The care of children, beginning at birth

Nurse Midwife and Primary Care Pediatric Nurse Practitioner (Combined) Program


Nurse Midwife and Primary Care Pediatric Nurse Practitioner (Combined)

Program Focus


The Nurse Midwife and Primary Care Pediatric Nurse Practitioner (combined) program prepares advanced practice nurses to provide primary health management to women and their infants, children, and adolescents. Relying on framework of midwifery and adolescent development, students learn to provide direct care for women and children as well as promote healthy habits that reduce the risk of illness and disease. Graduates also learn the skills unique to participating in multidisciplinary collaborations, research, and community education. Graduates are eligible for the American Midwifery Certification Board Exam to become certified as a CNM as well as primary pediatric nurse practitioner (PCPNP) certification from the Pediatric Nurse Certification Board (PNCB) or the American Nurse Credentialing Center (ANCC).



Graduates are prepared for a scope of practice that is the independent management of women’s and children’s healthcare, focusing particularly on family planning, pregnancy and childbirth, care of the newborn, and health maintenance care for children, including well child examinations, routine developmental screenings, diagnosis and treatment of common childhood illnesses, immunizations, and school physicals.


“The Michigan Difference”

World-Class Faculty Leaders in Education, Research, and Practice

Faculty that teach in our program are excellent instructors and researchers, but also expert clinicians who maintain active practices at the University of Michigan Health System – a premier health care organization - and other local primary care settings such as private practices and nurse managed centers.  In addition to their teaching, research, and practice, our faculty are actively involved in leadership roles in national organizations (e.g. Michigan Chapter of the National Association of Pediatric Nurse Practitioners and the American College of Nurse Midwives) using their expertise to help shape and advance the future of midwifery and pediatric care and education.


Diverse Practice Settings and Exposure to the Full Spectrum of Care

Because the experience of applying knowledge and theory in a real-world setting is so integral to the learning process, the School of Nursing provides a plethora of clinical placement opportunities that expose students to a variety of populations and care settings. From rural outpatient clinics and low-tech home births to private practices with the most cutting edge technological tools, our Nurse Midwife/Primary Care Pediatric Nurse Practitioner students learn by doing. And during this process, they provide women with guidance during pregnancy, soon-to-be mothers with support during labor, newborns with well child care, children with developmental screenings, and more.


Significant Global Opportunities

Women and children are the most vulnerable populations in global health, making the Nurse Midwife and Primary Care Pediatric Nurse Practitioner specialty a logical fit for students interested in careers in international health. The School of Nursing is a designated PAHO/WHO Collaborating Center and many of our program faculty members are actively engaged in practice and research in global settings, creating the opportunity for students to have international clinical experiences.  Past opportunities have included Liberia, The Netherlands, Ghana, Taiwan, and Honduras.



The University of Michigan School of Nursing's Nurse Midwife and Primary Care Pediatric Nurse Practitioner program meets and exceeds the Core Competencies for Basic Midwifery Practice as outlined by the American College of Nurse-Midwives (ACNM) as well as the Core Competencies for Primary Care Pediatric Nurse Practitioner practice as outlined by the National Organization of Nurse Practitioner Faculties (NONPF) and the American Association of Colleges of Nursing (AACN).
The process of nurse midwife and primary care pediatric nurse practitioner education at the University of Michigan School of Nursing includes graduate core courses (nursing theory, research, data management, health strategies, and a scholarly project) and a comprehensive nurse midwife and primary care pediatric nurse practitioner clinical program. A solid clinical education foundation begins with a course in primary care of the well child. The curriculum then builds to include pregnancy care and childbirth followed by newborn care and the care of children with common acute and chronic illness. Students engage in varied clinical experiences throughout the program to compliment the didactic foci of each clinical course. In addition to instructing students in the basics of assessment, diagnosis, and treatment of physical conditions, clinical experiences include the social and psychosocial aspects of care of mothers and their children.


