The Practical Skills Guide for Midwifery is used as a study guide in preparation for skills examination. The North American Registry of Midwives  (NARM) recommends the use of The Practical Skills Guide for Midwifery as a study guide for the Skills Assessment portion of the NARM Portfolio Evaluation Process (PEP). It is recommended that the candidate refer to the Candidate Information Bulletin (CIB) for both the Written Exam and Skills Assessment specifications.