The widespread practice of educations nurse-midwifery students for the care of the “essentially normal childbearing family” in high-risk medical centers poses a dilemma which provokes the investigation of educational alternatives. Can a private nurse-midwifery service successfully expand their operations to accommodate the full-time education of students? Should they? One practice felt such a strong commitment to nurse-midwifery education that they recruited the educational program. The following is a report of the successful collaboration between McTammany Nurse-Midwifery Center, Inc. and the College of Medicine and Dentistry of New Jersey in the development and implementation of a pilot off-campus Nurse-Midwifery Educational Program.