Our programs are by midwives, for midwives and of midwives. The Florida School of Traditional Midwifery, Inc. curriculum was developed by a committee comprised of Licensed Midwives, Certified Nurse Midwives, midwives trained through apprenticeship, consumers and Childbirth Educators.
• FSTM course numbers are four-digit numbers unique to each course. An L after the number denotes a lab.
• The first numeral indicates which year of the program the course is typically taken.
• The second numeral indicates the term in that year that the course is typically offered.
• The third numeral is an arbitrarily chosen number denoting the specific course itself.
• The fourth numeral is a zero unless the course is one of a sequence (e.g. the practicum classes), in which case it indicates that course’s rank in the sequence.
ANTEPARTUM 1330 3 CREDITS
PREREQUISITES: FLORIDA LAW AND RULE 1107; ANATOMY AND PHYSIOLOGY II 1201/1201L; HEALTHCARE SKILLS II 1203/1203L; REPRODUCTIVE ANATOMY AND PHYSIOLOGY 1301/1301L (CONCURRENT ENROLLMENT).
This course will provide the student midwife with didactic material necessary to provide care from the initial contact with a client through the onset of labor. The normal pregnancy will be emphasized. Students will explore a wide range of topics including the probable, presumptive and positive signs of pregnancy, deviations from the normal pregnancy, physiologic basis of and solutions for the common discomforts of pregnancy. The student will develop educational materials for use with clients. The class will integrate the medical/midwifery models while providing the foundation for the student to begin her or his evolution toward providing primary care at clinical sites. 45 CLOCK HOURS
ANATOMY AND PHYSIOLOGY I 1101/1101L 4 CREDITS
This two- course series presents an in-depth review of the body’s organization and structure. It also introduces the student to basic physiologic concepts as they relate to normal body function and maintenance of health. The laboratory experience demonstrates human and microscopic anatomic and physiologic processes through drawings and various models. With LAB. 75 CLOCK HOURS
ANATOMY AND PHYSIOLOGY II 1201,1201L 3 CREDITS
PREREQUISITES: ANATOMY AND PHYSIOLOGY I 1101/1101L
This two- course series presents an in-depth review of the body’s organization and structure. It also introduces the student to basic physiologic concepts as they relate to normal body function and maintenance of health. The laboratory experience demonstrates human and microscopic anatomic and physiologic processes through drawings and various models. With LAB. 45 CLOCK HOURS
BASIC COMMUNICATION SKILLS 1106 1 CREDIT
This is the first communication course in a series that continues throughout the first two years of our program. The first course encourages personal growth of the student and lays the foundation for emotional awareness in communication. Topics addressed include basic communication skills, setting boundaries, and effective listening skills. Students practice dealing with difficult issues, sharpening their communication skills through role-playing scenarios, crisis management, and developing professionalism. The role of the midwife as a healer will also be explored. 15 CLOCK HOURS
BREASTFEEDING 1205 2 CREDITS
PREREQUISITES: REPRODUCTIVE ANATOMY AND PHYSIOLOGY 1301/1301L; POSTPARTUM 2203 (CONCURRENT ENROLLMENT); NEWBORN 2206 (CONCURRENT ENROLLMENT)
This course will cover numerous aspects of breastfeeding, including anatomy and physiology, breastfeeding education for clients, proper use of pumping devices, and formulating care plans. The early recognition of simple problems and implementation of solutions will be emphasized. Students will also learn early support intervention techniques and identify referral services. 30 CLOCK HOURS.
CLINICAL LAB 1200CL, 1300CL, 2100CL, 2200CL, 2300CL, 3100CL, 3200CL, 3300CL , 4100CL, 4200CL, 4300CL , 5100CL 1-4 CREDITS
Clinical Lab starts in Year 1 Term 2 and continues throughout the midwifery program. Students will be assigned to work directly with a qualified Preceptor. Preceptors are Florida Licensed Midwives, Certified Nurse Midwives, Registered Nurses or Obstetricians who work in home birth practices, birth centers and hospital settings. Clinical experiences will include attending prenatal and postpartum appointments, participation during labor and birth, and learning office procedures for Midwifery practices. Students will progress through a tiered process of observation, assistance and management in the Antepartum, Intrapartum and Postpartum period. The student is responsible for completing 23 Clinical Lab credits throughout the midwifery program. Please see Clinical Policies and Procedures section for additional details.
