College of Midwives of British Columbia

Questions and Answers about Midwifery Registration in BC

1.
What does registration with the College of Midwives mean?
Registration with the College of Midwives allows an individual to legally practice midwifery in the province of British Columbia(1).

Registrants of the College of Midwives of British Columbia have met all the criteria for registration and, in the best judgement of the Registration Committee, are competent, current and safe practitioners. Registered midwives have access to the guidelines, policies and other documents developed by the CMBC to assist them in providing high-quality midwifery service in this province. A registered midwife must:
  • meet annual registration renewal requirements;
  • practise within the CMBC model of midwifery practice and according to the Midwives Regulation, CMBC Standards of Practice, and the CMBC Code of Ethics;
  • carry professional liability insurance in an amount that is at least the minimum level of coverage required by the Board;
  • meet the continuing competency requirements set by the Quality Assurance Committee and the College Board.
There are several categories of registration. The categories for actively practising midwives are general registration, conditional registration and temporary registration. Most applicants for registration become either general or conditional registrants. Temporary registration is most often used for registered midwives coming from other Canadian provinces to do a locum for a BC midwife or to teach in the UBC midwifery education program for less than one year.
2.
What is general registration?
Section 46 of the CMBC bylaws states:
(2)
The Registration Committee shall grant general registration to a person who:
(a)
(i)
is a graduate of a midwifery education program acceptable to the Registration Committee(2), or
(ii)
has been registered as a midwife in another Canadian province or territory where midwifery is recognized by law, and which province or territory has been recognized for registration reciprocity, or
(iii)
is a graduate of a midwifery education program in another jurisdiction where midwifery is recognized by law, and has been assessed through the College’s prior learning and experience assessment to be equivalent in education and experience to a graduate of a midwifery education program acceptable to the registration committee, and
(b)
has clinical experience consisting of attendance at a minimum of sixty (60) births within the last five years, of which at least forty (40) births have been as the principal midwife, and of those forty (40) births:
(i)
thirty (30) births were conducted in accordance with the principles of continuity of care(3),
(ii)
five (5) births were in a hospital setting, and
(iii)
five (5) births were in an out-of-hospital setting;
(c)
has successfully completed a registration examination;
(d)
holds current certificates in neonatal resuscitation and cardiopulmonary resuscitation from programs that are acceptable to the Registration Committee.
Most applicants who have graduated from a midwifery education program approved by the Registration Committee, or who have been previously registered and practiced for at least a year in another Canadian province or territory where midwifery is regulated, are eligible for general registration.

3.
What is conditional registration?
Section 48.(1) of the bylaws states:

An applicant who does not meet the registration requirements of subsections 45.1(2) or 46.(2)... may be granted conditional registration by the Registration Committee for a period of up to one year if that applicant has proven to the satisfaction of the committee that she or he:
(a)
is likely to satisfy:
(i)
the educational requirements of subsections 46.(2)(a)(i), (ii) or (iii) by completing an upgrading course acceptable to the committee, and/or
(ii)
the experience requirements of subsections 46.(2)(b) by completing a period of supervised practice acceptable to the committee,
(b)
can practice as a conditional registrant without any risk to public health and safety...

Some internationally-educated midwives will be eligible for general registration after completion of the Multi-Jurisdictional Midwifery Bridging Program and passing the Canadian Midwifery Registration Examination, while others may be eligible to apply for conditional registration. An applicant who is identified as a candidate for conditional registration, is required to find an experienced general registrant who is willing to act as her supervisor while she works within a supervision plan to address experience or competency gaps determined by the assessment process.

The Registration Committee approves all supervision plans before a certificate of conditional registration is granted. A conditional registrant may only provide midwifery care within the conditions and limitations of an approved plan. While a conditional registrant has up to one year to fulfil the requirements outlined in an approved supervision plan, these plans range in length from two months to a year. Once completed, a panel of the Registration Committee reviews supervision reporting and usually a change in registration status from conditional to general registration is approved.
4.
Who will assess my qualifications?
The Registration Committee of the CMBC is responsible for determining who is qualified to practice midwifery in BC and conducts and oversees the registration process. The Registration committee includes both appointed public members and BC registered midwives. A panel of the Registration Committee reviews all applications for registration applying the criteria set out in the College’s bylaws.
5.
How do I register?
Go to Routes to Registration to find out more about the process involved for each of the three routes to registration as a midwife in BC.
6.
What is the cost of registration?
The registration fees are:

Cost of General Registration 1st year Cost of General Registration
and
General Registration (Academic)
Cost of Conditional Registration
$1,800$1,400$1,400


Registration fees are prorated on a monthly basis for a new registrant who is registered for less than a full year. The CMBC's registration year begins on April 1st. Conditional Registration fees are assessed on a six-monthly basis. There is a one-time application fee of $200 and an annual administrative fee for renewal of $25.

Fees for internationally-educated midwives taking the Multi-Jurisdictional Midwifery Bridging Program and for the Canadian Midwifery Registration Exam (CMRE) can be found at http://cmrc-ccosf.ca For other questions about registration please contact the office at information@cmbc.bc.ca.

For information on the cost of professional liability insurance, please contact the Midwives Association of BC at mabc@telus.net. For more information on the professional association go to their website at www.bcmidwives.com.




  1. This applies to registrants in conditional, general, and temporary classes of registration. Note that there are several other classes of registration which do not allow practice as a midwife. See bylaws for more information.

  2. A midwifery education program that believes it meets the 4-year degree standard may apply to the Registration Committee of the CMBC for approval. The process, involving a detailed self-assessment against established criteria, a review of curricula and a site visit, takes from one to two years to complete.

  3. Recognizing that Continuity of Care includes care in all trimesters, labour, birth and the postpartum period to six weeks, for the purposes of this application a course of care will count toward fulfilling an applicant's continuity of care requirement when the applicant conducted a minimum of seven visits, of which at least three are antepartum and one postpartum, and managed the labour and birth including the second and third stage.