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Article Abstract
Pass rates for the American Midwifery Certification Board (AMCB) national certification examination (NCE) are declining. Accreditation Commission for Midwifery Education-accredited midwifery education programs are challenged to meet institutional pass rate goals and support graduates seeking to enter the midwifery workforce. There are financial, emotional, and social consequences for graduates who do not pass the AMCB NCE that undermine their success. A large, distance-based nurse-midwifery/women's health nurse practitioner program is successfully improving its AMCB NCE pass rates via an innovative, structured, and tuition-free Boards Reboot & Readiness course. Designed for at-risk students and graduates, the course emphasizes a trauma-informed approach, focusing on self-reflection, community building, content review, and high-intensity faculty support. Student feedback and outcomes have informed iterative enhancements and revisions.
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