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Board of Direct Entry Midwifery - Continuing Education


To qualify for license renewal, licensees must complete approved continuing education requirements two years from the date of initial licensure and every two years thereafter:

  • 35 clock hours relevant to women's health, neonatal, fetal or midwifery knowledge or care, ethics, communication, or professional development
  • Eight and a half (8.5) clock hours pertaining to legend drugs and devices (see below)
  • A licensee who has attended fewer than five births in the previous year is required to take an additional 10 hours of continuing education in subjects listed in 332-020-0010(1)(a)(A) during the next annual renewal cycle.

Legend Drugs and Devices

The required 8.5 hours in legend drugs and devices must include:

  • One hour in pharmacology
  • One half hour in administration of medications through injection
  • One hour in advanced treatment of shock
  • Three hours in intravenous therapy
  • Three hours in suturing
  • After Jan. 1, 2017, Group B Streptococcal (GBS) prophylaxis will be included in the pharmacology and intravenous therapy sections.

The exception is neonatal resuscitation training, which is required annually upon renewal under OAR 332-015-0070(e).

48-Hour Legend Drugs and Devices Education and Core Curriculum (including GBS)

FAQ on continuing education requirements for LDMs

In 2014 and 2015, the Board of Direct Entry Midwifery (Board) made several amendments to continuing education requirements, including:

  • Require all licensed direct entry midwives (LDM) licensed prior to Jan. 1, 2016, to successfully complete eight hours of Group B Streptococcal (GBS) prophylaxis continuing education by their 2016 renewal. The eight hours of continuing education includes two hours in pharmacology and six hours in intravenous administration of antibiotics. Each LDM will attest to receiving the GBS continuing education and may be subject to audit requirements. All LDMs should have met this requirement at this time.
  • Require individuals licensed after Jan. 1, 2017, to successfully complete the initial legend drugs and devices continuing education totaling 48 hours, which includes administration of intravenous antibiotics for Group B Streptococcal prophylaxis.

Legend drugs and devices must be taught by a Midwifery Education and Accreditation Council (MEAC) accredited or pre-accredited school, the Oregon Midwifery Council or by an organization authorized by the board.

The following have been approved for legend drugs and devices continuing education training:

Birthingway College of Midwifery
12113 SE Foster Road
Portland, OR 97266 503-760-3131

National College of Midwifery
3013 N North Bank Road
Otis, OR 97368

Oregon Midwifery Council


Continuing Education listed in 332-020-0010 (1)(a)(A) may be obtained through attendance at lectures, sessions, courses, workshops, symposiums seminars or other presentations offered by:

  • Institutions or programs accredited by a federally recognized accrediting agency;
  • Institutions or programs approved by an agency within the Oregon Higher Education Coordinating Commission;
  • An organization offering continuing medical education opportunities, including Accreditation Council for Continuing Medical Education;
  • Any additional board approved professional organization, or association, hospital, or health care clinic offering continuing education related to subject matter listed in 332-020-0010(1)(a)(A).

Continuing education relating to subject matter listed in 332-020-0010 (1)(a)(A) may also be obtained through research, authorship or teaching, provided that no more than half the required hours be in teaching.

Up to nine clock hours of continuing education relating to subject matter listed in 332-020-0010(1)(a)(A) may be completed through self-study and documented on forms provided by the HLO, which must include the following:

  • Name of sponsor or source, type of study, description of content, date of completion, and duration in hours in accordance with 332-020-0010(8);
  • Name of approved correspondence courses or national home study issues;
  • Name of publications, textbooks, printed material or audiocassette's, including date of publication, publisher, and ISBN identifier; and
  • Name of films, videos, or slides, including date of production, name of sponsor or producer and catalog number.

Form: CE Self-Study Verification Form

Self-attestation and audits

Licensees must attest, or declare, they have met continuing education requirements upon license renewal and are subject to periodic audits specified in OAR 332-020-0015.

Applicants for license renewal must submit the completed renewal form, with their signature affixed as attestation to completion of required continuing education hours. Licensees must ensure that adequate proof of attainment of required continuing education is available upon audit or investigation or when otherwise requested by the HLO.

HLO will audit a select percentage of licensees to verify compliance with continuing education requirements. Practitioners notified of selection for audit of continuing education attestation must submit to the HLO, within 30 calendar days from the date of notification, satisfactory evidence of participation in required continuing education.

If selected for audit, the licensee must provide documentation of the required continuing education, which must include:

  • Name of continuing education sponsor/provider;
  • Course agenda – including the date of the training and breakdown of hours for each agenda item, lunch and breaks;
  • Course outline – including a detailed summary of each topic discussed and the learning objective or training goal of each agenda item. The content of the course must have a direct relationship between the course training and subject matter related to Direct Entry Midwifery, as outlined in OAR 332-020-0010;
  • Background resume of speakers or instructors; and
  • Documentation of attendance or successful course completion. Examples include a certificate, transcript, sponsor statement or affidavit attesting to attendance, diploma.

If documentation of continuing education is invalid or incomplete, the licensee has 30 calendar days from the date of the deficiency notice to correct the deficiency and submit further documentation to substantiate having completed the required continuing education.

Misrepresentations of continuing education or failure to complete continuing education requirements may result in disciplinary action, which may include but is not limited to assessment of a civil penalty and suspension or revocation of the license.

Additional requirements

  • Obtaining and maintaining proof of participation in continuing education is the responsibility of the licensee. The licensee must ensure that adequate proof of attainment of required continuing education is available for audit or investigation or when otherwise requested by the HLO.
  • Hours of continuing education that are obtained in "excess" of the minimum requirements will not be carried forward as credit for the subsequent license renewal reporting cycle.
  • Documentation of participation in continuing education requirements must be maintained for a period of two years following renewal, and must be available to the agency upon request.
  • Continuing education must include periods of continuous instruction and education, not to include breaks, rest periods, travel registration or meals.

Approved courses

To obtain pre-approval of continuing education courses or programs not approved by the Board of Certification please submit a completed continuing education approval request form to the Health Licensing Office (HLO).

Blood borne pathogens training

Blood borne pathogen courses must be compliant with U.S. Federal guidelines 29 CFR 1910.1030 and may be obtained through hands-on, online or blended course instruction.

Approved CPR, First Aid, and Blood Borne Pathogens Providers

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