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Peer and Practice Assessments

Peer and practice assessments are a key component of the College’s Quality Assurance Program.

Peer and practice assessments are grounded in the assumption that midwives are practising competently, while recognizing that the changing dynamics of practice environments and best practices create the need for continued learning and development. Participation in these assessments allows midwives to demonstrate their professional knowledge, skills and judgment with a peer assessor. 

Each year, a number of members in the General or Supervised Practice class will be randomly selected to participate in the assessment. Members will be notified by email if they have been selected in early January.

See below for the assessment process.


Peer Assessment

A peer assessment is conducted virtually between the assessor and the midwife being assessed, and takes about an hour to complete. It consists of short, scenario-based questions that allow midwives to demonstrate their knowledge of midwifery practice, professional standards, and the regulations that govern the profession. Click here to see an example of the peer assessment tool.

Peer Assessment Evaluation

Evaluations are completed in a fair and consistent manner and are based on the College’s competency framework. Midwives who receive scores of 75% or above in the peer assessment are streamed out of the process and are not required to participate in a practice assessment. These midwives are also removed from the assessment selection pool for a period of five years.

Practice Assessment

For midwives who score below 75%, practice assessments are scheduled at their place of practice. These assessments include a review of a small selection of the midwife’s charts, and an interview about the care that was provided. A discussion of the midwife’s QAP submissions over the past five years will also occur. Practice assessments take about three to four hours to complete. For more information, please read the Practice Assessment Chart Tool.

Practice Assessment Evaluation

Assessors use the information gathered during the practice assessment process to summarize the assessed midwife’s knowledge and their application of midwifery legislation, standards, and best practices in the provision of client care. Evaluations are completed in a fair and consistent manner and are based on the College’s competency framework. All information is submitted to the College’s Quality Assurance Committee (QAC) for review and determination of outcomes.

Practice Assessment Evaluation Outcomes

A panel from the QAC reviews the practice assessment reports to determine the outcomes and recommendations, if any, to the assessed midwife.


To learn more about the assessment process, please read the Peer & Practice Assessment Guide.