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1 CRITERIA FOR PROGRAMMATIC ACCREDITATION of Midwifery Education

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					CRITERIA FOR PROGRAMMATIC ACCREDITATION

          of Midwifery Education Programs
with Instructions for Elaboration and Documentation




                  2009 Revisions




              DRAFT FOR COMMENT
                   MAY 22, 2009




                         1
                                                         PREFACE


ACCREDITATION COMMISSION FOR MIDWIFERY EDUCATION
                    formerly the American College of Nurse-Midwives (ACNM) Division of Accreditation


Programmatic accreditation is a quality assurance process combining self assessment and peer evaluation.
Institutions offering midwifery education voluntarily participate in the accreditation process with the
Accreditation Commission for Midwifery Education (ACME) to assure that standards of midwifery education are
maintained, competencies and skills are learned, and graduates are appropriately qualified. The criteria for
accreditation are periodically revised by the Board of Commissioners of ACME, sent out for public comment, and
finalized for conducting the accreditation process.

The accreditation process is available to any education program or institution that meets the eligibility requirements as
outlined in the ACNM ACME Policies and Procedures Manual.




                                                              2
CRITERIA FOR PROGRAMMATIC ACCREDITATION

                                                  of Midwifery Education Programs
                                        with Instructions for Elaboration and Documentation



Introduction


The Accreditation Commission for Midwifery Education (ACME) of the American College of Nurse-Midwives (ACNM) establishes the
Criteria for Programmatic Accreditation of Midwifery Education Programs. These criteria are the basis for the programmatic
accreditation process that is a joint activity involving both the midwifery education program and ACME.

The purposes of the criteria include:

A.       To provide structure for implementing peer evaluation in the assessment of the quality of midwifery education programs
         preparing midwives and nurse-midwives.

B.       To assure all aspects of midwifery education programs lead to appropriate student outcomes and prepare competent
         midwives.

C.       To serve as a guide to faculty in developing and improving their program and as a framework for self-evaluation.

For Board of Review (BOR) action on each programmatic accreditation report, all programmatic accreditation criteria are considered
and must be met. Actions that may be taken by the BOR are listed in the section titled “Board of Review” in the ACME Policies and
Procedures Manual.

The United States Department of Education (USDE) recognizes ACME to conduct “the accreditation and pre-accreditation of basic
certificate, basic graduate nurse-midwifery, direct entry midwifery, and pre-certification nurse-midwifery education programs.” The
USDE link is http://www.ed.gov/admins/finaid/accred/index.html Insert USDE address and phone contact




                                                                   3
Currently, ACME accredits programs that culminate in a basic certificate, master’s degree, doctoral degree or post-graduate
certificate. ACME also accredits pre-certification programs for professional midwives. There may be multiple paths of entry into
these programs. Such programs include, but are not limited to, the following examples:

     •   Associate degree or baccalaureate degree to master’s degree program in nurse-midwifery or midwifery
     •   Post baccalaureate certificate
     •   A midwifery education program that leads to a master’s degree in midwifery, nursing, public health or an allied health field
     •   Post graduate certificate
     •   A midwifery education program that leads to a Doctor of Nursing Practice degree or other doctorate




                                                                   4
                                                             GLOSSARY




As used throughout this document the following terms are defined as:


Academic Unit:               College/School, Institute, or Department within or affiliated with an institution of higher education (e.g.
                             nursing, public health, college of health related professions).

Accreditation:               (as defined by the U.S. Department of Education): the status of public recognition that an accrediting
                             agency grants to an educational institution or program that meets the agency's standards and
                             requirements.

                                                       ACCREDITING AGENCY OR




  AGENCY:                      (AS DEFINED BY THE U.S. DEPARTMENT OF EDUCATION): A LEGAL ENTITY, OR THAT PART OF A LEGAL ENTITY,
                               THAT CONDUCTS ACCREDITING ACTIVITIES THROUGH VOLUNTARY, NON-FEDERAL PEER REVIEW AND MAKES
                              DECISIONS CONCERNING THE ACCREDITATION OR PRE-ACCREDITATION STATUS OF INSTITUTIONS, PROGRAMS
                                                                         OR BOTH.




Administrative Unit:         The person, group or area responsible for the midwifery program budget.

Affiliation:                A written agreement between an organization, school or midwifery program and an institution to offer
                            education cooperatively.

All faculty:                Core and midwifery faculty.




                                                                   5
Certified midwife:          A midwife certified by the ACNM, the ACNM Certification Council (ACC) or the American Midwifery
                            Certification Board (AMCB) to use the credential Certified Midwife (CM) or Certified Nurse-Midwife
                            (CNM).

Core Faculty:               Faculty, including midwives and others, as defined by the program who are directly responsible for
                            curriculum design, implementation, and evaluation of the midwifery program.

Institution:                An academic degree-granting organization that 1) offers a midwifery education program and may offer
                            other health-related education programs, 2) holds legal authority from the appropriate government
                            agency to operate a higher education institution, and 3) is accredited by ACME or another institutional
                            accrediting agency recognized by the US Department of Education or meets the ACME policy for
                            international accreditation. [See Appendix A.]

Institutional Accrediting
Agency:                     (as defined by the U.S. Department of Education): an agency that accredits institutions of higher
                            education.

Midwifery:                  Throughout this document, the term ‘midwifery’ encompasses nurse-midwifery and midwifery.

Midwifery Core
Curriculum:                 Those courses that contain content that fulfill the ACNM Core Competencies for Basic Midwifery
                            Practice.

Midwifery Faculty:          All certified midwives working within the midwifery program.

Midwifery Education
Program or Midwifery
Program:                    The administrative/academic unit that offers the education content and oversees completion of the
                            midwifery core curriculum in conjunction with the other requirements set by the institution and/or
                            required by ACME for earning a certificate or a degree.

Midwifery Program




                                                                6
Director:                  Certified Nurse-Midwife (CNM) or Certified Midwife (CM), with faculty status, clearly identified by title
                           and position to direct the midwifery education program.

Programmatic Accrediting
Agency:                    (as defined by the U.S. Department of Education): an agency that accredits specific educational
                           programs that prepare students for entry into a profession, occupation or vocation.




