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  • 1Georgetown University, Berkley School of Nursing, Nurse-Midwifery/Women's Health Nurse Practitioner & Women's Health Nurse Practitioner Programs, Washington, District of Columbia.

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A new course improves pass rates for the American Midwifery Certification Board (AMCB) national certification examination (NCE). This program supports at-risk midwifery students and graduates, addressing declining exam success and workforce entry challenges.

Keywords:
academic performancedistance educationhealth workforcemidwiferynursingtest‐taking skills

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Area of Science:

  • Nursing Education
  • Midwifery Practice
  • Professional Certification Examinations

Background:

  • Declining pass rates for the American Midwifery Certification Board (AMCB) National Certification Examination (NCE) pose challenges for midwifery education programs.
  • Graduates face significant financial, emotional, and social consequences from failing the NCE, impacting their entry into the midwifery workforce.
  • Accreditation Commission for Midwifery Education (ACME)-accredited programs are tasked with improving graduate success on the NCE.

Purpose of the Study:

  • To present a successful intervention for improving AMCB NCE pass rates in a large, distance-based nurse-midwifery/women's health nurse practitioner program.
  • To describe the structure and approach of an innovative, tuition-free Boards Reboot & Readiness course designed for at-risk students and graduates.

Main Methods:

  • Implementation of a structured, tuition-free Boards Reboot & Readiness course for at-risk midwifery students and graduates.
  • The course utilized a trauma-informed approach, incorporating self-reflection, community building, and content review.
  • Provided high-intensity faculty support, with iterative revisions based on student feedback and outcomes.

Main Results:

  • The Boards Reboot & Readiness course has demonstrated success in improving AMCB NCE pass rates for participating students and graduates.
  • The program effectively supports at-risk individuals in achieving certification and entering the midwifery profession.
  • Positive student feedback indicates the course's effectiveness in addressing exam preparation needs.

Conclusions:

  • An innovative, structured, and trauma-informed course can significantly enhance AMCB NCE pass rates.
  • This model provides a scalable solution for midwifery education programs facing challenges with graduate certification success.
  • Supporting graduates through targeted preparation is crucial for workforce development in midwifery.