International Midwifery Pre-registration Program (IMPP)

a midwife listening to a pregnant woman's bellyIMPP The International Midwifery Pre-registration Program (IMPP) is a 9-month bridging program.

It provides internationally educated midwives with the following:

  • knowledge and skills assessment and enhancement
  • orientation to midwifery practice in Ontario
  • professional communication training
  • NRP, ESW, and FHSL certification
  • a 14–16 week clinical placement with competency assessment
  • six-month accelerated stream for qualified entrants
  • preparation for the mandatory Canadian Midwifery Registration Examination (CMRE)

The IMPP is intended for experienced internationally educated midwives who are fluent in English and have practiced midwifery within the past 10 years.

Note: The IMPP can only accept applications between February 4, 2019 to May 1, 2019. Please consult the website after February 4 for all current information about the 2019/20 IMPP, including important dates, deadlines, program costs, policies, and admission requirements and processes before applying.

Please contact the IMPP at to schedule an in-person or phone meeting to discuss your questions at any time of the year.

The program is funded by the Ontario government.

Who Is Eligible?

To be eligible to apply to the IMPP, you must meet the following requirements:

  • Be a Canadian citizen, permanent resident, or a Protected Person in Canada (refugee)
  • Have completed a midwifery education program
  • Have practiced midwifery in the past 10 years
  • Have practiced midwifery in the role of primary midwife (most responsible attendant) at a minimum of 100 births within the past 10 years.
    Note: Primary care births which were part of your midwifery education may be counted towards 70 of the 100 required births.
  • Have practiced midwifery full-time after completion of a midwifery education program for a minimum of 6 months and been primary midwife at a minimum of 30 births during this period. This work period may have been paid, voluntary, or a postgraduate work placement. Contact information for the supervisor who can verify employment and birth numbers and provide a reference must be provided. Transfers of care in up to 25 percent of births may be included if the applicant managed care in labour to point of transfer. Multiple supervisors for births and births in multiple settings or countries are acceptable. There are no continuity of care requirements for the 100 primary care births.

*Birth numbers and all eligibility requirements must be completed by Tuesday, April 30, 2019.

How to Apply

Step One – Submit the Application Form

Complete the application form and email it to (If you do not yet have the free Adobe Acrobat Reader installed on your computer, you must first download it.)

Fee: None

Application Deadline: All application forms must be received by Wednesday, May 1, 2019.

You will be contacted by the IMPP within one week to inform you of whether you are eligible to proceed with your application. If eligible, the program will provide an appointment date for you to attend an admissions process meeting in person, or to have a telephone meeting, or an email exchange to confirm the process, describe all required documents, and to answer any questions you may have. Midwifery resources will be recommended at admissions process meeting and orientation weekend.

Step Two – Attend the Orientation Weekend

Attend the Orientation to Midwifery in Ontario and the International Midwifery Pre-registration Program Weekend on Saturday, April 27, and Sunday, April 28, 2019.

Fee: $295

Step Three – Attend Phase 1 Testing – MLPT Oral Midwifery Communication Test and General Knowledge Midwifery Multiple Choice Exam

Attend Phase 1 Testing, which consists of the 2 hour Midwifery Language Proficiency Test and the 1.5-hour General Knowledge Midwifery Multiple Choice Exam on Monday, April 29, 2019 or Wednesday, May 29, 2019.

Applicants who score 65 percent or higher in both the test and exam will be eligible to proceed to Phase 2 Testing. Applicants are given these results within 48 hours.

Fee: $400

Step Four – Submission of All Required Documentation

Applicants who are eligible, based on Phase 1 testing results, proceed to Phase 2 testing and must submit the following required documentation by Wednesday, June 12, 2019:

  • Canadian CPR certification for health care providers
  • Ontario Drivers’ License (G2 or G)
  • proof of Canadian citizenship, Canadian Permanent Resident status, or Canadian Refugee status
  • WES – ICAP

Step Five – Attend Phase 2 Testing

Attend Phase 2 Testing (approximately 2.5 hours of clinical competencies testing), which consists of Objective Structured Clinical Assessments (OSCEs), Oral Language and Communication Testing, and Informed Choice Counselling Scenario Testing on Wednesday, June 19, 2019.

Applicants who score 65 percent or higher overall are provided an offer of admission to IMPP for 2019/20.

Offers of admission with tentative accelerated or full-program stream selected to qualified candidates will be sent by email within 48 hours of Phase 2 testing.

Fee: $400

Program Components

The International Midwifery Pre-registration Program (IMPP) will give you valuable knowledge and skills as you prepare for the Canadian Midwifery Registration Examination (CMRE).

Your in-class courses and clinical placement will also further develop your theoretical and practical skills. Review the program components for further details.