EACH CLINICAL CREDIT IS EQUAL TO 60 CLOCK HOURS (TOTAL 1380).
CLINICAL SKILLS PRACTICUM 3202 1 CREDIT
This course involves a comprehensive clinical skills exam made up of selected clinical skills and procedures, as outlined in the most recent edition of the Practical Skills Guide for Midwifery, by Weaver & Evans. The course is set up to include a series of skills practice days which end in a cumulative clinical skills exam. 15 CLOCK HOURS
COLLABORATIVE MANAGEMENT 3104 1 CREDIT
PREREQUISITES: FLORIDA LAW AND RULE 1107; DIAGNOSTIC TESTING 1305; ANTEPARTUM 1303; INTRAPARTUM 2103; POSTPARTUM 2203; NEWBORN 2206.
This course will review the indications for consultation, referral and collaborative care according to F.S. 467, the Midwifery Practice Act. Students will explore the role of a Licensed Midwife as a member of a healthcare team while learning skills for communicating as a medical professional. Applying risk assessment from 64 B24 Florida Administrative Code during prenatal, Intrapartum and postpartum care to determine a site and provider for each client will be emphasized. Interpreting data to identify current and potential health problems and needs, establishing a collaboration plan with a physician and ensuring clients’ safety and dignity during transport will be discussed. 15 CLOCK HOURS
DIAGNOSTIC TESTING 1350 1 CREDIT
The essence of prenatal care is to monitor the well-being of the mother and the developing child. In this course students will become familiar with the most widely utilized lab and imaging tools, including all those required by Florida Law, that are used to assist the midwife in determining the health status of the mother and fetus in order to recognize when intervention is necessary. 15 CLOCK HOURS
ESTABLISHING AND MAINTAINING A PRACTICE 3201 2 CREDITS
PREREQUISITES: FLORIDA LAW AND RULE 1107; 3RD YEAR ENROLLMENT.
This course is an overview of the professional and legal issues related to establishing and maintaining a practice. We will discuss the benefits and problems of working with insurance, HMOs and Medicaid and the requirements of operating a business. The everyday workings and administration of a practice will be explored. Emphasis will be on the expanding role of midwifery within our health care system. 30 CLOCK HOURS.
FEMALE SEXUALITY FOR MIDWIVES 1204 2 CREDITS
This course introduces the student to the female sexual system and its contribution to the health and well-being of non-pregnant women, women in each stage of pregnancy, labor, delivery and the postpartum period. Basic female sexual dysfunction is discussed, with training in interviewing and history-taking around sexual issues. Students will observe a pelvic exam. 30 CLOCK HOURS.
FETAL MONITORING 2104 1 CREDIT
This course is designed to integrate the history, theory and principles of fetal surveillance with practical application of auscultation. Students will gain an understanding of relevant anatomy and physiology of maternal utero-placental-fetal circulation and uterine function and activity and its effects on fetal oxygenation. Students will also gain an understanding of the oxygen transfer chain and pathophysiology of disrupted oxygen transfer to the fetus. All components of the fetal heart rate will be discussed including: baseline, accelerations, decelerations, variability, and trends over time. 15 CLOCK HOURS
FLORIDA LAW AND RULE 1107 1 CREDIT
The focus of this course is Florida Statute 467, the Midwifery Practice Act, and 64B24 in the Administrative Code. The law and rule specific to the practice of direct-entry midwives in Florida, the history of the law, the legislative process and the rule making process will be covered, as well as the role of the Council of Licensed Midwifery, the Department of Health and the Midwives Association of Florida. 15 CLOCK HOURS
GYNECOLOGY AND WOMEN’S HEALTH 3101 2 CREDITS
PREREQUISITES: REPRODUCTIVE ANATOMY AND PHYSIOLOGY 1301/1301L; ANTEPARTUM 1303.