                                                                 7
   ACME PROGRAM ACCREDITATION INTRO & CRITERION I
INTRODUCTION


The Introduction should be preceded by a title page as described in ACNM Accreditation Commission for Midwifery Education
Policies and Procedures Manual, page 24.

This Self-Evaluation Report (SER) will begin with a one-two page overview describing the midwifery program/s.
N.B If there is more than one clearly distinguishable midwifery program in the institution and the way each meets a criterion is
different, clearly explain both of those in the SER. Incorporate the responses into one SER, not separate SERs for each program.
An example would be a school that has a basic master’s program and a pre-certification program. Different midwifery programs
should not be confused with a single midwifery program that has multiple tracks.

The program overview will include a brief description in narrative form (when the program/s began and any significant changes or
milestones.) Briefly discuss the primary modalities for the delivery of education (e.g., distance education). Provide a table that
includes:

   •   Type of program/s offered
   •   Length of program/s
   •   Sample program plans for full- and part-time study, as applicable
   •   Credential/s awarded
   •   URL or website address for the program

Define the SER time frame, i.e., the one-year period represented in this self-study, including type of year (academic or calendar year)
and the two most recent completed class cohorts for student clinical experience. Provide a list of any abbreviations and acronyms
essential for reading the SER. Unless otherwise directed at a specific criterion, documentation for the Exhibits may be provided in
either printed or electronic format. If printed material is used, page numbers should be provided or other mechanisms used to direct
readers to the relevant passages. If electronic material is used, the specific URL or relevant directions should be given to readers to
find the referenced material on a public Internet site. If nonpublic or intranet documentation is cited, access should be provided both
to the site visitors and to the BOR. Programs may provide additional information to document that a criterion has been met. All




                                                                   8
programs will be expected to address the criteria using the current ACNM and ACME documents. Any discrepancies should be
explained.


                             ACME Program Accreditation Revisions I Organization and Administration

Criterion I:                       Instructions for Elaboration                Instructions for            Comments
                                            in the SER                       Documentation in the
                                                                                   Exhibits
A. This SER is an in-depth        A. Describe who wrote and
self-study written by a           reviewed the SER.
member/members of the
midwifery faculty with
opportunity for input by
students, faculty and
administrators.
B. The midwifery program          B. In the SER, list the
provides opportunity to its       constituencies the program
relevant constituents for third   plans to notify regarding
party comment on the              opportunity for third party
accreditation criteria at least   comments on the accreditation
two months prior to the           criteria. Third party comment
scheduled site visit.             should be sent directly to
                                  ACME.
C. The midwifery program          C. “Resides within” can be             C. Provide a copy of the letter
resides within or is affiliated   documented through evidence            or certificate of current
with an institution that is       found in academic unit                 institutional accreditation.
currently accredited by ACME,     publications; “affiliated with”
or by another agency              must be documented with a
recognized by the United          copy of the affiliation
States Department of              agreement. In the SER,
Education, or it meets ACME’s     describe the relationship of the
policy requirements for           program to the accredited



                                                                     9
Criterion I:                         Instructions for Elaboration                 Instructions for           Comments
                                              in the SER                        Documentation in the
                                                                                      Exhibits
institutions based outside the      institution. In the Appendices
United States (see Appendix         of the SER, provide an
A).                                 organizational chart that
                                    demonstrates that the
                                    midwifery program has a
                                    clearly defined relationship with
                                    the institution within which it
                                    resides or with which it is
                                    affiliated. In the SER, name
                                    the institutional accrediting
                                    body. If the midwifery program
                                    resides within or is affiliated
                                    with an institution based
                                    outside the United States,
                                    describe in the SER the
                                    relationship between the
                                    program and the international
                                    institution.
C.1. There is evidence of           1. Describe the support of
commitment to the midwifery         these key administrators with
program from key                    concrete examples for both the
administrators in the institution   institution and the academic
and academic unit.                  unit (if different).
C.2. The midwifery program          2. Describe program financial            2. Provide information that
has sufficient fiscal resources     resources, including both                demonstrates that fiscal
to ensure that program              internal and external funding            resources are adequate to
objectives can be met.              (grants). Explain any financial          meet program objectives. This
                                    problems facing the program in           may include financial
                                    the SER time frame that would            statements, grant award
                                    prohibit the program from                statements, program budgets



                                                                        10
Criterion I:                        Instructions for Elaboration                  Instructions for          Comments
                                             in the SER                        Documentation in the
                                                                                       Exhibits
                                   meeting its stated objectives           and other financial records.
                                   and intended outcomes.
                                   If external grants are a
                                   significant source of support of
                                   the program, explain how the
                                   midwifery program would meet
                                   its objectives/outcomes if that
                                   funding were discontinued.
C.3. The midwifery program         3. Describe how the program/
has input into the budget          program director provides input
process and/or financial           into the budget process and/or
planning to ensure ongoing         financial planning.
adequate program resources.
C.4. The midwifery program is      4. Provide the institution's            4. Provide evidence of
in an institutional environment    policies, describe relevant             completed scholarly and
that promotes and facilitates      resources and provide specific          professional faculty products.
scholarly and professional         examples of faculty scholarly
productivity.                      and professional productivity
                                   that have been supported by
                                   the institution’s policies and
                                   resources.
D. Each midwifery program is       D. No narrative is needed for           D. Identify references to the
a definable entity                 D.                                      program in documents, e.g.
distinguishable from other                                                 catalogs, brochures, or
education programs and                                                     websites.
services within the institution.

