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Internationally Educated Midwives

Internationally Educated Midwives

The International Midwifery Pre-registration Program (IMPP) is a third-party provider of assessment and bridging for internationally educated midwives. This 9-month program provides internationally educated midwives with the following:

  • knowledge and skills assessment and enhancement
  • orientation to midwifery practice in Ontario
  • a three-month clinical placement with competency assessment
  • a six-month accelerated stream for qualified entrance
  • preparation for the mandatory Canadian Midwifery Registration Examination (CMRE)

Internationally educated midwives may start the application process from outside of Canada. To start, please see below and follow the links for additional information. 

Eligibility Requirements

You must be a Canadian citizen, permanent resident, or have refugee status.

To be eligible to apply to the IMPP, you must have the following:

  • Completed a midwifery education program
  • Practiced midwifery in the past 10 years
  • Practiced midwifery in the role of primary midwife (most responsible attendant) at a minimum of 100 births within the past 10 years. Note: Primary care births which were part of your midwifery education may be counted towards the 100 required births. Transfers of care may be included if the applicant managed care in labour to point of transfer. Multiple supervisors for births and births in multiple settings or countries are acceptable. There are no continuity of care requirements for the 100 primary care births.

How to Apply


Step One – Submit the Application Form

Print and complete the application form on this website. (If you do not yet have the free Adobe Acrobat Reader installed on your computer, you must first download it. Forward your application to IMPP in one of the following ways:

  • Fax it to the attention of IMPP at 416.979.5047
  • Email it to

Step Two – Attend the Orientation Weekend

For more information on Orientation weekend please visit the IMPP website.

Step Three – Attend Phase 1 Testing 

For more information on testing please visit the IMPP website.

Step Four – Submission of All Required Documentation

Applicants who are qualified to proceed to Phase 2 Testing must submit the following required documentation:

  • CPR certification for health care providers
  • Ontario Drivers’ License (G2 or G)
  • proof of Canadian citizenship, Canadian Permanent Resident status, or Canadian Refugee status
  • WES – ICAP

 Step Five – Attend Phase 2 Testing

Attend Phase 2 Testing (approximately 2.5 hours of clinical competencies testing), which consists of Objective Structured Clinical Assessments (OSCEs), Oral Language and Communication Testing, and Informed Choice Counselling Scenario Testing.



For more information on the  International Midwifery Pre-registration Program (IMPP)  email

Important Note: All correspondence with IMPP applicants, including the admission process, and participants will be by email