Skip to main content
College of Midwives Ontario logo


Peer and practice assessments are a component of the College of Midwives of Ontario’s (College) Quality Assurance Program (QAP). This program is a requirement of all regulated health professionals under the Regulated Health Professions Act, 1991 (RHPA). Participation in a peer and practice assessment allows members of the College to demonstrate their professional knowledge, skills and judgment with a peer assessor.  The QAP is intended to ensure the provision and maintenance of safe, appropriate, effective and ethical care that is expected of Ontario midwives as primary care providers during pregnancy, labour and the postpartum.

Peer and practice assessments are grounded in the assumption that midwives are practicing competently while recognizing that the changing dynamics of practice environments and best practices create the need for continued learning and development.  Striving to improve professional practice is a career-long expectation and goal.

There are two components to the assessment process; distance and in-person. Depending on the outcome of the distance assessment, participation in an in-person assessment may not be required.

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.

Distance Assessment

A distance assessment is conducted virtually between the assessor and the member being assessed and will take approximately an hour to complete.  The assessment will consist of short scenario-based questions that will allow members to demonstrate their knowledge of midwifery practice, professional standards and the regulations that govern the profession.  Click here to see an example of the distance assessment tool.

Distance Assessment Evaluation

Midwives who indicate scores of 75% or above in the distance assessment are streamed out of the process and not required to participate in an in-person assessment. These members are also removed from the selection pool for a period of five years.

Evaluations are completed in a fair and consistent manner and are based on the College’s competency framework.

In-person Assessment

In-person assessments take place at the member’s place of practice. They involve a review of a small selection of the member’s charts as well as an interview about the care that was provided. A discussion of the member’s QAP submissions over the past five years will also occur. The goal of the assessment is to identify possible areas for practise improvement. These assessments will take approximately three to four hours to complete. Review the In-person Assessment Chart Tool.

In-person Assessment Evaluation

Assessors use the information gathered during the assessment process to summarize the member’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 Quality Assurance Committee (QAC) for review and determination of outcomes.

Assessment Outcomes

A panel from the QAC reviews the in-person assessment reports to determine the outcomes and recommendations, if any, to the member.

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