Certifications › Specialty nursing board certifications
Board exam · National Certification Corporation (NCC)
C-EFM — Electronic Fetal Monitoring (C-EFM)
C-EFM is NCC's subspecialty certification in electronic fetal monitoring, open to licensed physicians, RNs, NPs, midwives, PAs and paramedics in the US or Canada. It is maintained with 15 hours of fetal-monitoring CE in each 3-year cycle.
Named in 24 of 29,080 postings on this site as of 11 Nov 2026, mostly Registered Nurse (22), Nurse Practitioner (1) and Nurse Midwife (1).
The facts, from the issuer
- Eligibility
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You need a current, unencumbered US or Canadian licence as a physician, RN, NP, nurse midwife or midwife, PA or paramedic.
NCC — Exam fees and eligibility · checked ·
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“Current/active/unencumbered licensure in the U.S. or Canada as a physician, registered nurse, nurse practitioner, nurse midwife or midwife, physician assistant or paramedic is required.”
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No practice experience is required, though EFM experience is recommended.
NCC — Exam fees and eligibility · checked ·
Quote
“No practice experience is required but it is recommended that for the best possibility for successfully completing the certification process is that you have experience with electronic fetal monitoring.”
- Format
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Testing runs in 90-day windows that start on the date your application is found eligible.
NCC — Methods of testing · checked ·
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“Testing occurs in 90-day cycles that begin on the date your application is determined eligible .”
- Length
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The EFM exam has 125 questions, 100 of them scored.
NCC — Electronic Fetal Monitoring Candidate Guide · checked ·
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“The Electronic Fetal Monitoring examination consists of 125 test”
- How long it lasts
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CE for subspecialty maintenance can be entered any time during the 3-year maintenance cycle.
NCC — Subspecialty certification maintenance · checked ·
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“CE can be entered into the Maintenance Application anytime during the 3-year maintenance cycle”
- Renewal
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Subspecialty holders such as C-EFM take no assessment and need 15 CE hours in the subspecialty.
NCC — Maintenance information · checked ·
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“no assessment is required and your CE requirement is 15 hours in your subpspecialty area.”
- Cost
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Subspecialty exams such as C-EFM cost $210.
NCC — Exam fees and eligibility · checked ·
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“Subspecialty Exams leading to a C-EFM ® , C-NPT ® , C-ELBW, C-ONQS, C-NNIC, C-RHI or C-OBE Certification: Computer: $210 exam fee”
- Find a class or test site
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NCC exams are taken at PSI test centers (about 250 in the US) or by live remote proctoring.
NCC — Methods of testing · checked ·
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“the test is taken at one of 250 test centers across the country at NCC's testing vendor AMP/PSI test sites.”
Where to take it
Start with the issuer’s own test-site search:
- Book the exam at a test site: PSI — NCC test centers (test-takers.psiexams.com)
C-EFM is an exam taken at test sites, so there are no classes to list here; use the test-site search above.
Distances are straight-line from the ZIP or city centre (U.S. Census 2024 gazetteer), not drive times. Listings come from state approved-program lists, issuer directories and providers' own pages. A listing is not a partnership; confirm dates, price and seats with the provider.
Related
- Current Registered Nurse jobs
- Current Nurse Practitioner jobs
- Current Nurse Midwife jobs
- CEN — Certified Emergency Nurse (CEN)
- CPEN — Certified Pediatric Emergency Nurse (CPEN)
- TCRN — Trauma Certified Registered Nurse (TCRN)
- CNOR — Certified Perioperative Nurse (CNOR)
- RNC-OB — Inpatient Obstetric Nursing (RNC-OB)
- RNC-NIC — Neonatal Intensive Care Nursing (RNC-NIC)
- OCN — Oncology Certified Nurse (OCN)
- CMSRN — Certified Medical-Surgical Registered Nurse (CMSRN)
- CHPN — Certified Hospice and Palliative Nurse (CHPN)
Every fact above was read on the issuer’s own page on the date shown, with the exact words quoted. Anything the issuer does not publish is left out, so a missing fee means the issuer leaves pricing to the class provider or did not publish one. Employers decide which cards they accept; check the posting.