Each complies with:
D.1. The midwifery program is      1. Document who has the                 1. Provide evidence such as
directed by a midwife who is       responsibility for program              letter of appointment, job



                                                                      11
Criterion I:                        Instructions for Elaboration                  Instructions for           Comments
                                             in the SER                       Documentation in the
                                                                                      Exhibits
clearly identified by title and    direction. Describe the                description or a letter from the
position, meets institutional      institution’s requirements for         academic unit administrator
qualifications for appointment     the position.                          detailing these requirements.
to that position, and is                                                  Provide evidence of how the
responsible to insure all                                                 program director meets these
elements of the ACNM Core                                                 requirements.
Competencies for Basic
Midwifery Practice are included
in the curriculum.
D.2. Policies, requirements and    2. No narrative is required for        2. For each item in I.D.2.a.-d.,
public disclosure data for the     D. 2. Each item in I.D.2. a.-d.        have the identified relevant
midwifery program are              should be addressed                    printed or electronic documents
accurately described in the        separately.                            available and marked where
institution's representations to                                          pertinent information may be
the public about its education                                            found.
offerings in the following
aspects:
D.2.a. Current accreditation       a. Identify specifically where         a. Provide that evidence.
status from the Accreditation      the evidence may be found in
Commission for Midwifery           printed and/or electronic
Education (ACME) (formerly         documents.
the ACNM Division of
Accreditation), including the
address, telephone number
and electronic access for
ACME.
D.2.b. Certificate or degree       b. State the exact wording of          b. Provide evidence of the
that may be earned.                the credential as it appears on        credential, such as a copy of a
                                   the certificate or diploma. In         diploma/certificate or other
                                   cases in which more than one           document that clearly states



                                                                     12
Criterion I:                         Instructions for Elaboration                 Instructions for       Comments
                                              in the SER                       Documentation in the
                                                                                      Exhibits
                                    credential is awarded, all must        the degree or certificate
                                    be addressed. Identify                 awarded.
                                    specifically where the evidence
                                    may be found in printed and/or
                                    electronic documents.
D.2.c. Academic policies, such      c. Identify specifically where         c. Provide the identified
as admission, continuation,         the evidence may be found in           relevant printed and/or
and graduation requirements,        printed and/or electronic              electronic documents marked
and possible patterns of            documents.                             where pertinent information
progression though the                                                     may be found.
program.
D.2.d. Tuition and fees, with       d. Identify specifically where         d. Provide the identified
their relevant refund policy, and   the evidence may be found in           relevant printed and/or
related costs, such as required     printed and/or electronic              electronic documents marked
texts and technology, and           documents.                             where pertinent information
clinical site expenses.                                                    may be found.




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                     A C M E P R O G R A M A C C R E D I T A T I O N R E V I S I O N S I I F AC U L T Y AN D F AC U L T Y O R G AN I Z AT I O N


Criterion II: Faculty and                Instructions for Elaboration                         Instructions for                             Comments
Faculty Organization                              in the SER                              Documentation in the
                                                                                                  Exhibits
A. All faculty are recruited,           A. Identify the non-                         A. Provide documentation that
appointed and promoted                  discrimination policy in the                 this policy has been
according to the institution’s          institution’s policies. Describe             implemented.
non-discrimination policy.              the number, frequency, type
                                        and resolution of grievances
                                        pertaining to non-
                                        discrimination.
B. All faculty are qualified to         B. Provide a table containing
provide students with a level of        the following data:
instruction, supervision and                1. Name of faculty
evaluation that is compatible                  member by category,
with safe practice and student                 such as core,
learning needs.                                midwifery, clinical or
                                               other categories of
All faculty are qualified in that:
                                               faculty identified in
                                               the SER.
                                            2. ACNM or AMCB
                                               certification number
                                               for midwifery faculty.
                                            3. Specialty certification
                                               or specific expertise
                                               of other core faculty.
                                            4. Highest earned
                                               degree.
                                            5. Category of faculty



                                                                                14
Criterion II: Faculty and           Instructions for Elaboration              Instructions for      Comments
Faculty Organization                         in the SER                     Documentation in the
                                                                                  Exhibits
                                          appointment, such as
                                          Associate Professor,
                                          Clinical Assistant
                                          Professor, Clinical
                                          Instructor, or
                                          Preceptor.
                                   The table should begin with
                                   the core faculty followed by
                                   those who provide clinical
                                   teaching and evaluation. Do
                                   not duplicate an individual’s
                                   information in the table.

                                   In narrative form, explain any
                                   areas not fully met or that
                                   require clarification.
B.1. Midwifery faculty are                                               1. Copies of one of the
certified by ACNM or American                                            following should be
Midwifery Certification Board                                            available: For midwifery
(AMCB) and other faculty are                                             faculty:
certified by other credentialing
                                                                         • ACNM or AMCB
bodies when applicable.
                                                                             certification
                                                                         • ACNM membership card
                                                                         • ACNM CCA Participation
                                                                             Report or CCA
                                                                             enrollment card or
                                                                             documentation of CMP
                                                                             participation


                                                                    15
Criterion II: Faculty and         Instructions for Elaboration                   Instructions for             Comments
Faculty Organization                       in the SER                        Documentation in the
                                                                                     Exhibits
                                                                        State licensure if ACNM or
                                                                        ACMB certification is the only
                                                                        route for licensure in that state
                                                                        or legal jurisdiction.
                                                                        Hard copy of website
                                                                        verification of certification is
                                                                        acceptable and may be
                                                                        obtained from licensing boards
                                                                        and/or the AMCB websites.
                                                                        For other faculty, credentials as
                                                                        appropriate.
                                                                        State licensure if certification is
                                                                        the only route for licensure in
                                                                        that state or legal jurisdiction.
B.2. Have education               2. Describe the level and             2. Provide copies of
credentials appropriate to the    mechanism of supervision              diplomas or official
level at which they teach, with   afforded to faculty who do not        transcripts on file. Evidence
a minimum of a master’s           meet the institutional                of credentialing/licensure
degree, and meet the              requirements for faculty
                                                                        /privileges that require
academic institution's            appointment or who do not
requirements for core and         possess a master’s or higher
                                                                        verification of the degree
midwifery faculty. If a faculty   degree.                               may be used as a
member possesses less than                                              satisfactory form of
these qualifications, that                                              documentation.
individual must be responsible
to a qualified faculty member.
B.3. Have preparation for         3. Describe the midwifery             3. Document that each
teaching commensurate with        program’s criteria and                faculty member is prepared
the teaching assignment.          process for determining that          for the teaching assignment.
                                  faculty have appropriate


