IMPP - Frequently Asked Questions (FAQ)

Here are some of the most frequently asked questions about the International Midwifery Pre-registration Program (IMPP).

Completing the Program

What is the successful completion rate of the IMPP?
Between 2003 and 2019, 78 percent of internationally educated midwives (IEMs) who began the IMPP have successfully completed it.

If I complete the program, am I likely to find a midwifery job in Canada?
Between 2003 and 2019, 90 percent of IEM graduates found midwifery positions in Canada within three months of completing the IMPP. However, sometimes graduates have to move to find midwifery positions.

Can I complete the IMPP on my own schedule, by distance, or online?

No. The IMPP is offered annually on a schedule which ensures that graduates can write the CMRE as soon as they finish and interview for a job in Ontario at the same time as the annual graduation of MEP students. The IMPP has a 6-week independent study term each summer; thereafter, all in-person Intensive days at Ryerson University during the fall are mandatory as is the winter clerkship. The accelerated program stream participants spend 6-8 weeks on-site at Ryerson and 14-16 weeks in a community clerkship. The full-program stream participants spend 10-12 weeks on-site at Ryerson and 16-18 weeks in a community clerkship.

Do I need to attend the two-day IMPP Orientation Session?

Yes. This two-day session for eligible applicants provides critical information and experience. Applicants work for 2 full days with IMPP graduates and IMPP instructors to orient to Canadian midwifery practice, IMPP curriculum, common challenges, tips for success, and practice sessions with written admission exams, self marked, and Objective Simulated Clinical Exams (OSCEs), as well as practice client interviews to help prepare for admissions and IMPP courses.

What is the CMRE (mandatory national midwifery exam) pass rate for IMPP graduates?

The CMRE pass rate for IMPP graduates is 99 percent.

Can I practice in all Canadian provinces and territories if I complete the IMPP and pass the CMRE?

IMPP graduates practice in all provinces and territories where there is regulated midwifery and midwifery positions are available. In some provinces, midwives may complete their first year of practice/New Registrant Year in Canada, and in other provinces, they may practice in their second and subsequent years but not in their New Registrant Year (i.e., their first year of practice in Canada). The regulatory College of Midwifery in each province or territory sets the requirements for registration. The Agreement on Internal Trade requires provinces to allow midwives to move freely and practice in other provinces once midwives become general registrants, after their first year of practice in Canada.

Can I choose where I complete the IMPP clerkship?

The IMPP asks participants to provide three geographic choices for clerkship locations in Ontario and tries to match the available clerkships to participants’ requests, but this is beyond the IMPP’s control and IEMs sometimes have to move for their clerkships because of limited placements.

Can I complete a clerkship in another province or territory?

If a regional health authority, midwifery practice, hospital, or birth centre in a Canadian location outside of Ontario approaches the IMPP and requests an IMPP participant for a clerkship three months before the clerkship start times, the IMPP may be able to provide this opportunity to an IMPP clerk. However, IMPP applicants or participants are not permitted to organize clerkship placements for themselves.


How many places are there in the IMPP each year?

The IMPP accepts up to 20 qualified IEM applicants each year.

I am a midwife practicing in another country. I am not a permanent resident of Canada, a refugee in Canada, or a Canadian citizen. Can I come to Canada on a visitor or student visa to take the IMPP?

No. Government funding requirements mandate that IMPP participants be permanent residents, refugees, or Canadian citizens. The IMPP cannot accept applications from IEMs in other countries wishing to use visitor or student visas.

I am an Internationally Educated Physician (IEP) and would like to apply to become a midwife in Canada. Am I eligible to apply to the IMPP?

No, except in exceptional circumstances. In Canada, the professions of midwifery and obstetrics are separate and distinct. The IMPP is a bridging program for midwives, not for physicians. In exceptional circumstances, when places in the program are available, the IMPP will consider applications for a limited number of IEPs. The IEP must demonstrate previous and current commitment to understanding and achieving midwifery competencies separate from obstetrics. An IEP applicant may not be accepted if a qualified IEM applicant is available. The midwifery competencies required of all applicants include client-centered, skilled labour support throughout the labour; supporting choice of birthplace including birth at home; facilitating skilled physiological birth without episiotomy; low C-section rate; comprehensive client-centered counselling with informed choice facilitation; skilled breast-feeding support; and primary care for the newborn and mother in the community for 6 weeks postpartum. In the rare circumstance where a physician is found eligible to apply, this determination is made in April, at the end of the application period.

Why do I need to have my G2 or G driving licence to begin the IMPP?

IMPP participants must complete a 14-16 week clinical clerkships in the Canadian winter which involves high-risk driving situations, such as snow and ice, and they must be able to respond as quickly as first responders to client calls. Canadian midwives rely on cars to transport themselves and their equipment to home visits, hospitals, birth centres, and clients’ homes for births at all hours of the day and night. IMPP participants must be confident to drive on highways and rural roads.

Financial Matters

How much does the IMPP cost?

The total cost of tuition for IEMs in the accelerated program is approximately $5,000 and for participants in the full program, it is $6,500. Resources such as books and other learning materials cost $300-$500. Participants must have a car 24/7 during the 14-16 week clerkship, a computer, and a cellphone, and if they need to move for the clerkship, they may need to pay rent for approximately 4 months depending on living arrangements.

Is there financial support for IEMs who become IMPP participants, like OSAP?

The IMPP is not an OSAP-eligible program. However, some participants apply for low-interest loans from loan programs for immigrants to Canada and/or apply for government or university bursaries in years when these are available. Applicants must plan to pay for the IMPP themselves and to spend nine months not employed.

What is the income level for Canadian midwives?

Midwifery income levels are different between provinces and within provinces; this is related to client caseload and other variables. The range is between approximately $70,000 starting level and $145,000 for experienced midwives; this is based on years of experience in Canada, caseload volume, hours, and other factors.

Can I work while I am in the IMPP?

There are a limited number of weeks before and/or after the clerkship and before the CMRE, depending on the timing of the clerkship, when a participant may be employed. It is not possible to be employed during the full-time Intensives or during the full-time clerkship.

About Midwifery

Where can I learn more about midwifery and childbirth issues in Canada?

The Association of Ontario Midwives website, Canadian Association of Midwives website, and other provincial midwifery websites are a source of valuable information. Internet searches of midwifery and childbirth issues in Canada, pregnancy, childbirth, breastfeeding, neonatal development, and early parenting blogs are helpful orientation, as are the many YouTube videos about these issues.

Midwifery e-books from McMaster University and midwifery textbooks such as Myles’ Textbook for Midwives or Varney’s Midwifery may also be helpful. Much information is now found online. The Cochrane Library database on childbirth and midwifery research is helpful, as are general internet searches on Canadian reproductive, early parenting, and midwifery topics.

The IMPP provides eligible applicants access to exam preparation multiple choice tests and Canadian midwifery Emergency Skills resources once applications have been reviewed.