Nurse midwife and primary care pediatric nurse practitioner (combined) program

Specialty appeal 

  • Dually prepared nurse midwives and primary care pediatric nurse practitioners are in demand. The extreme shortage of maternity care providers means that there is a high demand for the quality of care provided by nurse midwives, and the additional training as a primary care pediatric nurse practitioner means graduates can care for whole communities.
  • Nurse midwife/primary care pediatric nurse practitioners can practice in a number of settings (birth centers, hospitals, private or public clinics) and apply their education to multiple ends (teaching, advocacy, research, public education). Their skills can be used globally, meaning graduates from our dual program can work almost anywhere in the world.
  • CNM/PCPNPs empower women to take more active roles in making decisions about their healthcare and lifestyle habits and help entire families make smarter, healthier decisions, reducing their risk of health complications later. This is a source of considerable personal satisfaction and respect.
  • Midwifery is a dynamic practice. While midwives learn an art that often reduces the need for high-tech interventions, they are also highly skilled practitioners educated to make individual assessments when caring for women and their newborns including varied forms of technology as indicated.

Education and practice

The curriculum combines the primary care pediatric nurse practitioner and the nurse midwife programs, allowing students to sit for certification exams in both of these areas upon full program completion. The program is based on an understanding of health sciences theory and clinical preparation that shapes knowledge, judgment, and skills necessary to provide primary health care to women and children through infancy and childhood. With a strong emphasis on health promotion, our program focuses on the development of healthy behaviors as they pertain to diverse groups at different developmental stages.

The primary benefit of the dual program is that it broadens the scope of practice beyond that of a primary care pediatric nurse practitioner or a nurse midwife alone. The program combines the core strengths of the PCPNP and NM programs to prepare culturally competent practitioners who provide the full range of primary care. This includes women’s healthcare such as pregnancy, childbirth, the post-partum period, care of the newborn, and the family planning and gynecologic needs of women as well as providing well care to children and the diagnosis and management of common acute and chronic health problems. Because of the comprehensive scope of the program, individuals who graduate from the dual program and successfully complete both board certifications often practice in rural or international locations using this broad scope of practice across patient populations.


See admission requirements.


Listed below are the required courses for the nurse midwife and primary care pediatric nurse practitioner (NP) combined program. Students in the combined program will be placed in clinical settings appropriate to the nurse midwife and to the primary care pediatric NP role. The curriculum is offered in an on-campus format; however, a few of the core courses may be web-blended. The combined program is offered as a fall term (September) start only. The set program plan is a full-time, 3.5 year program. Seventy-three total credit hours are required. There is a minimum of 1,272 clinical hours required during the program (504 primary care pediatric NP hours and 786 nurse-midwife hours). More information is available in the student handbooks.


Core courses

  • NURS 502: Advanced Physiology and Pathophysiology Across the Lifespan
  • NURS 503: Advanced Health Assessment for Advanced Practice Nurses
  • NURS 527: Promoting Optimal Models and Systems for Healthcare Delivery
  • NURS 528: Models, Theories and Methods to Promote Optimal Health Outcomes
  • NURS 529: Scientific and Analytic Approaches for Advanced Practice
  • NURS 546: Antepartum Care of Essentially Normal Women
  • NURS 555: Advanced Practice Specialty Procedures and Skills for Primary Care Pediatrics
  • NURS 557: CDM I: Infant, Child, and Adolescent Health: Wellness and Management of Common Illness
  • NURS 561: Care of the Childbearing Woman
  • NURS 566: Advanced Primary Care Nursing I: Health Promotion and Management of Acute Health Problems of Adults and Well Women/GYN Care
  • NURS 571: Advanced Midwifery Clinical 
  • NURS 589: Advanced Pediatric Nurse Practitioner Clinical Practicum
  • NURS 617: CDM II: Infant, Child and Adolescent Health
  • NURS 676: Intrapartum, Postpartum and Newborn Care
  • NURS 677: Nurse-Midwifery IV-Integration: The Childbearing Cycle
  • NURS 678: Transition to Advanced Practice: Professional Issues

Required cognates

  • HS505: Team-Based Clinical Decision Making
  • PHR 620: Pharmacotherapeutics I
  • PHR 621: Pharmacotherapeutics II 


The University of Michigan School of Nursing nurse midwife and primary care pediatric nurse practitioner program meets and surpasses the basic midwifery practice core competencies as outlined by the American College of Nurse-Midwives (ACNM) as well as meets and surpasses the pediatric nurse practitioner core competencies as outlined by the National Organization of Nurse Practitioner Faculties (NONPF) and the American Association of Colleges of Nursing (AACN). 

The process of education at the University of Michigan School of Nursing begins with a solid foundation in primary care. The curriculum then builds to include pregnancy care, childbirth, and newborn care. Clinical experience is integral throughout the program, with a range of opportunities available to students for the intensive clinical experience including global settings. Ultimately, the program focuses on training advanced practice nurses who can provide care across the lifespan while also providing the highest quality midwifery care to women and their newborns.