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Active Practice Requirement (APR)

Active Practice Requirement (APR)

In accordance with section 12 of the Registration Regulation, members holding General certificates of registration are required to actively practise the profession to maintain currency and ability to practise in all birth settings (out-of-hospital and hospital). You can click here to read the College’s Active Practice Requirement Information and read below for a relevant excerpt from the Registration Regulation.

Conditions, general certificate

12           (1) The following are conditions of a general certificate of registration:

1.  The member shall carry on an active practice in accordance with this section, and shall correct any deficiencies in accordance with subsection (5), unless a panel of the Registration Committee grants an exception under extenuating circumstances

[…]

(2) A member satisfies the requirement for active practice if the member provides midwifery    care,

(a) over a one-year period, to at least 20 women, 10 of whom the member attended as primary midwife with at least five births occurring in a hospital and at least five in a residence, remote clinic or remote birth centre; or

(b) over a two-year period, to at least 40 women, at least 20 of whom the member attended as primary midwife with at least 10 births occurring in a hospital and at least 10 in a residence, remote clinic or remote birth centre.  O. Reg. 168/11, s. 12 (2).

(3) A member who complies with subsection (2) in the first two consecutive years after registration in Ontario may elect to satisfy the requirement for active practice by, in any subsequent five-year period, providing midwifery care to at least 100 women, at least 50 of whom the member attended as primary midwife with at least 25 births occurring in a hospital and at least 25 in a residence, remote clinic or remote birth centre.  O. Reg. 168/11, s. 12 (3).

(4) Despite subsection (3), a member may satisfy the requirement for active practice over any five-year period after registration in accordance with subsection (3) if the member,

(a) practised as a midwife in a jurisdiction outside of Ontario before being issued a certificate of registration under the Act; and

(b) would, if the member had been registered as a midwife in Ontario, have been in compliance with clause 2 (a) or (b) in two of the four years immediately preceding the member’s registration as a midwife with a general certificate of registration in Ontario.  O. Reg. 168/11, s. 12 (4).

(5) A member who receives notice from the Registrar of having failed to satisfy the active practice requirements in subsections (2) to (4) shall not engage in the practice of midwifery unless,

(a) within 30 days of the notice being sent, the member agrees to comply with a plan proposed by a panel of the Registration Committee that is designed to enable the member to meet the active practice requirements; and

(b) the member gives an undertaking to the Registration Committee that he or she will comply with any term, condition or limitation imposed on his or her certificate of registration that is in relation to the plan mentioned in clause (a).  O. Reg. 168/11, s. 12 (5).

Related APR Information: