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Internationally Educated Midwives

Are you an internationally educated midwife (IEM) who wants to practise midwifery in Ontario? If so, welcome! Please read on for more information on how to become eligible or meet the requirements for registration with the College of Midwives of Ontario. 

This section of the College’s website provides information to help internationally educated midwives: 

  • Apply for registration with the College of Midwives of Ontario 
  • Participate in the College’s three-step competency assessment process based on the Canadian Competencies for Midwives 
  • Achieve eligibility to write the Canadian Midwifery Registration Exam (CRME) 

Welcome to Midwifery in Canada 

In this video, three IEMs who now practise midwifery in Canada introduce you to Canadian midwifery. Here you will learn about fundamental midwifery concepts and listen to these IEMs share personal experiences of their transition from midwifery in another international setting to practice in Canada. 

Why should I register with the College? 

Midwives in Ontario are regulated by the College of Midwives of Ontario – to practise midwifery and use the title “midwife,” a person must be registered with the College. The College of Midwives of Ontario ensures that families working with midwives in Ontario can expect safe and effective care during pregnancy, birth, and in the first six to eight weeks postpartum.  

How do I register with the College? 

All midwifery applicants are required to have qualifications and current clinical experience, as well as have successfully completed the qualifying entry to practise examination (the Canadian Midwifery Registration Examination) and have evidence of competency in neonatal resuscitation, emergency skills and cardiopulmonary resuscitation, and language proficiency to be able to become registered to practise midwifery in Ontario, as stated in Ontario Regulation 168/11, the Registration Regulation, made under the Midwifery Act, 1991.  

Applicants can register with the College through three different streams, either as a graduate of Ontario’s Midwifery Education Programs, as an applicant from another province of Canada, or through a combination of international experience and Ontario orientation through the College’s Orientation and Assessment Program.  

Internationally educated midwives who have not practised in Canada or attended one of Ontario’s Midwifery Education Programs must apply to the Orientation and Assessment Program to meet the requirements for registration to practise in Ontario.  

Internationally educated midwives who successfully complete the College’s Orientation and Assessment program will be deemed to have equivalency to the qualifications of an Ontario Midwifery Education Program graduate and be eligible to write the Canadian Midwifery Registration Exam (CRME), enabling IEMs to apply for registration with the College to practise in Ontario. 

Welcome to Orientation and Assessment with the College of Midwives of Ontario.  

In this video, three internationally educated midwives who are practicing midwifery in Canada introduce you to the College’s Orientation and Assessment Process. They will introduce you to the three steps of this process and help you get started on your pathway to registration. 

How do I know if I am eligible for the College’s Orientation and Assessment Pilot Program?

There are five eligibility requirements which IEMs must meet to enroll in the orientation and assessment program. Before submitting an application consider the following:  

  • Are you a Canadian Citizen, Permanent Resident or authorized under the Immigration and Refugee Protection Act (Canada) to engage in employment in Canada?  
  • Have you completed a formal structured midwifery education program anywhere in the world? Can you provide evidence of completion in the form of a World Education Services (WES) Program Assessment Report? 
  • Have you or will you complete an International English Language Testing System (IELTS) academic test (or equivalent test) with a score of seven or above in all components?  
  • Have you practised as a midwife providing clinical care in the previous six years?  
  • Have you attended a minimum of 100 births as the midwife in charge? (A maximum of 60 of these births can have taken place during your midwifery education. A minimum of 40 of these births must have taken place during your experience as a practising midwife after the completion of your midwifery education.)

If you are not eligible for the College’s Orientation and Assessment program, you may still be able to practise midwifery in Ontario if you are a graduate of one of Ontario’s Midwifery Education Programs.

What are the costs associated with the College’s Orientation and Assessment Pilot Program? 

Participants in the College’s Orientation and Assessment Pilot Program will pay $5800* to the College over the three steps. 

  • Step 1. Application Fee: $400 (non-refundable) 
  • Step 2. Online assessment modules: $2250*, payable in three $750 installments before each module begins. 
  • Step 3. Fourteen day in-person comprehensive assessment intensive – $3150 payable before the in-person intensive begins 

*There are external courses required in Step 2, and those courses will require additional payment directly to the external course providers. 

What is the time-commitment for College’s Orientation and Assessment Pilot Program? 

Internationally educated midwives enrolled in the Orientation and Assessment Pilot Program may spend up to nine months completing the College’s online assessment modules, 14 days in the in-person comprehensive assessment intensive, and then will be eligible to take the Canadian Midwifery Registration Exam (CMRE). The CMRE is typically offered twice a year. Most IEMs will be able to complete the process within a year to 18 months.  

We anticipate the first 14-day in-person comprehensive assessment intensive will be held in fall 2023, in advance of the CMRE’s fall 2023 sitting.

If you would like to apply to the Orientation and Assessment Pilot Program please see the following pages: