Role-play for health science students can be done by applying clinical setting role play. The study aimed to find out the effect of clinical setting role play to improve the speaking skills of midwifery students using pre and post-test design. This is a classroom action research with one group before-after study. The 3rd -semester midwifery students were taken totally as samples. Paired T-Test shows an increase in the value of the pre and post-test results with a p-value of 0.003 and