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Change of Registration Class

Change of Registration Class

Members are required to submit an application to the College to change their class of registration for periods they will not be practising midwifery in Ontario or to resume the practice of midwifery in Ontario. Applications for class changes may be submitted at any time during the membership year, however, processing times vary depending on the type of class change, and if the application is received during the high-volume Registration Renewal period of August through October.

Types of Class Changes

There are three types of class changes as follows:

  1. General class (Eligible to practise) to Inactive class (Not practising)
  2. Inactive class (Not practising) to General class (Eligible to practise)
  3. Inactive class (Not practising) to General class (Eligible to practise) requiring a Registration Committee Panel review

Applications may be submitted by one of the following methods:

  • Email: regsupport@cmo.on.ca (Preferred method by the College)
  • Mail:
    College of Midwives of Ontario
    21 St. Clair Avenue East, Suite 303
    Toronto, Ontario M4T 1L9

Applications that are incomplete or are missing required documentation will result in processing delays. Class changes to the General class during the Registration Renewal period from August to October may require additional time for the College to process. Please allow ample time for processing by submitting your application as early as possible. Should you require any further information regarding class changes, please contact the Registration Department at regsupport@cmo.on.ca or 416-640-2252 ext. 208.

Forms and Helpful Hints

Changing Class of Registration – Important Information and Process Overview

Change of Class Inactive to General Class Change Form

Change of Class General to Inactive Class Form

Click to expand for more information on different types of class changes.

1. General Class to Inactive Class

Members in the General class who wish to change to the Inactive class of registration simply submit an application form to the College by email before the effective date of the change. This type of class change can be processed relatively quickly by the College and generally takes up to 10 business days. Class changes effective on October 1st, can be initiated as per note below. Members in the Inactive class remain members of the College, and thus are required to renew their membership registration with the College by the October 1st deadline. Renewal information is available annually in August. Inactive members of the College may continue to use the title Registered Midwife or RM, however, are not permitted to practise midwifery in Ontario while in the Inactive class.

Note: For class changes effective October 1st, which is the start of the registration membership year (October 1st to September 30th), a member may submit a class change request to Inactive class directly through the renewal portal. The renewal portal is available from August 1st to October 1st only. This process automatically adjusts registration renewal fees to the inactive renewal fees.

To initiate the class change process, download, complete, and submit the following form: Change of Class General to Inactive Class Form

Once the College processes the class change to Inactive, the following occurs:

  1. Professional liability insurance is suspended. Members are not permitted to practise midwifery in Ontario while in the Inactive class of registration.
  2. Public Register Information is updated, and an updated wallet card becomes available through the Member Portal
  3. Midwifery Stakeholders are notified (AOM, MOHLTC, MGCS, OMP, MEP, HIROC)
  4. Class change is confirmed by email to the member
  5. Registration fees are re-calculated and a refund is issued to the member by cheque, if applicable. A refund is issued within four weeks after the effective date of the class change, and is the difference between General fees paid and Inactive fees for the membership year. That is, a member pays General fees for the months or partial months practising and Inactive fees for the months not practising in a registration year.

Note: All class changes to the General class effective as of April 1, 2018 require the completion of the College’s Jurisprudence Course, if the course was not completed previously. In accordance with the College’s Fees and Remuneration By-law, a $50 fee will apply when a member requests to change class from Inactive back to General. For more information on the Inactive to General class change process, please see below.

 

2. Inactive Class to General Class

Members in the Inactive class who wish to change to the General class of registration are requested to submit an application form to the College by email a minimum of eight weeks before the requested date of the change. Class changes of this type can generally be processed within 15 business days when the member has submitted all required items, and a review by a Panel of the Registration Committee is not required.

The Registration Regulation requires members wishing to be re-issued a General certificate of registration to meet the requirements outlined in section 15(4)(a). This includes the following requirements:

A member must have practised midwifery for at least two consecutive years in the preceding four years immediately before the date of application for re-issuance of a General certificate of registration, and have the following birth numbers:

  • 40 births consisting of
    • 20 primary births including
      • 10 primary out of hospital birth
      • 10 primary hospital births

In addition, a member must have, at the time of entry into the profession or over the course of the member’s time practising the profession, completed the following:

  • Have attended at least 60 births, of which at least
    • 40 were attended as primary midwife
    • 30 were attended as part of the care provided to a woman in accordance with the principles of continuity of care
    • 10 were attended in hospital, of which at least five were attended as primary midwife, and
    • 10 were attended in a residence or remote clinic or remote birth centre, of which at least five were attended as primary midwife.

Note: All class changes to the General class effective as of April 1, 2018 require the completion of the College’s Jurisprudence Course, if the course was not completed previously.