This course is an introduction to the fundamentals of well woman care. Students will gain the knowledge and skills to provide care, support and information to women regarding their overall reproductive health, including understanding the normal life cycle of women; causes of, evaluation of and treatment for problems associated with the female reproductive system and breasts; information and provisions or referral for various methods of contraception; issues involved in decision-making regarding unwanted pregnancies, and resources for counseling and referral; issues involving infertility; and the interpretation of lab results. 30 CLOCK HOURS
HEALTHCARE SKILLS I 1103 2 CREDITS
This foundation course introduces the theory and performance of basic healthcare skills essential to a career in midwifery. Students will gain an understanding of medical terminology relevant to midwifery and learn to properly chart clients’ records; learn to develop healthcare plans; explore principles of body mechanics, utilization of therapeutic communication techniques and aseptic and sterile techniques; be able to assess client hydration and elimination status and identify need for intervention with therapeutic measures; and study administration of relevant medications and prenatal care components. Students will be introduced to physical assessment. 30 CLOCK HOURS
HEALTHCARE SKILLS II 1203, 1203L 3 CREDITS
PREREQUISITES: HEALTHCARE SKILLS I 1103.
This course is a continuation of Healthcare Skills I, with emphasis placed on development of advanced healthcare skills relevant to midwifery practice. Students will undertake an in-depth systems approach to physical assessment, interpretation of prenatal data, advanced laboratory technique including venipuncture, neonatal physical assessment and lab work. With LAB. 60 CLOCK HOURS
HERB WORKSHOP 2205 1 CREDIT
This course is an introduction to the herbs and herbal preparations used by traditional midwives during the childbearing year. Students will learn the properties and parts, methods of preparation, indications and contraindications of most commonly used herbs in midwifery practice. Students will have the opportunity to prepare tinctures, oils and salves during this workshop style class. 15 CLOCK HOURS
HISTORY OF MIDWIFERY 1105 1 CREDIT
This course will provide a historical dimension to the current practice of midwifery in the United States. The multi-faceted roots of U.S. midwifery will be emphasized, including immigrant midwives, indigenous midwives, rural southern midwifery, the nurse midwife, and the birth renaissance midwife. 15 CLOCK HOURS
INTERPERSONAL COMMUNICATION SKILLS 1306 1 CREDIT
PREREQUISITES: EACH COURSE REQUIRES THE PREVIOUS COURSE(S) IN THE SERIES.
PREREQUISITES: BASIC COMMUNICATION SKILLS 1106
This is the second communication course in a series that continues throughout the first two years of our program. This course focuses on learning non-violent communication. Among other skills, students learn to manage anger, make requests, and identify judgments. Students practice dealing with difficult issues, sharpening their communication skills through role-playing scenarios, crisis management, and developing professionalism. 15 CLOCK HOURS
INTRAPARTUM 2103 3 CREDITS
PREREQUISITES: REPRODUCTIVE ANATOMY AND PHYSIOLOGY 1301/1301L; ANTEPARTUM 1303.
Midwifery students will learn the steps of the normal labor process including mechanisms of labor and birth. Students will review the anatomy and physiology of the reproductive organs, structures and fetal anatomy, and will learn to assess the well-being of mother and child and screen for complications in each stage of labor. Upon completion of the course students will demonstrate knowledge and management of the normal labor and delivery, recognition of complications and use of appropriate interventions, including knowledge of when to transfer. 45 CLOCK HOURS
ISSUES IN PROFESSIONAL MIDWIFERY 3204 1 CREDIT
PREREQUISITES: FLORIDA LAW AND RULE 1107, 3RD YEAR ENROLLMENT.
This course introduces the senior midwifery student to the current issues that impact the midwifery profession. The role of the midwife as a change agent in her community and in the professional organizations will be emphasized. Current trends in midwifery education, midwifery legislation, public education, third-party reimbursement, ethics, and consumer advocacy will be discussed. The role of Florida Licensed Midwives in national and international issues will also be explored. 15 CLOCK HOURS
MICROBIOLOGY FOR MIDWIVES 2201/2201L 3 CREDITS
PREREQUISITES: ANATOMY AND PHYSIOLOGY I 1101/1101L; ANATOMY AND PHYSIOLOGY II 1201/1201L.
