Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 17 - CERTIFIED DIRECT ENTRY MIDWIVES › Rule 1 - Certified Direct Entry Midwives › Section 1-3 - Application requirements

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-23.4-2-6
Affected: IC 25-22.5; IC 25-23.4
Sec. 3.
(a) An
				applicant for certification as a certified direct entry midwife shall file an
				application on a form supplied by the board and submit the fees required by
				section 4 of this rule.
(b) In
				addition to the requirements of IC
				25-23.4-3-1, the applicant for
				certification shall provide the following:
(1)
				A notarized or certified copy of the applicant's Certified Professional Midwife
				credentials conferred by the North American Registry of Midwives or its
				successor organization.
(2) A
				certified copy of the original postsecondary educational institution diploma
				from which the applicant graduated. The following are requirements in the event
				that such diploma has been lost or destroyed:
(A) The applicant shall submit, in lieu
				thereof, a statement under the signature and seal of the dean of the
				postsecondary educational institution from which the applicant graduated,
				stating that the applicant has satisfactorily completed the prescribed course
				of study, the actual degree conferred, and the date of graduation.
(B) The applicant shall submit an affidavit
				fully and clearly stating the circumstances under which his or her diploma was
				lost or destroyed.
(C) In
				exceptional circumstances, the board may accept, in lieu of a diploma or
				certified copy thereof, other types of evidence, which establish that the
				applicant received a diploma and completed all academic requirements relating
				thereto.
(3) An original
				transcript of the applicant's postsecondary education, including the degree
				conferred and the date the degree was conferred. If an original transcript is
				not available, the applicant must submit the following:
(A) A notarized or certified copy of the
				original transcript, which must include the degree conferred and the date the
				degree was conferred.
(B) An
				affidavit fully and clearly stating the reasons that an original transcript is
				not available.
(4) The
				applicant shall submit evidence of the following to the board:
(A) Satisfactory completion of an educational
				curriculum approved by the Midwifery Education Accreditation Council or a
				successor organization, or the educational equivalent of a Midwifery Education
				Accreditation Council curriculum approved by the board.
(B) Documented practical experience as
				outlined in the Certified Professional Midwife credentialing process in
				accordance with the standards of the North American Registry of Midwives or a
				successor organization.
(C)
				Certification in adult cardiopulmonary resuscitation conferred by an accredited
				association approved by the board.
(D) Completion of the American Academy of
				Pediatrics program in neonatal resuscitation, excluding endotracheal intubation
				and the administration of drugs.
(E) Completion of the Certified Professional
				Midwife credentialing process birth requirements, observation of an additional
				twenty (20) births, attendance at an additional twenty (20) births conducted by
				a physician, assistance with an additional twenty (20) births, and acting as
				the primary attendant for an additional twenty (20) births. The additional
				births must take place in the United States, and all births except the
				additional twenty (20) births conducted by a physician, must be overseen by a
				preceptor approved by the North American Registry of Midwives.
(F) Completion of an emergency skills
				training course approved by the North American Registry of Midwives for
				inclusion in the Midwifery Bridge Certificate Program, which includes course
				material as required by IC
				25-23.4-3-2(2).
(G) Proof of maintaining a liability
				insurance policy that at a minimum provides coverage of one hundred thousand
				dollars ($100,000) per incident and three hundred thousand dollars ($300,000)
				yearly aggregate.
(5)
				Where the name on any document differs from the applicant's name, a notarized
				or certified copy of a marriage certificate or legal proof of name change must
				be submitted with the application.
(6) All applicants who are now, or have been,
				licensed to practice any health profession in another state must submit
				verification of license status. This information must be sent by the state that
				issued the license directly to the board.