Teaching and Learning Resources

The AMSAT has been developed to assess midwifery practice in authentic situations and workplace settings. It is a user-friendly tool that can be used to assess the performance of midwifery students or graduates. The scores for the items in the tool are determined by observed behaviours and should be based on student performance against the expectations for the students’ level of training, and that scoring the ‘not applicable’ section can only be used if the student has not had an opportunity to demonstrate the behaviour. It has been developed to assist consistency for midwives who are required to assess student and/or graduate performance in the practice setting.

The following resources include a training manual to assist supervisors/facilitators/assessors to use the tool, a range of short videos that explain the variance in expected student performance by year groups, and a reference list for recommended further resources.

An Introduction to AMSAT

Video Resources

Scenario 1

Scenario 2

Scenario 3

Recommended Reading


Sweet L, Fleet J, Bull A, et al. (2020) Development and Validation of the Australian Midwifery Standards Assessment Tool (AMSAT) to the Australian Midwife Standards for Practice 2018. Women and Birth. 33(2), 135-144. doi:10.​1016/​j.​wombi.​2019.​08.​004 

Sweet L., Bazargan M., McKellar L., Gray J. & Henderson A. (2018) Validation of the Australian Midwifery Standards Assessment Tool (AMSAT): a tool to assess midwifery competence, Women and Birth. 31(1), 59-68. doi:10.1016/j.wombi.2017.06.017

Ossenberg C, Henderson A, Dalton M. Determining attainment of nursing standards: the use of behavioural cues to enhance clarity and transparency in student clinical assessment, Nurse Education Today. 35(1):12-15. doi:10.1016/j.nedt.2014.09.002

Norcini J, Anderson B, Bollela V, Burch V, Costa MJ, Duvivier R, et al. Criteria for good assessment: consensus statement and recommendations from the Ottawa 2010 Conference. Med Teach 2011;33(3):206–14. doi:10.3109/0142159X.2011.551559

Norcini J, Burch V. Workplace-based assessment as an educational tool: AMEE guide no. 31. Med Teach 2007;29(9–10):855–71. doi:10.1080/01421590701775453

van der Vleuten CPM, Schuwirth LWT, Scheele F, Driessen EW, Hodges B. The assessment of professional competence: building blocks for theory development. Best Pract Res Clin Obstet Gynaecol 2010;24(6):703–19.

Embo M, Driessen E, Valcke M, van der Vleuten CPM. Integrating learning assessment and supervision in a competency framework for clinical workplace education. Nurse Educ Today 2015;35(2):341–6. doi:10.1016/j.nedt.2014.11.022

Nursing and Midwifery Board of Australia. Midwife standards for practice. 2018; Available from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx.


Australian Midwifery Standards Assessment Tool (AMSAT) has been determined to be a valid, reliable and acceptable assessment tool that enables consistent assessment of midwifery student workplace performance1. It is based on the Midwife Standards for Practice (2018) approved by the Nursing and Midwifery Board of Australia.

Analysis of 255 AMSAT forms indicate the AMSAT as

  • Reliability: Kaiser-Meyer-Olkin measure of sampling adequacy value was .879 and Bartlett’s test of sphericity was significant (p< 0.000), both indicating that the data was suitable for factor analysis. One factor had an eigenvalue of 16.6 and explained about 67% of variance. Cronbach’s alpha was.986. These indicate excellent internal consistency and construct reliability.
  • Validity: The Kruskal-Wallis One-Way ANOVA showed there was a statistically significant difference in the calculated mean scores of AMSAT performance for formative assessment (Mean Rank = 69.39) and summative assessment (Mean Rank = 96.44), H = 13.341, df = 1, N = 163, Cohen’s f = .30 (medium effect size).

An electronic medium for inputting the data has been developed, please contact L Sweet for further information.



Linda Sweet

Email: l.sweet@deakin.edu.au