Midwife Sonography Certificate

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​The Midwife Sonography examination assesses the knowledge, skills and abilities in the areas of the female reproductive system as well as the fetus in the first, second and third trimesters of pregnancy. By earning the Midwife Sonography Certificate, midwives gain a critical edge in promoting public safety in women's point-of-care ultrasound. The first application period is from January 4 – March 7, 2017. The exam will be administered from April 4 – May 4, 2017. Sign-up to recieve application reminders.​

The initial roll out of the Midwife Sonography Certification exam was postponed in May 2016 because we received only a small number of applicants which meant we could not build a fair and defensible exam for midwives. Read more about the initial postponement of the examination in early 2016. 

In order to earn the Midwife Sonography Certificate, the certified-midwife must pass both required components in the following order: 

     •​​ Part One: Midwife Sonography Computer-based Examination

     ​​ Part Two: Practical Examination  

Review the "Certification Process" under the "Overview" tab below.  For a quick overview of the Certification Process, please view this quick visual guide. For detailed information about eligibility requirements and how to apply, schedule and prepare, please click the tabs below.​​​

Overview

 Certification Process

In order to earn the Midwife Sonography Certificate, the applicant must apply, and meet the eligibility requirements; pass both required components in the following order:


     •​​ Part One: Midwife Sonography Computer-based Examination

     ​​ Part Two: Practical Examination                                                                                            

​​

The Midwife Sonography written examination which is computer-based is only offered during select times of the year. Once the eligibility requirements have been met and your application has been approved, you can take the computer-based examination. Upon successfully completing the computer-based examination, you must successfully complete the practical examination within two years. The Midwife Sonography Certificate is earned upon successfully completing Part One and Part Two of the certification process.


Note: If both parts of the certification process are not successfully completed within the allotted time frame, any passing scores will be rescinded and you will need to restart the application process.  

Note: Any incomplete Practical Examination submissions will not be accepted and candidates will be charged a processing fee ($25) for re-submitting the required eight forms, if the initial submission was incomplete. 


 Midwife Sonography Computer-Based Examination

The Midwife Sonography computer-based examination is two hours long and contains 100 multiple-choice questions.


As a windowed examination, scores for the Midwife Sonography computer-based examination will be available approximately 60 days following the close of the administration via MY ARDMS.


Upon successfully completing the computer-based examination, you will then be eligible to complete the practical examination within two years from the date of receiving your computer-based results.


For more information, review the "Scoring" tab.


Periodically we conduct a Midwife Sonography Job Task Analysis (JTA) and update the Midwife Sonography examination to reflect the frequency and importance of tasks being performed by midwives.​

 Practical Examination

The practical examination is completed by submitting documentation that demonstrates successful completion of cases. If you do not complete the practical examination within six months of the computer-based examination, then you will have to obtain and submit 5 new ARDMS -approved. CMEs or education hours in OB/GYN ultrasound.  The documentation must reflect one of the following.


Option 1: Successful performance completion of eight cases across defined domains through direct practical examination.


OR


Option 2: Successful performance completion of eight cases across defined domains through a combination of direct practical examination and simulation*. 3 of the 8 cases can be through simulation.


If you are not able to achieve cases through Option 1 or 2, please contact an ARDMS Certification Specialist at 800-541-9754, extension 1 for information on how to complete the practical examination by submitting images.


Note: Any incomplete Practical Examination submissions will not be accepted and candidates will be charged a processing fee ($25) for re-submitting the required eight forms, if the initial submission was incomplete. 


*Simulation: Must be performed on an approved simulator, capable of realistically replicating a real, live patient encounter.  Proof of successful completion of the simulated encounter can be documented by having the simulated scan signed-off by an evaluator described above or by a simulation center director/manager who is authorized and trained to verify proficiency with OB/GYN simulators.

 Impartiality

The Midwife Sonography Certification assessment is powered by ARDMS. ARDMS functions under policies intended to demonstrate impartiality, high ethical standards and validity of its certification assessments. ARDMS does not restrict Applications, Candidates from becoming a Registrant based on limiting conditions, such as membership of an association or professional society of any organization. ARDMS will not unfairly impede or inhibit access to its certification to Applicants, Candidates or Registrants who meet our stated policies regarding qualification requirements, renewal requirements and/or passing ARDMS’ psychometrically sound certification assessments.  

 Maintenance of Certification

Maintenance of Certification (MOC) improves patient care by ensuring continuous lifelong learning and professional development throughout your sonography career. MOC gives your employers, patients and co-workers confidence in the ongoing value of your Midwife Sonography Certificate. The Midwife Sonography Certificate is valid for five years from the award date. The MOC requirements will be shared at a later date closer to the examination administration.  

Eligibility

 Midwife Sonography Examination Eligibility Requirements

Education:

Must hold an active Certified Midwife (CM) or Certified Nurse-Midwife (CNM) certification ​offered by the American Midwifery Certification Board (AMCB).


Continuing Medical Education (CME):

Must earn 12 ARDMS-accepted CMEs or education hours in OB/GYN ultrasound earned within five (5) calendar years of application submission.

When applying for the examination, you will need to upload the following application documentation through MY ARDMS within 21 days of submitting your online application.


Documentation Required with Application:


      1. Certificate(s) or other original documentation for a minimum of 12 credit/hours of
         ARDMS-accepted CMEs or education hours in OB/GYN ultrasound earned within five (5)
         calendar years of application submission


      2.  A copy of current, valid/active CM or CNM certification. 

 

The necessary supporting documentation for the Midwife Sonography examination must be submitted online and received within 21 days of submitting your online application.


Please note: We do not retain application documentation received prior to receipt and payment of the online application. Any documentation received prior to the completed online application will be discarded.


 ‭(Hidden)‬ Application Document Requirements

When applying for the Midwife Sonography examination, you will need to upload the following application documentation through MY ARDMS:


    1.  Copy of a current valid CM or CNM license,

    2.  Completed online self-attestation form indicating that you have performed a minimum
         of 200 Midwife Sonography images (cases) distributed over the recommended content
         outline areas within the preceding 36 months of application,

    3.  The patient log of the 200 Midwife Sonography images (cases) must be uploaded at the
         time of application and may be selected for audit. The patient log or other record must 

         include at a minimum all of the following information for each documented study: year 

         performed, type of study, the facility name, facility address and facility phone number. In
         case of application audit, ARDMS may request additional information or documentation.
         All documentation much be in conformance with the Health Insurance Portability and
        Accountability Act (HIPAA),

and


    4.  Photocopy of non-expired government issued photo identification with signature; the
        name on the identification must exactly match the name under which you are applying.


 

The necessary supporting documentation for the Midwife Sonography examination must be received within 21 days of submitting your online application.


Please note: We do not retain application documentation received prior to receipt and payment of the online application. Any documentation received prior to the completed online application will be discarded.

Apply

 Examination Application Process

The Midwife Sonography examination is offered during select periods of the year. Refer to the "Schedule" tab for upcoming dates.

Once you are ready to apply for a Midwife Sonography examination, follow the steps below:

  1.  Log in to MY ARDMS and choose the "Apply Online" option.
  2.  Select and complete the Midwife Sonography online application form with attestation
       and submit payment of $300.
  3.  Gather the required supporting documentation. Review the "Eligibility Requirements" tab
      for more information.
  4.  Upload your supporting documentation to MY ARDMS for receipt within 21 days of 

       applying online. Review of your application can take up to five business days from receipt
       of documentation in the office.

Once we have reviewed your information, we will email you with either an Examination Confirmation Letter (ECL) or a request for additional documentation. When you receive the ECL, you may contact Pearson VUE​ to schedule  an examination appointment during your eligibility period. The eligibility period will be listed on your ECL or you may visit the "Schedule" tab to view the current Midwife Sonography examination administration dates.

If you are found ineligible to take the examination, your application will be partially refunded (less the $100 USD processing fee per examination).

 Email Confirmation Letter

If you are found eligible to take an examination, we will email you an Examination Confirmation Letter (ECL) within one to two days of application approval and you will be able to schedule your appointment at that time. The ECL will also be posted to your MY ARDMS  account and will include your eligibility period to schedule and take your examination.​

 Practical Examination Process

The practical examination is completed by submitting documentation that demonstrates successful completion of cases. Additionally, if you do not complete the practical examination within six months of the computer-based examination, then you will have to obtain and submit 5 new ARDMS -approved. CMEs or education hours in OB/GYN ultrasound.