Program Costs

The following is a breakdown of the IMPP costs:

  • Orientation Weekend – $295
  • Phase 1 Testing – $400
  • Phase 2 Testing – $400
  • Independent Study Modules – $700
  • Intensive #1 – (For all participants – in both accelerated and full program)
  • CVIM 100 Prior Learning Assessment for Midwives – $995
  • CVIM 400 Orientation to Midwifery Practice in Ontario – $995
  • Intensive #2 – (For full program participants only)
  • CVIM 200 Effective Professional Communication for Midwives – $765
  • CVIM 300 Clinical Skills and Knowledge Enhancement for Midwifery – $765
  • CVIM 600 Clinical Clerkship (12-14 weeks full time/on call in Ontario) – $2,990
  • Post-Clerkship Exam practice days for CMRE preparation – No charge
  • Post-Clerkship Mentoring for interviews, gaining employment, and support in first year of practice – No charge
  • Cost of resources including texts and online courses is variable – Approximately $500

Important Dates

February 4, 2019 IMPP admissions open for the 2019/20 cohort
Application requirements and policies on webpages
April 27 and 28, 2019 IMPP orientation and admission exam prep weekend
April 29, 2019 Phase 1 Testing (applicants choose one Phase 1 Testing date only)
May 1, 2019 Final date for application to IMPP 2019/20
May 29, 2019 Phase 1 Testing (applicants choose one Phase 1 Testing date only)
June 12, 2019 Required documentation: WES-ICAP, CPR (HCP), driver’s licence, status in Canada
June 19, 2019 Phase 2 Testing (OSCEs): IMPP applicants whose Phase 1 results make them eligible
June 21, 2019 IMPP admission offers sent
July 3, 2019 IMPP independent study modules sent
August 21, 2019 Deadline – Statement of completion for independent study modules
August 27 to October 3, 2019 Intensive 1: Accelerated and Full Program Streams
(Full-time, on campus, incorporates CVIM 100 and CVIM 400 course content)
October 22, to November 8, 2019 Intensive 2: Full Program Stream only
(Full-time, on campus, incorporates CVIM 200 and CVIM 300 course content)
October 2019 to January 2020 Accelerated Stream Clerkship (CVIM 600) in an Ontario community practice, (14 weeks, start and completion dates vary)


“I am now a Registered Midwife in Ontario, Canada. Before starting my career in Canada, I obtained my degree as a Registered Midwife in Peru. Participating in the International Midwifery Preregistration Program (IMPP) gave me the opportunity to demonstrate my previous midwifery skills and it helped me to adapt my qualifications to the Ontario midwifery model. I currently practice as a full-time midwife at Midwifery Services of Lambton-Kent in Sarnia, Ontario. In addition to my clinical work, I am a seasonal instructor at the Midwifery Education Program at Ryerson University and I am volunteering as a Maternal Health Senior Advisor for the implementation in Latin America of the Uterine Balloon Tamponade Project. I am also a volunteer member of the Strengthening Midwifery Services in South Sudan Project, supported by the Canadian Association of Midwives, and am a committee member at the Virtual International Day of the Midwife Conference.”
- Susana Ku (Peru)

“I was born and raised in Lebanon. I graduated in 2006-2007 with a Bachelor in Midwifery and I obtained a diploma in obstetrics from Saint Joseph University in 2009. I practised as a professional midwife in different settings from 2006 to 2014, where I conducted over 1000 deliveries, until I moved to Canada. I had to start again from below zero and had to start learning English in Language Instruction For Newcomers to Canada (LINC) school in Mississauga, Ontario. After a year and half of studying only English, I successfully completed the International Midwifery Pre-registration Program (IMPP) and the national exam. I joined Midwifery Program in Swift Current on December 12, 2017. I am passionate about my work and I enjoy seeing that first moment that a baby is brought into the world; sharing that special time with parents is wonderful.”
- Mirvat Ouwayza (Lebanon)

“I am from Sierra Leone, West Africa. I left my homeland at the age of 22 to study in Germany. I studied nursing in Germany and worked there as a nurse for a few years before moving to London, United Kingdom. After 2 years in London, I moved to Ireland with my wife. We lived in Ireland for 17 years before moving to Canada in 2014. I worked as a nurse in Ireland before becoming a midwife. I decided to study midwifery after my first child was born in 1999. In Ireland our average deliveries per day was 15 to 20 babies. Though I started counting my deliveries initially, I soon lost count due to the sheer amount of deliveries. I graduated with a postgraduate diploma in Midwifery from the University of Dublin in 2002 and a Master of Science in Midwifery Education from the University College Dublin in 2009. I worked as a midwife in Ireland for 12 years before relocating to Canada in 2014 with my wife and three children. I also worked as a sessional midwifery lecturer at the University College Dublin for several years. In Canada, in addition to being a Registered Midwife, I’m employed by Brandon University as sessional instructor and teach First Aid, CPR, and a Health Care Provider course for St. John Ambulance. I became interested in studying midwifery after seeing and losing family members in child birth due to the poor maternity care in my home country. Sierra Leone has one of the highest morbidity and mortality rate in child birth in the world according to WHO. I always wanted to find a way that I can help save women’s lives during child birth and after witnessing the birth of my daughter in 1999 in Dublin, I finally made the decision to study midwifery and hoped to be able to use my knowledge and skills to help pregnant women in my homeland someday.”
- Alfred Sankoh (West Africa)

Frequently Asked Questions (FAQ)

Visit our Frequently Asked Questions (FAQ) for answers to commonly asked questions regarding program completion, eligibility to apply, financial matters, and midwifery in Canada.

Contact Us

Do you have any questions? We’d like to hear from you.


International Midwifery Pre-registration Program
The G. Raymond Chang School of Continuing Education
Ryerson University
Heaslip House,
297 Victoria Street
Toronto, Ontario
M5B 1W1

Note: All correspondence with IMPP applicants and participants will be by email.