This course will provide the student with a broad overview of the principles of microbiology and basic immunology necessary for midwifery practice. Students will be encouraged to think critically and will become familiar with interpreting commonly ordered lab reports. Emphasis will be placed on practical application of these scientific principles, including biological mechanisms of prenatal testing and childhood immunizations. With LAB. 60 CLOCK HOURS
MIDWIFERY PRACTICUMS 1 CREDIT (EACH)
In these courses students will meet with their instructor to discuss their experiences at clinical sites, and review and practice clinical skills taught in the previous semester. The concept of confidentiality will be emphasized. A review of material presented in other courses pertaining to clinical skills will be done using skills drills, research projects, student presentations and case reviews. Each term, the focus is placed on the previous term’s materials. 15 CLOCK HOURS
- 1202 Midwifery Practicum IA – Birth Assistant Skills Practice: Training on how to be a competent birth assistant, which includes a review of basic clinical skills.
- 1302 Midwifery Practicum IB – Healthcare Skills Practice: Includes a phlebotomy training and complete review of all healthcare skills, with a focus on prenatal clinical skills.
- 2102 Midwifery Practicum IIA – Antepartum Skills Practice: Complete review and practice of all antepartum skills.
- 2202 Midwifery Practicum IIB – Intrapartum Skills Practice: Complete review and practice of all intrapartum skills.
- 2302 Midwifery Practicum IIC – Diagnostic Testing & Newborn Skills Practice: Review of diagnostic tests and newborn exams and protocols.
NARM REVIEW 3103 1 CREDIT
A complete review for the NARM exam, which is the official LM/CPM licensing exam, recognized by national standards and Florida state standards. This course covers student learning and testing styles, as well as a comprehensive study guide and mock exam questions. 15 CLOCK HOURS
NEWBORN 2206 2 CREDITS
PREREQUISITES: INTRAPARTUM 2103; POSTPARTUM 2203 (CONCURRENT ENROLLMENT).
In this course the student midwife will learn normal newborn examinations and behavioral assessments, as well as infant anatomy and physiology and common complications affecting the newborn. Signs and symptoms of impending problems, physical exams, routine medications, when to transfer to the NICU and the 24-48 hour home visit will be discussed. Upon completion the student will be able to perform the complete newborn exam. This module emphasizes the appreciation and beauty of the “amazing newborn” and explores the messages the newborn sends regarding its own health and well-being, particularly during the first four hours of life. 30 CLOCK HOUR
NUTRITION FOR THE CHILDBEARING YEAR 2101 2 CREDITS
PREREQISITES: ANTEPARTUM 1303.
This course will provide the student with a foundation in nutrition and will focus on assessment and counseling skills. Nutritional requirements during pre-pregnancy, pregnancy, lactation, postpartum and infancy will be covered, including topics such as factors that affect weight gain during pregnancy, care plans for pregnant women with eating disorders, nutritional and fluid demands of women with prolonged labor and many other nutritional topics. The physiological and immunological components of breast milk will also be reviewed. 30 CLOCK HOURS
PHARMACOLOGY 2303 2 CREDITS
PREREQUISITES: ANATOMY AND PHYSIOLOGY II 1201/1201L; ANTEPARTUM 1303; DIAGNOSTIC TESTING 1305.
This course presents basic principles of pharmacology and drug therapy for pregnancy, birth and postpartum. Students will explore, among other topics, pharmodynamics and pharmokinetics. The goal of this course is to provide a foundation for the Licensed Midwife to function safely in the administration of medicine. 30 CLOCK HOURS
PROFESSIONAL COMMUNICATION SKILLS 2106 1 CREDIT
PREREQUISITES: INTERPERSONAL COMMUNICATION SKILLS 1306
In the last course of the series, students learn to apply communication skills to their personal and professional relationships in order to become more effective midwives. The role of the midwife as a healer will also be explored. 15 CLOCK HOURS
PSYCHOLOGY FOR MIDWIVES 2105 2 CREDITS
This course, developed especially for midwives, is the psychological study of the changes that occur in people and their behavior during the lifespan. Special emphasis will be given to women’s development from puberty to menopause, with highlights on the normal psychology of women during pregnancy, childbirth and postpartum. Other specific topics include body image and eating disorders, sexual abuse, domestic violence, fatherhood and psychological responses to unexpected birth outcomes such as miscarriage, stillbirth, fetal death and cesarean birth. 30 CLOCK HOURS.
PUBLIC HEALTH 2301 2 CREDITS
PREREQUISITES: MICROBIOLOGY 2201/2201L; ANTEPARTUM 1303.
