Career Map: Midwife
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This document was updated in collaboration with the Ontario Ministry of Citizenship and Immigration in March 2013. Requirements may have changed by the time you apply. Please contact the College of Midwives of Ontario before you complete your application.
Copyright in this career map is held jointly by the Queen's Printer for Ontario and the College of Midwives of Ontario, © 2013. This career map may be used or reproduced by any third party for non-commercial, not-for-profit purposes, provided that no fee, payment or royalty of any kind shall be charged by the third party for any further use or reproduction of the career map by any person. Any proposed commercial or for-profit use or reproduction of this career map requires a written license from the Queen's Printer for Ontario and the College of Midwives of Ontario.
Midwives in Ontario are regulated by the College of Midwives of Ontario (the College). You cannot practice midwifery, call yourself a ‘midwife’ or hold yourself out to be such unless you are registered with the College.
Midwives in Ontario are primary caregivers. As such, they hold full legal responsibility for their clients and are not supervised by a physician or obstetrician. Midwives in Ontario never work in only one area of client care, such as prenatal or intrapartum care. They are required to provide full service to their clients in all trimesters, throughout labour and birth and for six weeks postpartum. Under normal circumstances a midwifery client and her newborn do not see any other health care practitioner during this time.
All midwives must attend both home and hospital births. Midwives are required to hold admitting privileges in at least one hospital and to attend a minimum number of both home and hospital births per year in order to maintain their registration.
Midwives in Ontario work as independent practitioners in group practices that are funded by the provincial Ministry of Health and Long-Term Care. They are not salaried employees of hospitals, health centres or clinics and do not work shifts. Midwifery practices provide 24 hour on-call service to their clients. This means that every midwife works on call for set periods of time and while on call must be available 24 hours a day.
Eligibility For Registration As A Midwife in Ontario
To be eligible for registration with the College of Midwives of Ontario you must:
- Be a graduate of the Ontario Midwifery Education Program (MEP), be a graduate of the International Midwifery Pre-registration Program (IMPP) or be a general registrant in another province of Canada.
- The Ontario Midwifery Education Program (MEP) is a four-year, baccalaureate degree offered at three Ontario universities. For information on the MEP, contact Ryerson University at www.ryerson.ca, Laurentian University at www.laurentian.ca or McMaster University at www.mcmaster.ca.
- The International Midwifery Pre-Registration Program (IMPP) is a one-year bridging program offered at Ryerson University. It is designed to offer assessment and upgrading to internationally trained midwives, in order to ensure that they meet the required standards to practice in Ontario. For information on the program, contact www.ryerson.ca/ce/midwife.
- Midwives who are general registrants in another province of Canada where midwifery is regulated may be eligible for registration as per the Agreement on Internal Trade (Labour Mobility).
- Successful completion of the national midwifery qualifying examination. More information is available on the College website.
- Be currently certified in Cardiopulmonary Resuscitation (CPR), Obstetrical Emergency Skills (ES) and Neonatal Resuscitation (NRP)
- CPR and ES certification must be within the previous 24 months, NRP certification must be within the previous 12 months. The standard for NRP is the Canadian Paediatric Society’s Neonatal Resuscitation Program, the standard for CPR is the Heart and Stroke Foundation of Canada’s Basic Life Support (BLS) for Healthcare Providers ( C) and the standard for ES is the Association of Ontario Midwives’ ES workshop, ALARM, ALSO or MORE OB.
- Have demonstrated proficiency 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; or passing the Ontario Midwifery Language Proficiency Test (MLPT). The International Midwifery Pre-Registration Program administers the MLPT. For information on the test, please visit www.ryerson.ca/ce/midwife .
- 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.
- Hold membership with the Association of Ontario Midwives (AOM).
- Have arranged professional liability insurance.
- Professional liability insurance is arranged for each midwife through the Association of Ontario Midwives (AOM).
Classes of Certificate of Registration
There are three classes of certificates of registration with the College of Midwives of Ontario: General; Supervised; and Transitional.
Registrants in the General class practice with no restrictions on their registration.
Graduates of the Ontario Midwifery Education Program (MEP) are registered in the General (with Conditions) class. The conditions imposed on their registration are those of the College’s New Registrant’s Policy. This policy states that for the first year of practice, all new registrants must practice within an established Ontario practice, must work full time and must attend births with an experienced midwife. Other than these conditions, the new registrant is like any other midwife in the province, and provides the full scope of midwifery care. Once the conditions of this policy have been met, the member’s registration class is changed to General.