Required items for a class change from Inactive Class to the General Class are:

  1. Completed Application form (Sections A-C) submitted to the College by email. A completed application includes complete member information, completion of the disclosure questions and provision of information if applicable, and reporting of birth numbers indicating active practice in the previous four years prior to application.
  2. Payment of $50 class change fee from Inactive to General upon notice by the College of an available invoice.
  3. Current NRP, CPR, ES proofs, which are in accordance with the College’s Continuing Competency Requirements and Approved Courses, uploaded to the Member Portal. All certificates must be current on the day of the class change.
  4. College’s Jurisprudence Course Certificate of Completion uploaded to Certificate tab in the Member Portal.
  5. Evidence that you are legally authorized to work in Canada. Must be a Canadian Citizen, Permanent Resident or have valid open employment authorization.
  6. Professional liability insurance coverage evidence. For insurance through the AOM, the College will contact the AOM for confirmation. The effective date of the class change is contingent on the effective date of the professional liability insurance.
  7. Registration fee credit card payment through the Member Portal upon notice by the College of an available invoice.

A member pays General fees for the months or partial months practising and Inactive fees for the months not practising in a registration year (October 1st to September 30th). Registration fees due and paid are reflected in the Member Portal. You can see the College’s Fee Schedule here. 

Unless otherwise notified by the College, additional registration fees are required to change to the General class from Inactive class.

To initiate the process, download, complete, and submit the following Change of Class form: Change of Class Inactive to General Class Change Form

Note: During the processing of the class change application, if it is determined that a review by a Panel of the Registration Committee is required, a member will be advised in writing. A panel review process is initiated when a member does not meet the current clinical experience requirement, and the review may take two months to complete. Members are advised to plan accordingly.

Once the College processes the class change to General, the following occurs:

  1. Professional liability insurance is confirmed with the AOM, unless the member has provided evidence of insurance coverage in Ontario. Until a member has been notified by the College in writing of the class change, practising midwifery in Ontario remains unauthorized.
  2. Class change is confirmed by email to the member, which then allows the member to practise midwifery.
  3. Public Register Information is updated, and an updated wallet card becomes available through the Member Portal.
  4. Midwifery Stakeholders are notified (AOM, MOHLTC, MGCS, OMP, MEP, HIROC)
  5. Member to review public register profile and update information including but not limited to hospital privileges via the Member portal.

 

3. Inactive to General Class Requiring a Registration Committee Panel Review.

Where a member cannot demonstrate current clinical experience and active practice, the Registration Regulation provides an alternative means for the member to become eligible for a General certificate of registration. Section 15(4)(b) enables a member to successfully complete a requalification program that has been approved by a panel of the Registration Committee for that purpose. The purpose of the requalification program is to ensure a member moving from Inactive to General has the current knowledge and skill to practise midwifery safely and effectively as a primary care provider.

During the processing of the class change application, if it is determined that a review by a Panel of the Registration Committee is required to approve a requalification program, the member will be advised in writing and requested to make a formal written submission to the Panel within 30 days.

Registration Committee Panel Referral Process

Therefore, the member will be referred to a panel of the Registration Committee as follows:

  1. Member will be sent a letter of referral outlining the grounds or reasons for the referral.
  2. Member will be asked to make written submissions for the panel’s consideration within 30 days of the date of the referral letter, the member is also asked to submit:
  3. Member will be asked to submit a current CV
  4. Member will be asked to submit a completed competency self-assessment
  5. Member will be asked to submit a learning plan
  6. The panel will meet (according to the posted schedule) and review all referrals.
  7. The panel will consider all written submissions and will approve a requalification program using a risk assessment tool and the College’s Requalification Program Policy.
  8. Following the meeting, a written decision and reasons will be drafted.
  9.  Once finalized, the decision and reasons will be issued to the member.
  10. The member must successfully complete the approved requalification program prior to being issued a General certificate of registration. Written proof of completion is required. In some cases, a member may be required to complete a period of supervised practice as part of a requalification program, and in this case, the member will be issued a Supervised Practice certificate of registration.

Note: This process takes time and members should apply at least two months prior to their anticipated return to work date. While the College works to accommodate the return to work dates of members, each individual case is different, and timeframes may vary. In addition, members should account for the possibility of needing to complete a requalification program prior to being re-issued a General certificate. The time required for this may be more than the processing time when there is a panel referral.

Jurisprudence Course Required for Class Changes to General Class

In accordance with Sections 15 (4) (a) and 7.7 of the Registration Regulation, all members requesting a class change from the Inactive class to the General class of registration effective April 1, 2018, are required to show evidence of having completed the College’s Jurisprudence Course, unless the course was previously completed.

Note: The usual $300 fee for the Jurisprudence Course is waived for class changes. The Jurisprudence Course may be completed up to one year prior to the effective date of the class change.

Click here to read the process overview for more information about the Jurisprudence Course