For a Pakistani Midwife to apply for a license to practice in Canada, the first and most crucial step is typically to undergo a credential assessment and potentially complete a bridging or assessment program.

You will need to have your educational credentials evaluated by a recognized organization. The most common ones are:

World Education Services (WES) Fee CAD $200 – $300

International Qualifications Assessment Service (IQAS)
This assessment verifies that your midwifery education from Pakistan is comparable to Canadian standards. Fees are typically around CAD $200 – $250.

Language Proficiency:

Demonstrate proficiency in English or French (depending on the province). You’ll likely need to take an approved language test, such as: IELTS. TOEFL

  • You must have been a principal midwife in at least 40 of those births.
    i. 10 births must have been in an out-of-hospital setting.
    ii. 10 births must have been in a hospital setting (attendance at a
    hospital birth is acceptable).
    iii. 30 births must have included continuity of care (care throughout
    pregnancy, during birth and for a six (6) week period after birth).
  • You must have attended at least 10 births in the past two (2) years.
    i. 10 births must have been as principal midwife.
    ii. 10 births must have included continuity of care.

Only after successfully completing these initial steps you will generally be eligible to write the Canadian Midwifery Registration Examination (CMRE) and the Objective Structured Clinical Examination (OSCE), and then apply for registration with the provincial regulatory body. (CMRE) Fee $750 and (OSCE) Approximately CAD $1,500 – $2,000

Initial Credential Assessment: The Pakistani midwife must first have their academic credentials assessed by an approved service (like WES or IQAS) and submit these to the College of Midwives of Alberta (CMA).

Prior Learning and Experience Assessment (PLEA) or Bridging Program: Most IEMs will need to complete an approved PLEA process or a bridging program. This program is designed to assess and address any gaps between their international education and Canadian midwifery standards.

Eligibility for Exams: Upon successful completion and recommendation from the PLEA or bridging program, the midwife becomes eligible to register for the CMRE and OSCE.

Alberta: The College of Midwives of Alberta (CMA) explicitly states that if an applicant has met the academic requirement for a midwife but has not yet completed the CMRE, they can be registered under the provisional register. They must then work under the supervision of a registered midwife.

British Columbia (BCCNM): BCCNM indicates that applicants who have completed their bridging program but have not yet written or passed the Canadian Midwifery Registration Examination (CMRE) may be eligible for provisional registration. This allows them to practice the full scope of midwifery pending a successful CMRE result. Provisional registration can also be granted with limits and conditions while completing educational upgrading courses or a period of supervised practice to address deficiencies.

Note With Specific Conditions or Supervised Practice:
Provisional registration often comes with specific conditions, such as:

Supervised Practice: You will almost certainly be required to practice under the direct supervision of a fully registered midwife.
Time Limits: There are usually time limits within which you must meet the remaining requirements (e.g., two years or a certain number of exam attempts in Alberta).
Meeting Deficiencies: If the assessment process identifies specific gaps in your knowledge, skills, or abilities, provisional registration might be granted with conditions that require you to complete specific courses or a period of monitored practice.

A Pakistani midwife can typically apply for provisional registration after having their credentials assessed, meeting language requirements, and often after beginning or completing a recognized bridging/assessment program, and before successfully passing the Canadian Midwifery Registration Examination (CMRE) and Objective Structured Clinical Examination (OSCE).



By mahmood