Graduates of the International Midwifery Pre-Registration Program (IMPP) are registered in the Supervised class. The supervision is imposed in order to enable the supervised midwife to meet the clinical birth numbers required by the College’s Registration Regulation, as well as to make up any gaps in clinical skills identified during the International Midwifery Pre-Registration Program. Supervised midwives are fully registered members of the College and provide the full scope of midwifery care to their clients. They are paid at the same rate as all other new registrants. Supervision will typically last anywhere from 6-12 months. Each supervised midwife has an individualized supervision plan prepared by the College prior to registration. Once the supervision plan is complete, the member’s registration class is changed to either General with Conditions or General, depending on whether the midwife is still in her new registrant’s year. A supervised certificate may only be issued for twelve months or less.
Transitional (Supervised) – Registration 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 she has passed the examination and is issued a General or Supervised Certificate of Registration or when she is notified that she has failed the exam.
Registration Application Process
STEP 1 – Submission of Application
Application forms are provided to students of the Midwifery Education Program and the International Midwifery Pre-Registration Program as part of the course materials. Midwives who wish to apply under reciprocity from another Canadian province should contact the College for an application form.
The completed application form is submitted to the College along with the following:
- For Midwifery Education Program (MEP) graduates; a transcript and clinical record, proof of current certification in Cardiopulmonary Resuscitation (CPR), Obstetrical Emergency Skills (ES) and Neonatal Resuscitation (NRP) , proof of ability to work in Canada, photo id, 2 passport photos, post-dated cheques to cover registration fees.
- For International Midwifery Pre-Registration Program (IMPP) graduates; a copy of the IMPP final report and clerkship requirement form, proof of a passing grade in the Ontario Midwifery Language Proficiency Test (MLPT), proof of current certification in Cardiopulmonary Resuscitation (CPR), Obstetrical Emergency Skills (ES) and Neonatal Resuscitation (NRP), proof of ability to work in Canada, photo id, 2 passport photos, post-dated cheques to cover registration fees.
- For applicants who are a general registrant in another province of Canada; a Letter of Good Standing from their regulatory body, proof of current certification in Cardiopulmonary Resuscitation (CPR), Obstetrical Emergency Skills (ES) and Neonatal Resuscitation (NRP) , proof of ability to work in Canada, photo id, 2 passport photos, post-dated cheques to cover registration fees.
STEP 2 – Review of Application
Applications are reviewed in order to determine completeness. Once an application has been reviewed, the applicant will be contacted and informed of any missing information or documentation.
STEP 2 a) – Supervision Plan – For IMPP graduates only
When an application for an International Midwifery Pre-Registration Program (IMPP) graduate is received, the College prepares an individual supervision plan for the applicant. This plan will address both clinical number deficiencies and any gaps in clinical skills identified by the IMPP. In the plan, a supervising midwife will be designated. Both the applicant and all members of the practice she will be working with during her supervision must sign this supervision plan. The IMPP graduate’s application is not complete until the College receives the signed supervision plan.
STEP 3 – Verification of AOM membership and insurance status
Once the application is complete, the College will contact the Association of Ontario Midwives to verify that the applicant is a member of that organization and that the applicant’s liability insurance has been arranged.
STEP 4 – Registration
Upon receipt of verification from the Association of Ontario Midwives of both membership and insurance, the College will issue the registration number and process the registration documents. The new member may now begin providing midwifery services.
Labour Market Information
Demand for midwifery services is high across the province. Ontario’s Ministry of Health and Long Term Care allocates the funding for midwifery practices. While there is no guarantee of immediate employment, generally new registrants are able to find work. You may need to relocate to a community where a midwifery practice has an opening for a midwife. Midwives may work full-time or part-time, although they must work full-time for their first year of registration. Currently, there are over 400 midwives working in Ontario, with approximately 50 new registrants joining the profession each year.
College Fees(In Canadian Dollars)
|College application fee||$50|
|Transitional Certificate fee, if applicable||$50|
|College membership (General, General with Conditions, Supervised) – annual fee for the registration year October 1st to September 30th
In your first year of practice, college fees will be pro-rated.
|Administration fee – annual||$35|
|Letter of Professional Conduct – regular service, if applicable||$40
See request form for further details
|Letter of Professional Conduct – expedited service, if applicable||$60
See request form for further details
|Copy of CMO Registration File, if applicable||$50
As per policy on Access to Registration Applicant Records
|Duplicate Certificate of Registration, if applicable||$25|
|Duplicate Wallet Card, if applicable||$25|
|Duplicate Photo ID, if applicable||$25|
|Duplicate Income Tax Receipt, if applicable||$25
Income tax receipts are issued in February for the previous taxation year
|Name Change after initial registration is granted, if applicable||$100|
|International Midwifery Pre-registration Program (IMPP)||approximately $5,000
approximately $3,800 accelerated stream
|Textbooks and Clinical Equipment for IMPP students||approximately $700|
|Ontario Midwifery Language Proficiency Test||$195|
|National Midwifery Qualifying Examination (Canadian Midwifery Registration Examination)||$750|
|Miscellaneous (Transcript, Passport Photos)||$40|
|Association of Ontario Midwives fees (contact AOM for details)||$250-$1,600|
|World Education Services (WES) document translation service (if applicable)||Contact WES for details.