                                                                   16
Criterion II: Faculty and            Instructions for Elaboration                  Instructions for          Comments
Faculty Organization                          in the SER                         Documentation in the
                                                                                       Exhibits
                                    preparation for didactic
                                    classroom, mixed medium
                                    and distance delivery and/or
                                    clinical teaching.
                                    Elaborate on the preparation
                                    and supervision afforded to
                                    faculty who do not meet all the
                                    program’s requirements for
                                    teacher preparation.
B.4. Have clinical experience       4. Describe the midwifery                4. Document that each
commensurate with the clinical      program’s criteria and process           faculty member teaching
teaching assignment.                for determining that faculty             clinical content has clinical
                                    have appropriate clinical                experience commensurate
                                    experience for the clinical
                                                                             with the clinical teaching
                                    teaching assignment.
                                                                             assignment.
C. Faculty participating in the     C. No narrative required for C.          C. Document that faculty
midwifery program will have                                                  are responsible by syllabi,
the following responsibilities                                               committee minutes or other
that will provide students with a                                            types of communication.
level of instruction, supervision
and evaluation compatible with
safe practice and student
learning needs:
C.1. Instruction, supervision       1. Provide a table that lists the        1. Provide documentation
and evaluation of students in       course names/numbers that                that courses taught by non-
didactic courses containing         include ACNM core                        midwives have been
ACNM core competency                competency content and who               evaluated to assure
content shall be the                taught them during the SER
                                                                             appropriate inclusion of core
responsibility primarily of         time frame.



                                                                        17
Criterion II: Faculty and           Instructions for Elaboration                  Instructions for          Comments
Faculty Organization                         in the SER                         Documentation in the
                                                                                      Exhibits
midwifery faculty.                 For those courses/content not             competency content and
                                   taught by a midwife, describe             describe the process used to
                                   the process for assuring that             correct any deficiencies.
                                   the ACNM core competencies
                                   are being taught.
C.2. Instruction, supervision,     2. Describe the clinical                  2. Provide documentation
and evaluation of students in      teaching responsibilities for             that courses taught by non-
clinical learning shall be the     each midwifery faculty during             midwives have been
responsibility primarily of        the SER time frame. Provide a             evaluated to assure
midwifery faculty.                 table that includes the following
                                                                             appropriate, safe clinical
                                   categories of information
                                   related to the clinical portion of
                                                                             content and describe the
                                   the program. The information              process used to correct any
                                   may be combined with the                  deficiencies.
                                   table requested in II.C.1
                                   •   Name and credential
                                       (e.g. CNM, CM, NP, MD)
                                   •   Clinical Site
                                   •   Clinical area (e.g. AP)
                                   In the table, include non-
                                   midwifery faculty who provide
                                   clinical supervision. For clinical
                                   courses/content not taught by a
                                   midwife, describe the process
                                   for assuring the training of
                                   safe, competent midwives.
C.3. Core faculty participate in   3. No narrative required for C.           3. Committee minutes or
the following responsibilities:    3.                                        other documentation are to
                                   In the SER, for each of the               be available in hard copy,



                                                                        18
Criterion II: Faculty and           Instructions for Elaboration                   Instructions for         Comments
Faculty Organization                         in the SER                          Documentation in the
                                                                                       Exhibits
                                   criteria in II.C.3.a.-f., describe        and relevant sections should
                                   the faculty’s involvement in              be clearly identified.
                                   each of the responsibilities.
                                   Cite the specific
                                   source/location of
                                   documentation.
C.3.a. Development and/or,         a. Refer to II.C.3 above                  a. Provide the materials
implementation, and evaluation                                               cited.
of the curriculum.
C.3.b. Selection, evaluation,      b. Refer to II.C.3 above                  b. Provide the materials
advancement, and advisement                                                  cited.
of students.
C.3.c. Recruitment, selection      c. Refer to II.C.3 above                  c. Provide the materials
and promotion of faculty.                                                    cited.
C.3.d. Orientation of faculty to   d. Refer to II.C.3 above                  d. Provide the materials
curriculum, documents and                                                    cited.
expectations.
C.3.e. Development and/or          e. Refer to II.C.3 above                  e. Provide the materials
implementation of a                                                          cited.
mechanism for student
evaluation of teachers, courses
and midwifery program
effectiveness.
C.3.f. Ongoing development         f. Refer to II.C.3 above                  f. Provide the materials
and annual evaluation of the                                                 cited.
midwifery program's resources,
facilities, and services.
C.3.g. As appropriate to the       g. No narrative is required for           g. Include examples of
academic unit:                     C.3.g.                                    faculty schedules/activities



                                                                        19
Criterion II: Faculty and            Instructions for Elaboration                  Instructions for         Comments
Faculty Organization                          in the SER                         Documentation in the
                                                                                       Exhibits
                                    Describe the academic unit’s              that demonstrate faculty
                                    expectation for faculty activities        meet these expectations.
                                    for each of the items separately
                                    in II.C.3.g.1)-5). Include any
                                    pertinent definitions, such as
                                    workload formula. Describe
                                    how faculty meet these
                                    expectations.
C.3.g.1) Participate or have        1) Refer to II.C.3.g. above.
input into councils and
committees of the academic
unit.
C.3.g.2) Continue professional      2) Refer to II.C.3.g. above.
advancement within the
academic unit.
C.3.g.3) Maintain clinical          3) Refer to II.C.3.g. above.
expertise.
C.3.g.4) Participate in             4) Refer to II.C.3.g. above.
scholarly activities.
C.3.g.5) Participate in             5) Refer to II.C.3.g. above.
community service.
C.4. Faculty carry out their        4. Provide examples of faculty
responsibilities with respect for   addressing students’ individual
individual variations.              variations, such as in learning
                                    styles, levels of ability and/or
                                    personality types.
D. Policies of the institution      D. No narrative is required for           D. Source documents
defining the rights and             D.                                        described in the SER should
responsibilities of faculty are                                               be available for review.
made available and applied          Describe the location of the



                                                                         20
Criterion II: Faculty and            Instructions for Elaboration                   Instructions for            Comments
Faculty Organization                          in the SER                          Documentation in the
                                                                                        Exhibits
consistently to the core faculty.   policies for II.D.1.-4. Address
                                    items II.D.1.-4. separately.
These policies include the
following rights.
D.1. Academic freedom               1. Refer to II.D. above.                  1. Refer to II.D. above.
D.2. Periodic evaluation based      2. Refer to II.D. above.                  2. Refer to II.D. above.
on defined criteria.
D.3. Promotion, tenure, merit       3. Refer to II.D. above.                  3. Refer to II.D. above.
recognition and termination.
D.4. Channels for receipt and       4. Refer to II.D. above.                  4. Refer to II.D. above.
consideration of faculty views
and grievances.


