The Women's Health Care Training Project is a midwifery education program designed for Family Nurse Practitioners and Primary Care Physician Assistants employed in publicly funded clinics in medically underserved areas of California. Developed through the collaborative effort of faculty of the Stanford University Medical Center-Foothill College Primary Care Associate Program and program consultants from the California State Department of Health Services, the program design permits the primary care practitioner to remain in her community during the student experience, traveling to Stanford for intensive didactic experiences and using local preceptor resources for clinical experience. This decentralized work-study model of education, which builds on the practitioner's skills in family medicine, expands the accessibility of additional midwifery education to students committed to practice settings in underserved areas. The American College of Nurse Midwives has given the registered nurse tract of the program preaccreditation status as an approved curriculum in nurse midwifery education.