The documentation must reflect one of the following.


Option 1: Successful performance completion of eight cases across defined domains through direct practical assessments.


OR


Option 2: Successful performance completion of eight cases across defined domains through a combination of direct practical assessments and simulation*. 3 of the 8 cases can be through simulation*.


If you are not able to achieve cases through Option 1 or 2, please contact an ARDMS Certification Specialist at 800-541-9754, extension 1 for information on how to complete the case submission evaluation by submitting images.


Required Documentation must be submitted via MY ARDMS.


Original signed and completed Midwife Sonography Practical Assessment Form for each of the following domains:


     •​ Biometry

     •​ 2nd-3rd Trimester
     •​ Cervix
     •​ Early First Trimester
     • Transvaginal First Trimester
     •​ Second/Third Trimester – BPP/AF
     • GYN – Ovarion Follicle Measurement
     • GYN – Position and Endometrial Thickness
     • Second/Third Trimester – Placenta Location

Please note: The above Practical Assessment Forms will be available shortly. ​


Note: Any incomplete Practical Examination submissions will not be accepted and candidates will be charged a processing fee ($25) for re-submitting the required eight forms, if the initial submission was incomplete. 


*Simulation: Must be performed on an approved simulator, capable of realistically replicating a real, live patient encounter.  Proof of successful completion of the simulated encounter can be documented by having the simulated scan signed-off by an evaluator described above or by a simulation center director/manager who is authorized and trained to verify proficiency with OB/GYN simulators.

 ‭(Hidden)‬ Examination Fees

The Midwife Sonography examination fee is $300 USD, which includes a $100 USD non-refundable processing fee.


If you take an ARDMS examination at an international test center (outside the U.S., Canada and Mexico), you will be charged an additional non-refundable $100 USD fee when you schedule your examination. This fee is subject to change without notice.

Pass/Fail Fee Scenarios:

  •  If you pass the computer-based examination but the fail image (case) submission, you will
      have the opportunity to resubmit images (cases) during the next administration. If you fail
      the image submission again, you must redo the entire process; pay $300 for application
      and written examination, pay $200 for case resubmission.

  •  If you fail the computer-based examination but pass image (case) submission, you will
     have to retake the exam during the next administration; pay $300 for the written
     examination. If you fail computer-based examination again, you must redo the entire
      examination process; pay $300 for application and computer-based examination, pay $200 for case
     resubmission.    

  •  If you fail the computer-based examination and the image (case) submission, you will
     need to start over during next administration; pay $300 for application and written
     examination, pay $200 for case resubmission.    


Note: Once you receive the passing results for either the written or image (case) submission piece, you will have two years to pass the corresponding piece and earn the Midwife Sonography Certificate. If both pieces are not successfully completed and the certificate is not earned within the two years, any passing scores will be rescinded and you will need to restart the application process.

 ‭(Hidden)‬ Examination Confirmation Letter

 Americans with Disabilities Act

If you need special accommodations, please select "Yes” for “Special Accommodations” in the application and submit the following along with your completed application:

     •  An original copy of a letter dated within the past five years and typed on official
        letterhead from a qualified physician or health care provider who specializes in the
        disability. This letter must document the disability and its severity, describe the
        applicant's limitation due to the disability and state exactly what accommodations are
        recommended. The letter must contain an original signature and the physician's or
         provider’s credentials.


     •  An original copy of a comprehensive medical evaluation/report of the diagnosed
         disability from the physician or health care provider, dated within the past five years.


     •  A completed Americans with Disabilities Act ADA Special Accommodations 
         Questionnaire, which must be submitted each time you apply for an examination.


For more information, click here.

Schedule

 Schedule your Computer-Based Examination

After the eligibility requirements have been met and your application has been approved, you can take the computer-based examination. The Midwife Sonography examination is only offered during select periods of the year. See schedule below.


 

Application Dates for Midwife Sonography examinationAdministration Dates for Midwife Sonography examination 
January 4 - March 7, 2017April 4 – May 4, 2017
​July 12-September 12, 2017October 10-November 9, 2017​


Once your application has been approved, an Examination Confirmation Letter (ECL) will be emailed to you to schedule an examination with Pearson VUE – our official testing vendor. The ECL will include your eligibility period based on the set administration dates and you are encouraged to schedule promptly to ensure availability.

