Registering as a Midwife in Manitoba
Routes to Registration as a Midwife in Manitoba
In Manitoba, Canada, the Legislation regulating the profession of midwifery requires that a person must be registered with the College of Midwives of Manitoba to practice midwifery. There are three routes to registration:
Practicing Midwifery in Manitoba
The practice of midwifery in Manitoba may be very different from the way that midwives from other jurisdictions are used to practicing.
The Manitoba Model of Care
Midwifery practice in Manitoba is different from practice in many other countries. It includes:
Health Services Delivery in Manitoba
Manitoba is divided into 5 health service regions known as Regional Health Authorities (RHAs) that together serve the entire Manitoba population. Each RHA is responsible for ensuring that all residents of the region have fair and equitable access to necessary health services. (For more information on RHAs and a regional map, go to their website at www.gov.mb.ca/health/rha/index.html.)
The majority of health services are provided at no cost to Manitobans. Midwifery is a publicly funded service, which means that a Manitoba woman may seek maternity care from a midwife just as she might from a family physician or an obstetrician.
Most Manitoba midwives are employees of RHAs and, as such, are included in the liability insurance of their employer. Currently midwifery services are available in 4 of the 5 RHAs. The midwifery legislation requires midwives to work in both the out-of-hospital setting and the hospital setting.
How Midwifery Positions Are Funded
The provincial government provides funding to the Regional Health Authorities (RHAs) for midwifery positions. This means that a position may, or may not, be available in the area in which you wish to practice and you may be required to relocate in order to work. From time to time, all the funded midwifery positions may be filled.
Although most midwives are employees of Regional Health Authorities, it may be possible for midwives to work in private practice. This means you may set up your own practice in the location of your choice.
Manitoba Health does not cover midwifery care provided under this model, which means that women must pay for these services themselves.
Further information about midwifery practice in Manitoba and Canada may be found through the following organizations:Government of Manitoba (MB Health)
Manitoba Association of Midwives (e-mail)
Canadian Midwifery Regulators Consortium
Canadian Association of Midwives
Graduates of CMM approved midwifery education program
Education programs are approved by the CMM when it completes an extensive program assessment process that determines that the program meets CMM education standards and policies. Approved program graduates must meet both the entry-level competencies and the clinical experience requirements as set out in the Midwifery Regulation, and must have written and passed the Canadian Midwifery Registration Exam.
All current CMM approved programs are Canadian four-year direct-entry education programs leading to a university degree. All programs offer clinical experience working in a model of practice that is the same or very similar to the model in Manitoba. Graduates from approved programs from outside of Manitoba may be required complete a self-study and orientation specific to midwifery practice in Manitoba. Click here to see the Education Principles supported by the College of Midwives of Manitoba
Formal Programs of study that are currently acceptable to the College include:
Midwives registered with another Canadian midwifery regulatory body
(applicants from other Canadian jurisdictions where midwifery is regulated)
The Agreement on Internal Trade ("AIT") was signed by the government of Canada and the provincial and territorial governments in 1994. It is a written agreement intended to make it easier for people, investments and services to move across Canada. Chapter 7 of the AIT, the Labour Mobility Chapter, says that a qualified worker in one province must be granted access to similar employment opportunities in another Canadian jurisdiction. Changes to the AIT were approved in January 2009, to take effect as of August 1, 2009. Those changes require all Canadian jurisdictions to accept workers in regulated professions from other Canadian jurisdictions without additional material training requirements. There are some exceptions to that general rule, discussed below, but essentially if a midwife in good standing from a province where midwifery is regulated is applying to become a midwife in Manitoba, the AIT provides that the midwife must be accepted in Manitoba.
For more information please contact the Registrar of the College of Midwives of Manitoba at firstname.lastname@example.org or (204)783-4520
Exceptions, as mentioned above include but are not limited to: the right to require a fee upon application and registration; the right to require a midwife to complete a local jurisprudence course; the right to refuse registration to a midwife who is not of good standing or where there is evidence of bad character; or the right to refuse registration where the midwife has terms, conditions and limitations that are not generally used in Manitoba. Midwives from certain provinces may be subject to additional requirements. Specifics regarding these exceptions are available at the following website:
If an applicant for registration in Manitoba is refused registration because she does not meet one of the non-exemptible registration requirements, that applicant is entitled to contact the official labour mobility contact in their home province for assistance.