Specialty Appeal

Graduates from our dual program are in demand as more women seek the personal care midwives provide. Midwives have been ushering American women through pregnancy and other normal stages of life since the early 1900s and today women seek midwives for prenatal care, birth, postpartum care, gynecologic exams, vaginal infections, and birth control. With their expanded practice, Nurse Midwifes/Primary Care Pediatric Nurse Practitioners can then continue to care for the mother while also providing primary care for her child throughout adolescence.
The role of the Nurse Midwife/Primary Care Pediatric Nurse Practitioner is continuously evolving and expanding to meet the increasingly complex healthcare needs of the maternal and pediatric populations. As a result, graduates can practice in a wide variety of settings including nurse-managed clinics, rural health clinics, specialty clinics, research laboratories, group clinical practice/HMOs, the list goes on.
In addition to a choice of practice settings, graduates from the dual program have multiple career opportunities as there are numerous possible applications of a Nurse Midwife/Primary Care Pediatric Nurse Practitioner master’s degree. Including teaching at a university, participating in clinical research on important issues in pregnancy and pediatrics, becoming active in local and national legislative affairs relating to public health policy and reform, participating in public education, administrate a nurse-managed practice, and much more.
Besides the practical benefits of being a Nurse Midwife/Primary Care Pediatric Nurse Practitioner, graduates enhance the health and healthcare of women and children through providing them with specialized care specifically tailored to their unique needs. In addition, students learn an art that often reduces the need for high-tech interventions while also being able to make the latest in safe scientific procedures available to their patients. No day is ever the same. Each patient’s needs are different and pediatric nurse midwives use a range of skills to provide them with the best level of care.


Listed below are the required courses for the Nurse Midwife and Primary Care Pediatric Nurse Practitioner (NP) combined program. Students in the Nurse Midwife and Pediatric NP combined program will be placed in clinical settings appropriate to the Nurse Midwife and to the Pediatric NP role. The curriculum is offered in an on-campus format; however, a few of the core courses may be web-blended. The Nurse Midwife and Primary Care Pediatric NP combined program is offered as a fall term (September) start only. The set program plan for the Nurse Midwife and Pediatric NP combined program is a full-time, 3 year program.

Sample Plan of Study 

Course Number
Course Name
Course Credits
Specialty Courses
N528Models, Theories and Methods to Promote Optimal Health Outcomes3
N527Promoting Optimal Models and Systems for Healthcare Delivery3
N529Scientific and Analytic Approaches for Advanced Practice3
Advanced Health Assessment for Advanced Practice Nurses
Advanced Physiology and Pathophysiology Across the Lifespan
Antepartum Care of Essentially Normal Women
Advanced Primary Care Nursing I: Health Promotion and Management of Acute Health Problems of Adults and Well Women/GYN Care5
N676Intrapartum, Postpartum and Newborn Care7
N677Nurse-Midwifery IV-Integration: The Childbearing Cycle4
 N678 Transition to Advanced Practice: Professional Issues3
N561Care of the Childbearing Woman1
N571Well Woman Clinical2
N557CDM I: Infant, Child, and Adolescent Health: Wellness and Management of Common Illness2
N555Advanced Practice Specialty Procedures and Skills for Pediatric Primary Care1
N589Advanced Pediatric Nurse Practitioner Clinical Practicum6
N617 CDM II: Infant, Child, and Adolescent Health: Primary Health Care Across Multiple Settings8
Required Cognate Courses
P620Pharmacotherapeutics I4
P621Pharmacotherapeutics II4
Minimum Number of Credits Required = 69
Minimum clinical hours during program = 1,328
(560 Primary Pediatric NP clinical hours + 768 Nurse Midwife clinical hours) 

More information is available in the Master's Handbook and Nurse Midwifery Program Handbook.

The University of Michigan School of Nursing Nurse Midwifery programs were reaccredited for 10 years in February 2016 following their successful re-accreditation site visit in October 2015 by the Accreditation Commission for Midwifery Education (ACME). For inquiries about accreditation, please contact ACME at 8403 Colesville Road Suite 1550 Silver Spring, MD 20910-6374,, email

In the last three years (2012, 2013, 2014) the pass rate for taking the exam the first time has been 100%. To date, all students who have taken the American Midwifery Certification Board exam after graduation from our program have successfully passed.

For information about the University of Michigan Nurse-Midwifery program please email