Contact NMI today to discuss your qualifications!

As precepting midwives observe and document increasing skill in their apprentices, they are expected to respond by making additional responsibilities and practice opportunities available to students at an appropriate rate for their acquisition and in accordance with their practice policies.

All precepting faculty must:

  • Agree to uphold NMI program goals, the Philosophy and Purpose Statement, and the Mission Statement;

  • Demonstrate an effective teaching style, incorporating student input and feedback;

  • Work cooperatively with other faculty;

  • Maintain updated course content meeting current program goals;

  • Complete cultural sensitivity/diversity training or course work;

  • Evaluate student progress according to the required schedule;

  • Complete and document 30 hours of continuing education every three years (consistent with NARM CEU policy);

  • Maintain a professional ethic (as defined by the MANA Statement of Values and Ethics) upholding student confidentiality at all times;

  • Agree to participate in conflict resolution, utilizing the program’s Grievance Mechanism as necessary;

  • Respond appropriately to the suggestions arising from the annual NMI program review.

  • Be in active midwifery practice in an out-of-hospital setting;

  • Be certified or licensed by a mechanism recognized in their jurisdiction, or maintain the CPM credential where midwifery is not regulated and not prohibited by enforcement of existing law;

  • Periodically attend peer review. Preceptors are encouraged to include students in routine peer review, if acceptable within the local midwifery community.

Preceptor Honorarium

An approved NMI preceptor may invoice the program for a total honorarium of $3400 per student (limited to the minimum requirements for each experience category: up to 10 observe births @ $10 each; up to 55 student-assist exams and 195 preceptor supervised student-primary care exams @ $10 each; up to 20 student-assist births @ $15 each; and up to 25 preceptor supervised student-primary care births @ $20 each). NMI holds this amount in reserve from the student’s tuition.

Most preceptors realize adequate exchange with an apprentice via assistance with the practice and honorarium from NMI. However, it is possible that a preceptor will charge a student additional fees. Students are responsible for this as a separate agreement; NMI limits payment to preceptors as described above. If a preceptor requires additional fees, that independent agreement with the student disqualifies the preceptor from also invoicing NMI for the preceptor honorarium amounts.

Preceptor Paperwork

Students are responsible for keeping track of all clinical experience in observe, assist, and primary phases and documenting experience properly. Currently NMI supplies students with paper forms to seek signatures to verify skills and client interactions. In 2019, the option of electronic documentation will be available to students and preceptors who elect for this option. Original signatures on forms will still be required per MEAC and NARM requirements.

Integrating Academic and Clinical Experiences

Knowledge and skills gained in the didactic/course work portion of the program prepare students for active participation during the apprenticeship experience.

Through a joint process of preceptor and self evaluation, students document their accomplishments and progress at their own pace towards meeting NMI program objectives and mastering MANA core competencies.

Academic and Clinical Directors at NMI can help bridge these aspects of student education and counsel students at enriching integration of skills, knowledge, wisdom, and intuition.

Resources for Faculty

NMI Handbook

The NMI Handbook provides details on NMI’s Mission, Goals, Philosophy and Purpose, as well as basic orientation to NMI policies. The NMI Handbook is available in PDF form and can be viewed here.

NMI Faculty Preceptor Handbook

For a more in-depth orientation to precepting for National Midwifery Institute students, the NMI Faculty Preceptor Handbook will be available in January 2019.

Supporting Preceptor as Educator

NMI was founded to preserve community-based midwifery education by developing curriculum that enhances and supports the apprenticeship model. NMI supports preceptors with resources around adult education and precepting students effectively.

Access to MEDLINE with Full Text

All NMI students and faculty, including active clinical preceptors, have access to NMI’s institutional subscription to MEDLINE with Full Text to aid in enriching student research and up-to-date clinical practice informed by experience, intuition, and evidence.

Copyright Resources

NMI provides resources related to copyright online for all prospective and current Faculty on our Faculty Copyright Resources page. All faculty and staff at National Midwifery Institute are required to comply with NMI’s Copyright Policy and Procedures, specified on our Copyright Resources page. One training/professional development opportunity is scheduled by NMI each year to cover the basics of Copyright, the Doctrine of Fair Use, and NMI Copyright Policy and Procedures. Attendance is mandatory for academic faculty.

NMI recognizes that the constraints and demands of clinical practice are often prohibitive for clinical faculty to attend a live session. As such, clinical faculty are exempt from the in-person training in the basics of Copyright, the Doctrine of Fair Use, and NMI Copyright Policy and Procedures. NMI provides faculty with the above-described resources on Copyright, the Doctrine of Fair Use, and NMI Copyright Policy. All faculty are required to initial and sign a Copyright Policy Statement as part of their acceptance process with NMI. This must be signed in order to be approved as a clinical preceptor.

NMI maintains a web resource for prospective and current faculty members to provide orientation to copyright, the doctrine of fair use, and NMI’s Copyright Policy and Procedures. View the web resource here.

To learn more, view the NMI Handbook.