Once you have received approval to schedule your examination, please visit Pearson VUE to:
    •  Search for seat availability
    •  Locate a test center
    •  Schedule an examination
    •  Contact Pearson VUE Customer Service

If you are taking the computer-based examination at an international test center (outside the U.S., Canada and Mexico), a $100 USD non-refundable fee and Value Added Tax (VAT) will be charged by Pearson VUE. All international scheduling fees and associated VAT will be charged at the time the examination is scheduled. The fees and associated VAT are subject to change without notice, and they are non-refundable.

 ‭(Hidden)‬ Examination (Case) Submission Schedule

After the eligibility requirements have been met and your application has been approved, you can take the computer-based examination and submit your images for the five required cases.  These two final steps may be completed in any order but must be done during the applied-for examination administration period. The Midwife Sonography examination is only offered during select periods of the year. See schedule below:


 

Application Dates for Midwife Sonography examinationAdministration Dates for Midwife Sonography examination and case submission
​January 8 - March 8, 2016​April 5 – May 5, 2016
​ July 13 – September 13, 2016 ​ October 11 – November 10, 2016


 

Each of the five required cases is comprised of multiple images. The adequacy of each image for clinical decision making will be based on four imaging parameters:  gain, depth, focal zone placement and anatomic landmarks.

Submission of all images in each of the following cases is required:
    •  One GYN case (9 images)
    •  One 1st trimester case which includes 2 crown rump length measurements (8 images)
    •  One 2nd trimester case (7 images)
    •  Two 3rd trimester cases (separate cases - 9 images in each case)


View the Midwife Guideline for Image Submission for details.

All submissions must be in conformance with the Health Insurance Portability and Accountability Act (HIPAA). All patient identifiers must be removed.

As Low As Reasonably Achievable (ALARA) principles should be adhered to by using the lowest ultrasound exposure possible to gain diagnostic information. All ultrasound examinations should be medically indicated. In addition, ALARA principles should be followed when adjusting controls that affect the acoustic output power to the fetus. When acquiring fetal heart rates, M-mode must be used instead of Doppler.

 Reschedule an Examination

To reschedule the date and time of your examination during your eligibility period, you must contact Pearson VUE (1-877-258-9220) at least 96 hours (four days) prior to the scheduled examination date and time.

Please note: This is a windowed examination and extensions are not available.  You can reschedule your appointment for another time within your stated eligibility period.  However, if you cannot take it within your stated eligibility period, please follow the cancellation procedure below!

 Cancel an Examination

To cancel an examination appointment, you must contact Pearson VUE (1-877-258-9220) and cancel the scheduled appointment no later than 96 hours prior to the scheduled examination appointment time. You will receive a cancellation email from Pearson VUE.

To request a partial refund, you must wait 24 hours after canceling the appointment with Pearson VUE and then submit a cancellation/partial refund request no later than 96 hours prior to the last date of the eligibility period.

To submit this request:
    1.  Log in to your MY ARDMS account
    2.  Select "Exam Cancellation" from the "Exam Information" menu
    3.  Complete and submit the form

We will refund your examination fee, less the $100 USD processing fee per examination, unless we (1) receive your request too late, (2) you never schedule your examination or (3) you do not keep your scheduled examination appointment. Then, the entire examination and processing fees are forfeited.

Please note: This is a windowed examination and extensions are not available.  You can reschedule your appointment for another time within your stated eligibility period.  However, if you cannot take it within your stated eligibility period, please follow the cancellation procedure.

 Admission to Test Centers

When you arrive at a test center, be prepared to:


    •  Check in with a Test Center Administrator
    •  Present one valid photo identification (ID); see the Test Center Identification
        Requirements

    •  Provide a digital signature
    •  Have your palm vein scanned
    •  Take a test-day photograph

Note: The only thing that you can bring into the testing room is you. The test centers have lockers you can use to store personal belongings. Study materials as well as food and drink are prohibited in the test center. No visitors, guests, pets or children are allowed.

