Intermittent Auscultation
Simulation-Based Course for Midwifery Education Programs

Intermittent auscultation (IA) is a core midwifery skill, yet clinical exposure and teaching approaches vary widely across training sites. The Step Up Together Intermittent Auscultation Simulation-Based Education course provides a standardized way to teach, practice, and assess IA knowledge and skills across learners, cohorts, and clinical settings.

Trusted by Midwifery Educators and Clinical Teams

Thousands of learners have completed this course, which has been adopted by multiple midwifery and nursing programs as well as birth centers, group practices, and hospital units. A self-paced online program, the course gives students and trainees structured exposure to IA skills and decision-making, before they are responsible for real-world clinical outcomes. 
Unlike IA education developed primarily for hospital nursing practice, this course includes clinical management and decision-making concepts relevant to both hospital and community-based midwifery care.
Why Adopt Standardized Simulation-Based Education for IA?

Benefits of standardized, simulation-based education

Provide consistent IA education across faculty, preceptors, and clinical sites

Supplement variable clinical exposure with standardized simulation experiences

Strengthen learners’ auditory assessment and interpretation skills

Bridge IA concepts across hospital, birth center, and home birth settings

Reinforce evidence-based eligibility, assessment, documentation, and escalation principles

Support competency-based education and skills validation

Help learners hear, interpret, and act, not just memorize definitions—building confidence before licensure and independent practice.

This Course Supports:

  • Standardized IA instruction across cohorts and preceptors
  • Simulation-based learning that does not depend on encountering specific clinical scenarios
  • Practice interpreting baseline fetal heart rate, accelerations, decelerations, and maternal-fetal heart rate differentiation
  • Application of clinical management principles based on IA findings
  • Preparation for both hospital and community-based maternity care environments
  • Alignment with guidance from ACNM, AWHONN, ACOG, and the Community Birth Consensus Guidelines

How Midwifery Programs Integrate It

  • Required coursework or clinical lab supplementation
  • Bridge content before or during community birth rotations
  • Remediation or skills reinforcement
  • Faculty-supported discussion and debriefing

Easily enroll and track progress for all your students and trainees

Midwifery programs can purchase multiple licenses at once enabling you to:
  • Assign licenses
  • Track progress and performance
  • Export reports
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