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The Registration Regulation requires that all applicants seeking a General certificate of registration with the College of Midwives of Ontario College must have a degree from a Midwifery Education Program, have completed the International Midwifery Pre-registration Program, or be applying as an inter-provincial applicant.

All applicants must also:

1. Meet the current clinical experience requirements set out in the Registration Regulation.

At initial application, applicants are expected to have the following clinical experience:

An applicant must 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 client 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.

If applicants are not able to meet the current clinical experience requirements outlined above, they may be able to become registered in the College’s Supervised class.

2. Complete the qualifying examination

All applicants must have completed the Canadian Midwifery Registration Exam (CMRE). The Canadian Midwifery Registration Exam (CMRE) is a national written examination designed to assess applicants for midwifery registration to ensure that they meet entry-level competency standards set out in the Canadian Competencies for Midwives. Its goal is to ensure that midwives entering midwifery practice are competent and safe practitioners providing a consistent standard of care across Canada. You can click here for more information on the CMRE.

Applicants who are able to meet all of the requirements for registration with the College of Midwives of Ontario and who have written the national midwifery qualifying examination, but have not received the results of the examination, are eligible for a Transitional certificate of Registration. This certificate allows registrants who are awaiting the results of the examination to practise midwifery while under the supervision of a member who holds a General certificate of registration. Transitional certificates are valid for up to 90 days and will be revoked when the registrant is notified that they have passed the examination and are issued a General or Supervised certificate of Registration, or when they are notified that they have failed the exam.

3. Have proof of training in Cardiopulmonary Resuscitation (CPR), Obstetrical Emergency Skills (ES), and Neonatal Resuscitation (NRP)

Applicants are required to submit certificates demonstrating successful completion of training in NRP, ES and CPR with their application forms. You can find more information on College approved courses here.

4. Completion of the College’s Jurisprudence Course

All applicants to the College of Midwives of Ontario must be familiar with the laws, regulations and standards that apply to midwives in Ontario and must demonstrate that by completing the College’s Jurisprudence Course. This requirement applies to all applicants wishing to become registered as a midwife in Ontario as of July 1, 2017.

The completion of a jurisprudence course set and approved by the College’s Registration Committee is a non-exemptible registration requirement, and is outlined in the College’s Registration Regulation (O. Reg. 168/11, s. 7 (7)).

5.Demonstrate Good Character.

The Registration Regulation provides the grounds for establishing the “good character” and suitability of to practise the profession. Effective April 1, 2019, all applicants must submit the results of a Vulnerable Sector Check as part of their application to the College. The applicant is responsible for obtaining the correct Vulnerable Sector Check and paying all related fees.  You can review the policy here for more information.

6. Have demonstrated reasonable fluency in either French or English

Proficiency in either French or English is demonstrated by one of the following:

  • Having obtained a midwifery degree in Canada; being registered in another province of Canada in which midwifery is regulated;
  • Passing the Ontario Midwifery Language Proficiency Test (MLPT). The International Midwifery Pre-registration Program administers the MLPT.

 7. Be legally entitled to work as a midwife in Canada

In order to demonstrate entitlement to work in Canada, proof of one of the following is required: Canadian citizenship, landed immigrant status, or an open employment authorization.

8. Have arranged professional liability insurance

All regulated health professionals in Ontario are required to have professional liability insurance in order to practise a health profession. It is a non-exemptible registration requirement that an applicant provide the College with evidence of current personal protection against professional liability. Often applicants obtain liability insurance through HIROC by way of membership with the Association of Ontario Midwives. However, this is not required as long as the applicant can show appropriate evidence of insurance that is acceptable to the College.

All applicants can expect that the College will process their application within a reasonable time frame.