Important: Review the Examination Admission Compliance policies to ensure you are not refused admission at the test center and do not conduct unauthorized examination behavior.
Test centers will provide white boards for notes during the examination upon request.
If you need special accommodations, please select "Yes” for “Special Accommodations” in the application when you apply.

Prepare

 Review the Midwife Sonography Computer-Based Examination Content Outline

The Midwife Sonography computer-based examination contains 100 multiple-choice questions that cover the following content areas. All percentages are an approximate distribution of the questions across the content areas. 

 

Midwife Sonography Content Outline (Please click on "Midwife Sonography Content Outline" for the detailed Content Outline in PDF-Printable format).


     1.0. Focused gynecologic ultrasound exams 14%

     2.0. Focused first trimester OB exams 19%

     3.0. Focused second and third trimester OB exams 35%

     4.0. Protocols 13%

     5.0 Using the ultrasound system 19%

 

Please note: All percentages are approximate.


Your score report will display and include performance feedback for these content areas. 

 

 Review the Practical Assessment Forms

The practical examination is completed by submitting documentation that demonstrates successful completion of cases and by obtaining and submitting 5 new ARDMS-accepted CMEs or education hours in OB/GYN ultrasound within two years of passing the computer-based examination. Individuals who successfully complete the Observation Assessment part within six months of the computer-based examination do not need to submit the 5 new ARDMS-accepted CMEs. The documentation must reflect one of the following.


Option 1: Successful performance completion of eight cases across defined domains through direct practical assessments.


OR


Option 2: Successful performance completion of eight cases across defined domains through a combination of direct practical assessments and simulation*. 3 of the 8 cases can be through simulation.


If you are not able to complete Option 1 or 2, please contact an ARDMS Certification Specialist at 800-541-9754, extension 1 for information on how to complete the practical examination by submitting images.


Please review the Midwife Sonography Practical Assessment Forms for each of the following domains:


     •​ Biometry

     •​ 2nd-3rd Trimester
     •​ Cervix
     •​ Early First Trimester
     • Transvaginal First Trimester
     •​ Second/Third Trimester – BPP/AF
     • GYN – Ovarion Follicle Measurement
     • GYN – Position and Endometrial Thickness
     • Second/Third Trimester – Placenta Location

Please note: The above Practical Assessment Forms will be available shortly. 


Note: Any incomplete Practical Examination submissions will not be accepted and candidates will be charged a processing fee ($25) for re-submitting the required eight forms, if the initial submission was incomplete. 

*Simulation: Must be performed on an approved simulator, capable of realistically replicating a real, live patient encounter.  Proof of successful completion of the simulated encounter can be documented by having the simulated scan signed-off by an evaluator described above or by a simulation center director/manager who is authorized and trained to verify proficiency with OB/GYN simulators.


 ‭(Hidden)‬ Register for the Midwife Sonography Practice Examination

Taking a practice examination is a great way to prepare for your actual computer-based examination. We offer a Midwife Sonography practice examination that simulates the computer interface used in the actual test center environment. The Midwife Sonography practice examination review is comprised of 30 sample questions and is 30 minutes long. 


 

After you complete a practice examination, you will be emailed a report that shows the number of questions you answered correctly. While the report is an indication of your knowledge, the practice tests results should not be used to predict how well you will perform on the actual examination at the test center.


To register for the Midwife Sonography practice examination, click here.

 Review Our Tips for Examination Day Success

After all of your diligent preparation and hours spent studying, here are a few valuable tips to help make your examination day a success:


    •  Double check that you know where the test center is before examination day and give
        yourself plenty of time to get there. Remember, you MUST arrive and register at least 30
        minutes before the examination begins.


    •  Get a good night's sleep before you take your examination. Being well rested and relaxed
        when you take your examination will help you concentrate.


    •  Bring one form of current and valid identification that complies with the test center
        identification requirements
.


    •  Travel light. The only thing you can bring into the testing room is you. You can store your
        personal belongings — your car keys, watch, smartphone, purse, backpack, etc. — in
        lockers at the test center. The following items are not allowed in test centers: study
        materials, food, drink, visitors/guests, pets and children.