                                    ACME PROGRAM ACCREDITATION REVISIONS III STUDENTS


Criterion III: Students              Instructions for Elaboration                    Instructions for           Comments
                                              in the SER                          Documentation in the
                                                                                         Exhibits
A. The institution has              A. State the criteria and                 A. Provide the document/s in
admission criteria and policies,    policies. Identify their locations        which the criteria and policies
including a non-discrimination      available to the public.                  appear.
policy, that are publicly
available.
B. The institution has student      B. Identify the location of these         B. Provide the document/s in
policies that are publicly          student policies. Describe how            which the policies appear.
available and identified to         these policies are identified to
students upon admission             students upon admission.
related to: student evaluation,



                                                                         21
Criterion III: Students            Instructions for Elaboration                 Instructions for           Comments
                                            in the SER                        Documentation in the
                                                                                    Exhibits
progression, retention,
dismissal and graduation;
review of personal records and
equitable tuition refund; and
evaluation of their education.
C. Upon entering the program,      C. Identify special/services           C. As applicable, provide
students have access to and        available to meet the special          specific examples of how the
are informed of special/support    needs of students to promote           special needs of students were
services providing a range of      their retention in and                 met.
services to meet their needs in    progression through the
order to promote their retention   program, and explain how
and progression through the        students are informed about
program.                           them. Such services might
                                   include but are not limited to
                                   counseling, health, learning
                                   assistance or intervention
                                   strategies.
D. Evaluation of students is an    D. Provide an overview of the          D. Provide specific examples
ongoing process that assesses      evaluation processes that              of the evaluation processes.
the student’s movement toward      facilitate student success in
and ultimate achievement of        meeting midwifery program
the midwifery program              objectives/outcomes.
objectives/outcomes.
D.1. Students are formally         1. Describe the process by             1. Provide the documents
informed of course                 which students are informed.           identified.
objectives/outcomes and            Identify the location of
methods of evaluation at the       objectives/outcomes and
beginning of each course.          methods of evaluation in policy
                                   manuals, module materials
                                   and/or course syllabi.



                                                                     22
Criterion III: Students            Instructions for Elaboration                  Instructions for          Comments
                                            in the SER                        Documentation in the
                                                                                     Exhibits
D.2. Students are apprised of      2. Describe the process by             2. Provide examples of this
their progress on an ongoing       which students are apprised of         process.
basis.                             their progress.
E. Student rights and              E. No narrative is required for
responsibilities consistent with   E.
institution policy are available
in written form, and students
are notified where the policies
may be found.

This includes:
E.1. Opportunities for student     1. Describe the relevant               1. Provide evidence of student
involvement in development         opportunities.                         participation in developing or
and implementation of                                                     implementing program policies.
midwifery program policies.
E.2. Opportunity to participate    2. Describe the relevant               2. Document the participation
or have input into the             opportunities.                         or input of students into
representation on councils or                                             representation on councils or
committees of the institution or                                          committees.
academic unit.
E.3. Clearly defined               3. Describe the mechanism for          3. Document student access
mechanisms for consideration       addressing grievances,                 to the mechanisms. As
of grievances, complaints or       complaints or appeals and how          applicable, provide examples
appeals.                           students are apprised of these         of grievances, complaints or
                                   mechanisms. Identify the               appeals from within the past
                                   location of the process in             three years.
                                   formal documents.
E.4. Access to resources and       4. Describe how access to              4. Document student access.
opportunities is equivalent        resources and opportunities is
regardless of student location     equivalent for all student



                                                                     23
Criterion III: Students     Instructions for Elaboration             Instructions for     Comments
                                     in the SER                    Documentation in the
                                                                         Exhibits
and teaching modalities.   locations (e.g., on campus or at
                           a distance) and teaching
                           modalities (e.g., online,
                           webcast, traditional lectures,
                           and the like.)




                                                              24
                          ACME Program Accreditation Revisions IV Curriculum and Student Learning


Criterion IV: Curriculum and      Instructions for Elaboration             Instructions for         Comments
Student Learning                           in the SER                    Documentation in the
                                                                               Exhibits
A. The curriculum is based on     A. In the SER or in the
three distinct statements, a      appendices to the SER, include
statement of philosophy, a        the statements of midwifery
statement of purpose/mission,     program philosophy,
and a statement of objectives/    purpose/mission, and
outcomes, which provide the       outcomes/objectives. Identify
foundation for the                the key concepts of the
development, implementation       program philosophy. Items
and evaluation of the             IV.A.1-2 should be presented
curriculum.                       in table format
A.1. The midwifery program        1. No narrative is required for
philosophy is consistent with:    A.1.
A.1.a. The philosophy of the      a. Address in the narrative any
ACNM.                             inconsistencies related to key
                                  concepts.
A.1.b. The philosophy of the      b. Address in the narrative any
institution within which the      inconsistencies related to key
midwifery program resides or is   concepts.
affiliated.
A. 1.c. The philosophy of the     c. Address in the narrative any
academic unit within              inconsistencies related to key
which the midwifery program       concepts.
resides if applicable.
A.2. The midwifery program’s      2. Address in the narrative any
purpose/mission and               inconsistencies related to key
objectives/outcomes are clearly   concepts.
stated and are consistent with



                                                                    25
Criterion IV: Curriculum and         Instructions for Elaboration                  Instructions for            Comments
Student Learning                              in the SER                         Documentation in the
                                                                                       Exhibits
the midwifery program
philosophy.
A.3. The curriculum, based on       3. Provide a curriculum map or
the philosophy, purpose and         table that shows how the
mission, is designed to achieve     curriculum addresses program
the stated objectives/outcomes      objectives/outcomes.
of the midwifery program.
B. Curriculum development is        B. Describe the continuing               B. Document in faculty or
a continuing process.               process of curriculum                    curriculum committee minutes
                                    development.                             or other appropriate
                                                                             communications the continuing
                                                                             process of curriculum
                                                                             development.
C. All programs have                C. No narrative is required for
standards for student eligibility   this stem.
to enroll in, or be exempted
from, clinical course work and
clinical experience.


