International Midwifery Pre-registration Program (IMPP)

a midwife listening to a pregnant woman's bellyThe 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 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, 2020 to April 30, 2020. Before applying, please consult the website after February 4 for all current information about the IMPP 2020/21, including important dates, deadlines, program costs, policies, and admission requirements and processes before applying.

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) with official permission to work in Canada
  • Have completed a midwifery education program anywhere in the world
  • 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 Thursday, April 30, 2020.

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.)

Application Fee:$0

Application Deadline: All application forms must be received by Thursday, April 30, 2020.

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 once eligibility for application has been confirmed.

Step Two – Attend the IMPP Orientation Session

Attend the two-day Orientation to Midwifery in Ontario Session on Wednesday, April 15 and Thursday, April 16, 2020. This two-day session includes admission practice testing and runs from 9:00 a.m. to 5:00 p.m. on both days..

IMPP Orientation Session 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 Friday, April 17, 2020 or Wednesday, May 20, 2020. Choose one Phase 1 testing date only.

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.

Phase 1 Testing 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 3, 2020:

  • 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 (three 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 17, 2020.

Applicants who score 65 percent or higher overall are provided an offer of admission to IMPP for 2020/21.

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

Phase 2 Testing Fee: $400

Program Components

The IMPP will orient you to Ontario's required midwifery knowledge and skills, and provide you with required certification opportunities, accelerated gap-training testing, and national registration exam preparation.

Your online Simulation Lab experience, in-class courses, and clinical placement will enhance and assess the theoretical and clinical skills required in Canada. Review the program components for further details.

Program Costs

The following is a breakdown of the IMPP costs:

  • Phase 2 Testing – $350
  • Admission Processing Fee – $200
  • CVIM 100 Prior Learning Assessment for Midwives – $1,022.69
  • CVIM 400 Orientation to Midwifery Practice in Ontario – $1,722.69
  • CVIM 200 Effective Professional Communication for Midwives – $792.69
  • CVIM 300 Clinical Skills and Knowledge Enhancement for Midwifery – $792.69
  • CVIM 600 Clinical Clerkship (14–16 weeks full time/on call in Ontario) – $3,017.69
  • 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, 2020 (Tues) IMPP admissions open for the 2020/21 cohort
Application requirements and policies on webpages
April 15 and 16, 2020 (Wed & Thurs) IMPP orientation and admission exam prep
April 17, 2020 (Fri) Phase 1 Testing (applicants choose one Phase 1 Testing date only)
April 30, 2020 (Thurs) Final date for application to IMPP 2020/21
May 20, 2020 (Wed) Phase 1 Testing (applicants choose one Phase 1 Testing date only)
June 3, 2020 (Wed) Required documentation: WES-ICAP, CPR (HCP), driver’s licence, status in Canada
June 17, 2020 (Wed) Phase 2 Testing (OSCEs): IMPP applicants whose Phase 1 results make them eligible
June 19, 2020 (Fri) IMPP admission offers sent
July 1 to August 19, 2020 Independent Study Term
August 25 to September 30, 2020 Intensive 1: Accelerated and Full Program Streams
(Full-time, on campus, incorporates CVIM 100 and CVIM 400 course content)
October 14 to 30, 2020 Intensive 2: Full Program Stream only
(Full-time, on campus, incorporates CVIM 200 and CVIM 300 course content)
October 2020 to January 2021 Accelerated Stream Clerkship (CVIM 600) in an Ontario community practice, (14 to 16 weeks, start and completion dates vary)
November 2, 2020 to March 2021 Full Program Stream Clerkship (CVIM 600) in an Ontario Community practice (16 to 18 weeks, start and completion dates vary)
March 2021 Three-day CMRE practice and employment session
May 2021 CMRE
July to September 2021 Most new registrant positions in Ontario begin


“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

After you have reviewed the webpages, you are welcome to email the IMPP with your specific questions.


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 for transparency and fairness.