    •  Request a white board if you plan to jot down notes during the examination. Please note}
        that you must complete the tutorial and accept the Non-Disclosure Agreement (NDA)
        prior to writing any notes. Once the 15 minute tutorial is complete there is a five minute
        window to accept the NDA. If the NDA is not signed within the appropriate window of
        time your examination ends and you will be escorted out of the testing room,  forfeit
        your fees and eligibility. Test centers are using white boards (rather than paper) in an
        effort to "go green."


Good luck!

 Study Materials/Resources

ARDMS does not offer or endorse study materials for our examinations. Please contact the American College of Nurse-Midwives (ACNM) for training materials and additional resources.

Scoring

 How Is the Midwife Sonography Computer-Based Examination Scored?

The computer-based examination test result is reported as a PASS or FAIL. In addition, your performance on the computer-based examination will be reported as a scaled score, which ranges from 300 to 700. A scaled score of at least 555 is required to pass all ARDMS examinations.  Please note that you cannot interpret your scaled score as a percent of questions answered correctly.  Learn more about scaled scoring​.

 How Do I Get My Midwife Sonography Computer-Based Examination Score Report?

The computer-based examination results and a full score report will be posted to your secure MY ARDMS approximately two months (60 days) after the close of the computer-based examination window. An email will be sent notifying you when score results are posted. The results of your examination are limited to the following:

    •  Pass*
    •  Fail
    •  Cancelled – Candidate cancelled scheduled examination appointment time. 
    •  Absent – Candidate arrived late for a scheduled appointment, did not show up for a 

        scheduled appointment or was denied at check-in due to a violation of a stated policy.
    •  Expired – Candidate did not schedule or take the examination within the assigned 

        eligibility period

 

Candidates receiving a passing score on all required examinations and meeting all other requirements will be awarded a certificate. For information on the scoring methods, visit Notification of Results and Scoring.


If you fail the image (case) submission, you will receive feedback on the images that were rated inadequate. Candidates who do not pass are invited to re-apply.


*Pass status is not indicative of earning the specialty/credential. To obtain a Status Verification letter please log into your MY ARDMS account. ​​

 How Is the Practical Examination Rated?

​Proof of successful completion of the simulated encounter can be documented by having the simulated scan signed-off by an evaluator described above or by a simulation center director/manager who is authorized and trained to verify proficiency with OB/GYN simulators. The evaluator of the practical assessment must be an ARDMS registered sonographer with OB credentials and/or a physician with OB/GYN and ultrasound expertise. 


Once the candidate has successfully demonstrated and completed all required cases either through real patient scans or a combination of simulation, the documentation is then submitted to ARDMS as a completed package.  In the event that a candidate cannot obtain required practical assessments through live and/or simulation, the candidate should contact ARDMS to obtain information on the possibility of remote practical assessment or acquiring and submitting images for independent assessment of required cases.
 
The evaluator of the practical assessment must be an ARDMS registered sonographer with OB credentials and/or a physician with OB/GYN and ultrasound expertise. 

The documentation submitted for the practical examination shall be reviewed by the ARDMS Application Specialists. 

All submissions must be in conformance with the Health Insurance Portability and Accountability Act (HIPAA). All patient identifiers must be removed.

As Low As Reasonably Achievable (ALARA) principles should be adhered to by using the lowest ultrasound exposure possible to gain diagnostic information. All ultrasound examinations should be medically indicated. In addition, ALARA principles should be followed when adjusting controls that affect the acoustic output power to the fetus. When acquiring fetal heart rates, M-mode must be used instead of Doppler.​

 Computer-based Examination Score Verification

Examination results cannot be reviewed until the scores are released, 60 days after the close of the examination administration.​


You can request a score verification for a $35 USD fee, payable by check, money order or credit card. Score verification ensures that the computer counted the correct and incorrect answers appropriately, but it does not review the questions and answers.


You must submit the completed Exam Score Verification Form within 30 days of having taken the examination in question. The Exam Score Verification Form will be returned if incomplete, unsigned or unpaid.


When deciding whether to have your score verified, please consider that ARDMS examinations are scored electronically with a high degree of accuracy, and it is unlikely that verification will alter your original score.

Stats

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ARDMS examinations are constructed to assess the knowledge and skills involved in tasks performed by midwives, sonographers, vascular technologists and physicians.


The Midwife Sonography examination is a new examination in 2017 Pass rates will be available after the first examination administration in 2017.