C.1 The midwifery program has       1. Describe the prerequisite             1. Provide a copy of the
established criteria which          criteria and explain the                 information about prerequisite
students must meet prior to or      rationale for the criteria.              criteria given to potential and
concomitantly with enrolling in,                                             enrolled students.
or being exempted from,
midwifery clinical coursework.
C. 2. The midwifery program         2. Describe the processes for            2. Provide examples of course
ensures that students meet the      ensuring that students meet              challenge mechanisms,
program’s established               the program’s established                transcript assessments, or
prerequisite criteria prior to or   prerequisite criteria prior to or        other procedures used to



                                                                        26
Criterion IV: Curriculum and        Instructions for Elaboration                  Instructions for           Comments
Student Learning                             in the SER                        Documentation in the
                                                                                      Exhibits
concomitantly with enrolling in,   concomitantly with enrolling in,        assess whether a student has
or being exempted from,            or being exempted from,                 met the prerequisite criteria.
midwifery clinical coursework.     midwifery clinical coursework.
D.1. The curriculum is             1. Provide a table that shows           1. The table should also
consistent with the ACNM Core      the location of the Core                appear in the exhibits with the
Competencies for Basic             Competencies for Basic                  referenced curriculum. Each
Midwifery Practice.                Midwifery Practice in the               “Hallmark of Midwifery” should
                                   curriculum.                             be addressed with examples
                                                                           (objectives/outcomes,
                                                                           seminars, classes, learning
                                                                           activities) that demonstrate
                                                                           how each is integrated
                                                                           throughout the curriculum.
                                                                           For each competency listed
                                                                           under the four sections of
                                                                           “Components of Midwifery
                                                                           Care”, give examples of its
                                                                           location in the curriculum with
                                                                           course number, specific
                                                                           outcome(s) (course objectives),
                                                                           and page number or other
                                                                           device for locating where each
                                                                           competency can be found.
D.2. The curricular content        2. Provide a description of how         2. Provide samples of course
Includes the most up-to-date       the criterion is met.                   materials/modules for the past
evidence base for midwifery                                                two years that reflect current
practice and is congruent with                                             content and references.
ACNM Standards for the
Practice of Midwifery and other
practice documents.



                                                                      27
Criterion IV: Curriculum and       Instructions for Elaboration                  Instructions for            Comments
Student Learning                            in the SER                         Documentation in the
                                                                                     Exhibits
D.3. The curriculum is            3. Provide a description of the
implemented by various            primary methods used to
methods to achieve the            achieve the
objectives/outcomes and           objectives/outcomes. Explain
support the curricular content.   how these methods support
                                  delivery of the curriculum.
D. 4. The program ensures         4. Explain how the program
that graduates have achieved      determines competency and
competence.                       intervenes to help students
                                  who are having difficulty
                                  reaching clinical competence.
D.4.1 . Students have the         D.5 No narrative is required for
necessary clinical experiences    this stem.
to achieve the objectives/        D.4.1 . Explain the breadth and
outcomes of the program.          depth of clinical experiences
                                  used by the program to
                                  achieve program
                                  objectives/outcomes. Clinical
                                  experiences are primarily direct
                                  patient contacts which may be
                                  supplemented by such
                                  strategies as simulation, role
                                  play, pelvic models, and
                                  emerging technology.
D.4.2 . Each student acquires     D.4.2. Provide a summary                 5. Provide the data used for
at least this minimum number      table that includes the following        the summary table that details
of experiences:                   information about each type of           the number of experiences
                                  clinical experience                      each student had in the
a. 10 Preconception care visits   for the past two completed               required clinical areas for the
b. 15 New antepartum visits       classes or cohorts as defined            past two completed classes or



                                                                      28
Criterion IV: Curriculum and      Instructions for Elaboration                    Instructions for    Comments
Student Learning                           in the SER                          Documentation in the
                                                                                      Exhibits
c. 70 Return antepartum visits   by the midwifery program (one           cohorts as defined by the
d. 30 Labor management           completed class/cohort for              midwifery program (one
experiences                      initial accreditation)                  completed class/cohort for
e. 30 Births                                                             initial accreditation).
f. 20 Newborn assessments           •   Range of numbers of
g. 10 Breastfeeding support             clinical experiences
visits                              •   Mean (average)
h. 20 Postpartum visits (0-7            number of clinical
days)                                   experiences
i. 15 Postpartum visits (1-8        •   Number of students
weeks)                                  more than 30% above
j. Primary care visits:                 or below the mean
1) 40 common health              Explain any deviation more
problems                         than 30% from the mean
2) 20 family planning visits     either in the table or in the
3) 40 gynecologic visits
                                 narrative.
including perimenopausal
and postmenopausal visits.
                                 Provide a table that details the
                                 number of experiences each
                                 student had in the required
                                 clinical areas for the past two
                                 completed classes or cohorts
                                 as defined by the midwifery
                                 program (one completed
                                 class/cohort for initial
                                 accreditation).

                                 Additionally, for each type of
                                 experience, provide a table that




                                                                    29
Criterion IV: Curriculum and          Instructions for Elaboration                Instructions for           Comments
Student Learning                               in the SER                       Documentation in the
                                                                                      Exhibits
                                     gives the percent of student
                                     clinical experience obtained by
                                     supplemental strategies.

                                     For any student whose
                                     numbers fall below the
                                     minimum, explain how
                                     competency was determined.

                                     N.B. Some patient encounters
                                     may count in more than one
                                     category.

                                     To preserve confidentiality, do
                                     not use any data that allow
                                     identification of a specific
                                     individual, student or patient.
E. Regular communication             E. Address how regular                 E. Provide examples of regular
occurs among and between             communication occurs in both           communications occurring
faculty and students during          academic and clinical settings.        throughout the program.
implementation of the
curriculum.
F. The curriculum conforms to        F. Identify the guidelines used        F. If the guidelines are not
nationally recognized                and provide the URL if                 available online, provide a
guidelines for the program’s         available. Explain how the             copy.
educational level(s): certificate,   curriculum conforms to
master’s degree, doctoral            guidelines for the program’s
degree.                              educational level(s).




                                                                       30
31
                                   ACME PROGRAM ACCREDITATION REVISIONS V RESOURCES




Criterion V: Resources              Instructions for Elaboration                Instructions for              Comments
                                             in the SER                       Documentation in the
                                                                                    Exhibits
A. Faculty and staff for the       A. No narrative is required for
midwifery program are              A.
sufficient in number and
qualifications to meet midwifery
program objectives/outcomes.

