Classes of Registration
Midwives can be registered in several different classes of registration, General, Supervised Practice, Transitional, and Inactive. Members of the College can apply to change class or resign their registration.
Requirements to hold a General certificate
Under s. 12(1)4 of the Registration Regulation, all members with a General certificate of registration must meet the following requirements in their first year of practice after receiving their initial General certificate of registration:
- must only work within an established practice, and
- must attend a minimum of 30 births as a primary midwife and 30 births as a second midwife with another general registrant who is not subject to this condition.
All members and practices must be aware of the changes to the New Registrants Policy. The most important changes are summarized below. Click here to access the policy.
Definition of established practice
The definition of “established practice” has been revised to ensure that practices taking on new registrants have the capacity and resources to adequately orient and support them to the practice and hospital environments.
Working with other new registrants
The new policy requires that new registrants attend births only with a general registrant who is not subject to new registrant conditions unless such registrants have already met the condition of attending a minimum of 30 births as a primary midwife as well as 30 births as a second midwife. This new requirement means that new registrants cannot attend births with another new registrant and is a significant change from the old policy that allowed new registrants to attend births with another new registrant up to a maximum of 20% of primary care births. This change brings the College’s practice in line with s. 12(1)4ii of the Registration Regulation and ensures that members who just entered the profession work in an established practice with more experienced midwives who can mentor and orient them to the practice of midwifery.
Transfers of care
The new policy allows new registrants to include births, where a transfer of care occurs during the intrapartum period, towards their 30 births as a primary midwife requirement. When a transfer of care (to either a physician or another midwife) occurs during the intrapartum period and a new registrant takes on the role of the second midwife, they can count that birth towards fulfilling the requirement of attending 30 births as either a primary midwife or a second midwife, but not both.
Practising in Ontario
The new policy requires that all births in the new registrant year be attended in Ontario. This is in line with the Registration Regulation that requires that all births must be attended with another College member.
Impact on Transitional and Supervised Practice certificate holders
After June 1, 2019, members may only count births attended while holding a General certificate towards meeting the new registrant conditions, specifically the 30 births as a primary midwife and 30 births as a second midwife. Therefore, births attended while holding a Transitional or Supervised Practice certificate, prior to issuance of a General certificate of registration, do not count towards meeting the 30 and 30 new registrant requirement, unless the births were attended prior to June 1, 2019.
Removal of new registrant conditions
The new registrant conditions remain in place and are noted on the College’s online public register, until the member has worked in an established practice for a minimum period of one year and has attended 30 births as a primary midwife and 30 births as a second midwife in accordance with the New Registrants Policy. Once these conditions have been met, the new registrant may submit the completed New Registrants Conditions Reporting Form to the College. The College will process the form and if both conditions have been met, the new registrant conditions will be lifted from the midwife’s certificate of registration. Click here to access the form.
Watch the New Registrants Policy Information Session below.
New Registrants Policy (Rescinded on June 1, 2019)
Guidelines to the New Registrants Policy (Rescinded on June 1, 2019)
An applicant may be registered with a Supervised Practice certificate of registration in limited circumstances. This class is designed for applicants who do not meet the clinical experience requirements of the General class and therefore require a period of supervision before registration in the General class can be granted. Members in the Supervised Practice class can only practise midwifery under the supervision of an approved supervisor and in accordance with an approved supervision plan. A Supervised Practice certificate can only be granted for a maximum of one year. However, in some circumstances the Registration Committee can approve the reissuance of a supervised practice certificate after the one-year period.
Requirements to hold a Supervised certificate
Applicants who are able to meet all of the entry-to-practice requirements 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 or when they are notified that they have failed the exam.
Requirements to hold a Transitional certificate
Transitional Certificate – Undertaking Form
Transitional Certificate – Agreement to Act as Supervising Midwife
Members who are not practising midwifery can choose to become Inactive with the College and pay a reduced fee, by applying for an Inactive certificate of registration. Inactive certificate holders continue to be members of the College and must renew their certificates of registration each year by October 1.
Members in the Inactive class may use the protected title “midwife” or a variation, but it is a condition of an Inactive certificate of registration that the member must not practise midwifery in Ontario. To understand what this means, members should review this Inactive information before changing class.
Members need to apply to change their class back to General, and at that time provide any and all requirements, including fees, professional liability insurance, current proofs of NRP, CPR, ES, and the successful completion of the College’s Jurisprudence Course, if not previously completed. Applications for a General certificate will be reviewed to ensure current clinical experience in accordance with the Registration Regulation and the College policies.
A review by a panel of the Registration Committee may be required to determine a requalification program if the current clinical experience requirements for a General certificate are not met at the time of application.