Electronic Fetal Monitoring

Certification in Electronic Fetal Monitoring (C-EFM(®))

NCC will be comparing two methods of taking the EFM Exam.  Beginning February 1, 2020 candidates who register for the EFM exam may take the exam at a Computer Test Center or take the exam by Live Remote Proctoring using their own computer at their home or office.  All candidates who take the EFM exam using Live Remote Proctoring will receive a Second Chance Free if they fail to pass the exam. 
This opportunity to take the exam by Live Remote Proctoring and receive the Second Chance Free offer won’t last long. This option will only be available for EFM tests scheduled and taken between April 1, 2020 and May 31, 2020. The last date to schedule an LRP exam is 5/28/2020 and the exam cannot be taken after 5/31/2020 using the LRP testing method.  If you schedule an LRP exam after May 31, 2020 it will be cancelled and you will need to reschedule or submit a change request to reschedule for a test center. Details can be found at: Live Remote Proctoring

The purpose of the NCC Electronic Fetal Monitoring Subspecialty Certification is to provide a competency-based examination that tests specialty knowledge and the application of that knowledge for licensed health care professionals in the US and Canada, who utilize the application of electronic fetal monitoring and interpretation of data obtained to provide care to obstetrical patients in both inpatient and outpatient settings.

This is for those seeking certification for the first time. It is not to be used for the maintenance of an existing EFM credential.  C-EFM(®)  is the designation used to indicate national certification in Electronic Fetal Monitoring. 

Upon achieving NCC EFM Certification (C-EFM ®)) diplomates will be awarded one year of Part IV credit to their personal ABOG dashboard. Part IV credit can be earned in the year of initial certification for 2016-2020. 

The ABOG MOC standards now allow participation in ABOG-approved EFM certification to meet the annual Improvement in Medical Practice (Part IV) MOC requirement. This course has been approved to meet ABOG Improvement in Medical Practice requirements for 2016 -2020.

Please review the 2018 MOC Bulletin for further information. NCC will provide ABOG with a list of physicians who are EFM certified each year. If you do not want us to provide your name to ABOG please email us at info@nccnet.org.

Test Center

See Overview for more information

Apply for test center exam

Only online registrations on this website are accepted. Applications submitted by mail, fax or email will not be accepted and will be returned to the individual.

This registration portal is only for those taking the test via computer. If you are taking the test as part of a group or at a PEC course, select Special Testing Opportunities from the menu on the right or contact your PEC sponsor, ICP sponsor or NCC at CONTACT US for further instructions.

(PDF) Registration Catalog - Eligibility, Overview, Fees and Policies
(PDF) Guide to Testing Methods - Rules, Procedures and What to Expect

(PDF) Candidate Guides - Exam Content, Competency Statements, Study Resources and Scoring


Eligibility Requirements

  • Current licensure in the U.S. or Canada as a physician, registered nurse, nurse practitioner, nurse midwife, physician assistant or paramedic.
  • Complete details are in the EFM Examination Registration Catalog.

Cost for Computer testing

  • $210 which is composed of a $50 non-refundable application submission cost and a $160 testing fee.
  • Incomplete applications are subject to a $30 reprocessing fee.
  • After the exam is purchased, there is a 6-hour window to cancel the order. The order can be canceled by going into your account and clicking on the "Cancel Application" under the new certification. 
  • After 6 hours, an Exam withdrawal Request and fee are required to withdraw. 

Details for Computer Testing

  • There are no application deadlines and a candidate may submit an application at any time.
  • It can take 1 to 14 days to process, review and approve an application.
  • Please be sure you are prepared to take the exam within 90 days of the application before you submit
  • Eligibility letters are emailed and can also be found in your account.
  • If you do not receive your eligibility letter or have an eligibility letter in your account within 2 weeks of your exam application submission confirmation, please "CONTACT US" and choose "My application that I already submitted". 
  • If determined eligible, you will be placed in the next available 90-day window to schedule and take your exam.
  • You will schedule your own exam appointment with AMP/PSI either by phone or via the internet. See your eligibility letter for contact information.
  • Exams will be delivered by appointment only Monday through Saturday at 9:00 am and 1:30 pm, via computer at over 100 AMP Assessment Centers geographically located throughout the United States. Sites are subject to change. See the AMP/PSI website, www.goamp.com, for more information. 
  • Candidates are scheduled on a first-come, first-served basis. However, there is a requirement that a minimum of 4 business days occurs between the time of scheduling and the test date.
  • Exams must be scheduled within the first 30-days of the eligibility window. It is recommended that you schedule your testing appointment as soon as possible, as testing sites cannot be guaranteed if you wait. If you wait beyond the 30-day requirement all testing appointments may be taken.  If this occurs you may have to travel to another site or pay $125.00 to change your eligibility window. 
  • Prior to attempting the examination, you will be given the opportunity to practice taking a test on your computer.
  • A candidate who fails to report for an examination will not receive a refund, but may change their mode of testing. Learn more about eligibility and fees to change your testing date, method of testing or exam category.
  • After completing the examination, the candidate will receive a preliminary score report.
  • Official results will be mailed from NCC after exam administration. You should receive your results by mail and have them in your account after 15 business days for computer exams and 21 business days for paper/pencil exams.  (date of certification is based on the date on the official results NOT the exam date).
  • You are not certified until you receive your results in the mail and your certification appears in your account.
  • It is recommended that you read the candidate guide for the exam you are taking so you can become familiar with all NCC policies and procedures.  You will be subject to them so it is to your advantage to understand the certification process and rules. 


  • This exam is a 2-hour test consisting of 125 multiple-choice items.  Of the 125 items, 100 are scored and 25 are used to gather statistical data on item performance for future exams.