They include:
A.1. Adequate number of            1. Describe how the program
qualified faculty.                 determines adequacy of faculty
                                   number.
                                   If the program determines that
                                   the number of qualified faculty
                                   is inadequate, describe plans
                                   to address this problem.
A.2. Adequate number of staff      2. Describe how the program            2. Provide a list of staff and
for secretarial, technical and     determines adequacy for                their title/responsibilities
student support.                   secretarial, technical and             providing such services to the
                                   student support.                       program.
                                   If the program determines that
                                   number of staff is inadequate,
                                   describe plans to address this
                                   problem.
B. Physical facilities are         B. Describe how the program            B. Provide the site visitors with
adequate to meet program           determines adequacy of                 a tour of representative



                                                                     32
Criterion V: Resources            Instructions for Elaboration                     Instructions for            Comments
                                           in the SER                           Documentation in the
                                                                                        Exhibits
objectives/outcomes.             facilities, including office space,        physical facilities.
                                 classrooms, conference rooms
                                 and laboratories. If the
                                 program determines that the
                                 physical facilities are
                                 inadequate, describe plans to
                                 address this problem.
C. Learning resources are        C. Describe how the program                Provide the site visitors with a
current, available, accessible   determines currency,                       tour of learning resources,
and adequate.                    availability, accessibility and            either physically or virtually.
                                 adequacy of learning
                                 resources, e.g., laboratory,
                                 clinical simulation, audiovisual,
                                 computer and library
                                 resources. Explain how all
                                 students and faculty, including
                                 those at a distance, can access
                                 learning resources. If the
                                 program determines that the
                                 learning resources are
                                 deficient, describe plans to
                                 address this problem.
D. Clinical facilities are       Explain how faculty determine
sufficient in number and types   the numbers of clinical
of accessible experiences to     experiences required for
ensure that students are able    competence in relation to
meet their learning needs and    student’s learning needs and
to achieve competence in all     achievement of competence,
areas of midwifery practice.     program mission/goals and
                                 objectives/outcomes. If the



                                                                       33
Criterion V: Resources               Instructions for Elaboration               Instructions for     Comments
                                              in the SER                      Documentation in the
                                                                                    Exhibits
This includes:                      program determines that the
        a. 10 Preconception         clinical facilities are inadequate
            care visits             in some aspect, describe plans
        b. 15 New antepartum        to address this problem.
            visits
        c. 70 Return
            antepartum visits
        d. 30 Labor
            management
            experiences
        e. 30 Births
        f. 20 Newborn
             assessments
        g. 10 Breastfeeding
             support visits
        h. 20 Postpartum
            visits (0-7 days)
        i. 15 Postpartum
           visits (1-8 weeks)
        j. Primary care visits:
            1) 40 common
                 health problems
            2) 20 family
                 planning visits
            3) 40 gynecologic
                 visits including
                 perimeno-
                 pausal and
                 postmeno-




                                                                         34
Criterion V: Resources       Instructions for Elaboration          Instructions for     Comments
                                      in the SER                 Documentation in the
                                                                       Exhibits
            pausal visits.




                                                            35
                       A C M E P R O G R A M A C C R E D I T A T I O N R E V I S I O N S V I AS S E S S M E N T AN D O U T C O M E S




Criterion VI: Assessment             Instructions for Elaboration                       Instructions for                               Comments
and Outcomes                                  in the SER                             Documentation in the
                                                                                            Exhibits
A. Each program has a              A. Explain the process for                    A. Provide a copy of the
comprehensive plan for             implementing the plan,                        assessment plan.
periodic, ongoing assessment       including who is responsible
of the program mission,            and the timeframe for the
philosophy and objectives to       periodic review. Identify the
achieve continuous quality         procedures taken if the
improvement.                       assessment shows that any
                                   program objectives are not
                                   met.
A.1. The assessment process        1. Describe the process for
includes ongoing data              using evaluative and outcomes
collection and analysis to         data for ongoing improvement.
achieve program improvement.       Provide examples in which
These data include, but are not    data directed changes for
limited to,:                       improvements.

A.1.a. Evaluations by students     a. Explain the processes for                  a. Provide copies of the most
and graduates.                     continuing and graduating                     recent student evaluations and
                                   student’s evaluations of the                  graduation surveys.
                                   program, and how they are
                                   used in the overall program
                                   assessment.
A.1.b. Evaluations by peers,       b. Describe the process for                   b. Provide the most recent
colleagues, employers, and         program assessment via                        copies of employer surveys
public comment as available.       surveys, public comment and                   and any public comments.
                                   other communication.



                                                                            36
Criterion VI: Assessment           Instructions for Elaboration                  Instructions for          Comments
and Outcomes                                in the SER                         Documentation in the
                                                                                     Exhibits
A.1.c. Outcomes data              c. Provide a table listing
                                  graduation rate, certification
                                  pass rate by number of
                                  attempts made and other
                                  program outcome data as
                                  available. Describe the
                                  process of program
                                  assessment using other
                                  program outcome data.
A.2. The assessment plan          2. No narrative is required for
includes periodic review and      A.2.
updating of program mission,
philosophy and currency,
reflecting national standards,
such as:
A.2.a. Current ACNM               a. Describe the process for              a. Provide copies of relevant
philosophical and curricular      program assessment via                   documents.
standards.                        updated ACNM standards.
A.2.b. Significant changes in     b. Describe significant changes          b. Provide copies of relevant
higher education.                 in higher education since the            data.
                                  program’s last accreditation,
                                  such as through updates to the
                                  federal Higher Education Act or
                                  major shifts in teaching
                                  philosophy or educational
                                  technology, that are reflected in
                                  the program assessment
                                  process.
A.3. The assessment process       3. No narrative is needed for
includes periodic evaluation of   A.3.



                                                                      37
Criterion VI: Assessment            Instructions for Elaboration                 Instructions for             Comments
and Outcomes                                 in the SER                        Documentation in the
                                                                                     Exhibits
clinical education.