Note: The Midwifery Education Program in Ontario costs approximately $27,000 for a 4-year university program at McMaster University, Laurentian University, or Ryerson University.
For More Information
For further information about applying to register as a midwife in Ontario, please contact:
College of Midwives of Ontario
21 St. Clair Avenue East, Suite 303
Toronto, Ontario M4T 1L9
Telephone: 416-640-2252 ext. 231
For information about the International Midwifery Pre-registration Program (IMPP) or the Midwifery Language Proficiency Test (MPLT), please contact:
Alison Gaul , Program Administrator
International Midwifery Pre-registration Program
285 Victoria St, 6th Floor, VIC 600
Toronto, Ontario M5B 2K3
Telephone: 416-979-5000 ext. 7681
For information about professional liability insurance, please contact:
Association of Ontario Midwives
365 Bloor St E, Suite 301
Toronto, Ontario M4W 3L4
Toll Free: 1-866-418-3773 (in Ontario)
For information about accessing health related professions in Ontario, please contact:
Access Centre for Internationally
163 Queen Street East, 2nd Floor
Toronto, Ontario M5A 1S1
Telelephone: 416-862-2200 or 1-800-596-4046
For more information about the Midwifery Education Programme, a Bachelor of Science program available at three Ontario universities, please contact:
Midwifery Education Program
1200 Main St. W. , MDCL 2210
Hamilton, Ontario L8N 3Z5
Telephone: 905-525-9140 ext. 26654
For information about the allocation of midwifery services across Ontario, please contact the Ministry of Health and Long-Term Care:
Ontario Midwifery Program
Ontario Ministry of Health and Long-Term Care
1075 Bay St, 9th Floor
Toronto, Ontario M5S 2B1
For information on where and how to get help with settlement in Ontario:
Visit www.settlement.org, or contact:
Ontario Council of Agencies Serving Immigrants (OCASI)
110 Eglinton Avenue West, Suite 200
Toronto, Ontario M4R 1A3
For information on obtaining assessment/evaluation reports of your academic credentials, please contact:
For TOEFL English language proficiency testing:
For CanTEST English/French language proficiency testing:
For a government contact about accessing professions and trades in Ontario:
Government of Ontario
Labour Market Integration Unit
Ministry of Citizenship and Immigration
400 University Avenue, 3rd Floor
Toronto, Ontario M7A 2R9
Government of Ontario
Global Experience Ontario
Ministry of Citizenship and Immigration
For Canadian labour market trends:
For information on certified translation services:
Canadian Translators, Terminologists and Interpreters Council (CTTIC)
1 Nicholas, Street Suite 1202
Ottawa, Ontario K1N 7B7
Association of Translators and Interpreters of Ontario (ATIO)
1 Nicholas Street, Suite 1202
Ottawa, Ontario K1N 7B7
Telephone: 613-241-2846 or 1-800-234-5030
Copyright in this career map is held jointly by the Queen’s Printer for Ontario and the College of Midwives of Ontario, © 2013.
Precepted Clinical Experience
To support the effectiveness of the pre-registration clinical experience that internationally trained graduates receive through the IMPP, the program has a policy of providing placements with practices that have experience working with midwives who have been educated and have worked internationally. Wherever possible, these placements are precepted by a midwife who was herself internationally trained. The IMPP has invested considerable resources in developing a relationship with specific practices that have these resources, using them to assist in the training and integration of internationally educated midwives in the Ontario setting.
Supervised Clinical Practice
Application procedures for College membership for IMPP and MEP applicants are the same in all areas (cost, timelines). It is only in the first year of registration that there are differences to allow for internationally trained midwives access to births through supervised practice. All IMPP graduates receive a supervised practice plan on application for registration from the CMO; this supervised practice plan ensures that new registrants attend the remaining required continuity of care births in their first year of practice, in order to meet clinical midwifery experience for general registration.
For information on English language and French language classes in your community in Ontario, visit Learn English or French - Language Training.
For information on cities and towns in Ontario, visit the Living in Ontario - Cities in Ontario.
Find information about bridge-to-work training programs. Bridge training programs can help internationally educated professionals in the accounting sector gain the knowledge and information required to practice in Ontario.