1. (a) An applicant must have completed all clinical experience requirements of this section under the supervision of a preceptor who holds a license in good standing, is registered as a preceptor with North American Registry of Midwives (NARM), and

   1. (1) meets the qualifications of AS 08.65.090(b); or
   2. (2) is a midwife who has been licensed in another state or country and practicing midwifery for at least the two years immediately preceding the date that the supervision began and as determined by the board, the state or country in which the midwife has been licensed had licensing requirements substantially equivalent in scope, quality, and difficulty to those of this state at the time of licensure; or
   3. (3) repealed 2/22/2023;
   4. (4) repealed 2/22/2023;
   5. (5) has met the requirements of AS 08.65.050(3) and (4); the supervised clinical experience must have met the requirements of this section.

2. (b) Supervised clinical experience must have included at least the following types and numbers of experiences:

   1. (1) 100 prenatal visits, including 20 initial exams;
   2. (2) 10 labor and delivery observations that preceded any primary responsibility for labor and delivery; the observations may have been completed before the permit being issued;
   3. (3) 20 assisted labor managements that preceded any primary responsibility for labor and delivery;
   4. (4) primary responsibility for 20 labor and deliveries of the newborn and placenta;
   5. (5) 40 newborn examinations; and
   6. (6) 50 postpartum examinations of the mother.

3. (c) As part of the supervised clinical experiences required in (b) of this section, an applicant must have provided continuous care to at least 15 clients. "Continuous care" means, for the same client, the applicant

   1. (1) performed at least six prenatal visits;
   2. (2) observed, assisted with, or had primary responsibility for labor and delivery of the newborn and placenta;
   3. (3) performed a newborn examination; and
   4. (4) performed a postpartum examination of the mother.
4. (d) An applicant must have completed at least 10 of the supervised clinical experiences required in (b)(3) and (b)(4) of this section, in any combination, within the two years immediately preceding the date of application.

5. (e) On a form provided by the department, an applicant shall document the applicant's clinical experience, including the following information, if applicable:

   1. (1) the date of birth;
   2. (2) the location of birth;
   3. (3) the infant's gender;
   4. (4) the infant's weight;
   5. (5) the name of the person who managed the labor;
   6. (6) the name of the person who delivered the newborn and placenta;
   7. (7) any complication and its outcome;
   8. (8) a detailed explanation of any situation that required emergency transport; and
   9. (9) the signature of the applicant's preceptor verifying that the experience was supervised and that the care provided was within the scope of AS 08.65 and this chapter.
6. (f) An applicant's preceptor shall test the applicant and keep a record of the applicant's performance of practical skills on the form titled Practical Skills List for Alaska Certified Direct-Entry Midwives, dated January 2003, adapted from the copyrighted 2002 version of the North American Registry of Midwives and used by permission, and adopted by reference. This form is provided by the department and is established by the board for use by a preceptor to document an applicant's completion of the practical skills required by the board. The requirements of this subsection do not apply to an applicant who has graduated from a school of midwifery preapproved or accredited by the Midwifery Education Accreditation Council (MEAC).

(Eff. 2/18/94, Register 129; am 4/16/2003, Register 166; am 12/26/2003, Register 168; am 8/19/2004, Register 170; am 4/29/2006, Register 178; am 9/9/2016, Register 219; am 11/25/2018, Register 228; am 2/22/2023, Register 245; am 12/17/2023, Register 248)