Clinical evaluation will assess:
A.3.a Initial and periodic         1. Describe the process the             1. Provide evidence of
evaluation of adequacy of          program uses to establish and           evaluation of all clinical sites
clinical sites to meet student     evaluate adequate clinical sites        used during the designated
learning needs.                    for student learning needs.             SER year. Faculty review of
                                                                           clinical sites may be shared
                                                                           among ACME accredited
                                                                           education programs. In such
                                                                           cases, document who
                                                                           conducted the evaluation and
                                                                           the date of the most recent
                                                                           review.
A.3.b. Adequacy, safety and        a. Describe the process for             a. Provide the plan for
appropriateness of student         assessment of student clinical          evaluation of student clinical
clinical experiences to achieve    experiences to achieve clinical         experiences.
clinical competence.               competence. Identify
                                   procedures taken if student
                                   clinical experiences are found
                                   to be deficient.
A.3.c. Clinical sites and review   b. Describe the process for             b. Provide documentation that
of each site’s contractual         periodic evaluation of clinical         current sites have been
agreement in order to achieve      sites and for review of                 formally evaluated and their
student clinical experiences.      contractual agreements to               contractual agreements
                                   achieve student clinical                reviewed.
                                   experiences.
A.4. The assessment process        4. Describe the process for             4. Provide a copy of the plan
includes a plan for evaluation     annual evaluation of faculty.           and evidence that the plan is
of faculty teaching in the         Identify the procedures taken if        being carried out.



                                                                      38
Criterion VI: Assessment              Instructions for Elaboration                Instructions for           Comments
and Outcomes                                   in the SER                       Documentation in the
                                                                                      Exhibits
program.                             a faculty member fails to meet
                                     evaluative standards.
All faculty are evaluated
annually on the following basis:
A.4.a. Didactic teacher              a. Describe the process of             a. Provide sample evaluations.
effectiveness as appropriate.        evaluating didactic teacher
                                     effectiveness.
A.4.b. Clinical teacher              b. Describe the process of             b. Provide sample evaluations.
effectiveness as appropriate.        evaluating clinical teacher
                                     effectiveness.
A.4.c. Currency of knowledge         c. Describe the process of             c. Provide sample evaluations.
and clinical competence in           evaluating currency of
area(s) of practice related to       knowledge and clinical
midwifery program                    competence.
responsibilities.
A.4.d. Non-discriminatory,           d. Describe the process of             d. Provide sample evaluations.
respectful approach to               evaluating faculty in regard to
students, colleagues, and            the ACNM Code of Ethics.
patients in keeping with the
basic principles of the ACNM
Code of Ethics.
B. The program maintains and         B. Describe the process of             B. Provide the printed or
publicizes current data on           measuring and the                      electronic documents where
student outcomes.                    mechanisms for publicizing             the data is publicized.
                                     outcomes data. Identify where
Data to be measured and              the information is publicized.
publicized will include:
B.1. Graduation rate of each         1. Describe the class/cohort.          1. Provide the calculation
class, for both full time and part   Explain how the full time              process and results.
time students.                       student and part time student



                                                                       39
Criterion VI: Assessment            Instructions for Elaboration                 Instructions for        Comments
and Outcomes                                 in the SER                        Documentation in the
                                                                                     Exhibits
                                   rates are calculated.
B.2. Certification pass rate for   2. Explain the calculation of           2. Provide the calculation
each class                         the certification pass rate.            process and results.
B.3. Success in obtaining          3. Explain the calculation of           3. Provide the calculation.
employment in midwifery            success in obtaining
                                   employment.
B.4. Program-specific data         4. Describe the additional data
related to program mission,        collected and publicized related
philosophy and objectives for      to the program and student
marketing or public disclosure     outcomes, such as but not
purposes.                          limited to demographic
                                   composition of students or
                                   student research.




                                                                      40
                                                             APPENDIX A

                                 ACME Policy on International Accreditation for Degree-Granting
                                         Higher Education Institutions Based Abroad

The American College of Nurse-Midwives (ACNM) Accreditation Commission for Midwifery Education (ACME) has set a criterion that
requires all midwifery programs to be housed within an accredited degree-granting institution. While that may be clear for United
States (US) based institutions, this policy addresses compliance with that criterion for programs housed in higher education degree-
granting institutions that are based outside of the United States (US) and that do not participate in accreditation via an agency
recognized by the US Department of Education. The decision on whether the program meets this criterion will be determined by
ACME via the program accreditation process.

ACME understands the accreditation process to include the implementation of periodic assessment for quality assurance (QA).
Institutional participation in the quality assurance process should maintain minimum standards of quality for the higher education
degree granting institution as a whole and for its academic programs by periodic assessments. Therefore, for ACME to accept a
degree-granting institution based outside the US as accredited, the higher education institution must:

1) Participate in the quality assurance process toward international recognition of quality (IRQ) in one or more of the following ways
appropriate to its national law and geographic location:

       a) Comply with the institution’s national regulations for quality assurance via the national government’s quality assurance
       process, or state or provincial government regulations and process if in a federalized system.




                                                                   41
       b) Conduct periodic assessment for quality assurance purposes in conformity with the broader regional quality assurance
       processes or with the non-governmental agencies within the region.

2) Use internationally recognized criteria for implementing QA. If the QA is implemented by a non-governmental agency, the quality
assurance agency overseeing the institution’s review process should be one that conforms to IRQ and implements a process based
on the UNESCO Guidelines for Quality Provision in Cross-Border Education, the INQAAHE document Principles of Good Practice,
the criteria established by the European Association for Quality Assurance for Higher Education (ENQA) or other similarly regarded
international document. Governmental accreditation criteria should be similar in content to those identified in the above-referenced
documents.

3) Undergo external assessment of quality on a periodic basis to maintain quality. Documentation of the quality assurance review
and the relevant agency’s formal determination must be submitted to ACME. Documentation should be current for the time at which
application is made to ACME for accreditation. Explanation of the time frame for periodic review and the specific length of time of
validity for the current assessment determination should be provided ACME.

4) The international institution must include the midwifery program in its periodic assessment and ongoing QA. IRQ must be
maintained by the institution while accredited by ACME.

5) If the institution is dedicated to a special academic program, such as nursing, that houses the midwifery education, the program
must also meet relevant professional field, licensing and regulatory requirements.

6) ACME has the right of final determination on whether the quality assurance process practiced by the institution based abroad
meets the ACNM ACME criterion.




                                                                  42

				
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