This course will review the structure of the Public Health System at the federal, state and local level and how it relates to the community, the prevention of disease, illnesses and mortality rate. A section of this course will cover HIV/AIDS training, which is required by the State of Florida for LM licensure. Students will not only learn disease identification, they will also explore the reasons for required prenatal and postnatal testing and the procedures involved in counseling and prevention techniques, including statistics, policy making and legislation. 30 CLOCK HOURS
RESEARCH EVALUATION 1104 1 CREDIT
This course is designed to give the student a basic introduction to the types, quality, and formats of scholarly research. Students will evaluate articles presented in peer-reviewed journals, will discuss primary, secondary, and tertiary sources, will discuss how research presented might apply to midwifery practice, and will be introduced briefly to the principles of statistics as they pertain to medical research. The course will also cover APA citation style as it is used in documenting sources in literature reviews, papers, and other academic documents. This course is specifically geared toward preparing the student for the research portion of subsequent courses. 15 CLOCK HOURS
REPRODUCTIVE ANATOMY AND PHYSIOLOGY 1301/1301L 4 CREDITS
PREREQUISITES: ANATOMY AND PHYSIOLOGY II 1201/1201L.
This is a basic science course developed for midwifery students. It is one of the foundations for courses in clinical management. It will build on knowledge gained in the Anatomy and Physiology course to provide an in-depth understanding of pregnancy, birth and lactation from a biophysical perspective. With LAB. 75 CLOCK HOURS
STUDENT SUCCESS LAB 1102L 1 CREDIT
The purpose of this course is to equip the student with basic skills and knowledge to be successful in the school environment. Emphasis will be placed on midwifery school experience as preparation for midwifery practice and the expectation that students will devote a similar level of care, responsibility, and sacrifice to school as to midwifery practice. Topics such as study skills, time management, burnout prevention, stress management, basic computer skills, learning styles, and school etiquette will be covered. With LAB. 30 CLOCK HOURS
SUTURING FOR MIDWIVES 2204 1 CREDIT
PREREQUISITES: REPRODUCTIVE ANATOMY AND PHYSIOLOGY 1301/1301L; INTRAPARTUM 2103.
This course is designed to integrate theory and principles of suturing and wound healing with practical experience and knot tying techniques on laboratory models. Students will gain an understanding of relevant anatomy and physiology, causation and prevention of lacerations, severity of wounds, pre-suturing assessments, relaxation techniques to be used during the suturing process, postpartum assessment of the sutured area and teaching techniques to aid the client in facilitating the healing process. Principles of asepsis and anesthesia will also be covered. Learning objectives will be met through a combination of lecture material, reading assignments, hands-on practice, and visual aids. 15 CLOCK HOURS
TRADITIONAL HEALING MODALITIES 1304 1 CREDITS
This course is the first in a series of three that span throughout the entire program. Introductions to holistic care options such as homeopathy, chiropractic therapy, massage, Watsu, acupuncture, and traditional Chinese medicine, as they are applicable to midwifery care, will be covered. This course will also include a Waterbirth workshop, which includes a review of Waterbirth techniques, benefits, and contraindications, along with waterbirth scenarios and emergency drills. 15 CLOCK HOURS
TRADITIONAL HEALING MODALITIES II 2304 1 CREDIT
PREREQUISITES: ANTEPARTUM 1303; INTRAPARTUM 2103; POSTPARTUM 2203; NEWBORN 2206.
This course is the second in a series of three that span throughout the entire program. Introductions to holistic care options such as homeopathy, chiropractic therapy, massage, Watsu, acupuncture, and traditional Chinese medicine, as they are applicable to midwifery care, will be covered. 15 CLOCK HOURS
TRADITIONAL HEALING MODALITIES III 3203 1 CREDIT
PREREQUISITES: ANTEPARTUM 1303; INTRAPARTUM 2103; POSTPARTUM 2203; NEWBORN 2206.
This course is the third in a series of three that span throughout the entire program. Introductions to holistic care options such as homeopathy, chiropractic therapy, massage, Watsu, acupuncture, and traditional Chinese medicine, as they are applicable to midwifery care, will be covered. 15 CLOCK HOURS
WRITING PROTOCOLS 3102 1 CREDIT
This course is designated for students to research, write and receive feedback on all Protocols for their midwifery practice. Final protocol documents are required to be evidence-based, in proper APA format and in accordance with F.S.467/Rule64B24, with detailed midwifery application. 15 CLOCK HOURS