Step 2: Assessment and Gap Training

All internationally educated midwives must be assessed and complete a gap training/bridging program to become registered with the College of Midwives of Manitoba (CMM).

The assessment and gap training process takes approximately 12-18 months to complete.


The Assessment portion of the process involves:

  • an in-person written midwifery knowledge exam and language exam;
  • an in-person clinical exam

The Gap Training portion of the process involves:

  • self-study modules
  • a full-time in-person gap training intensive
  • a full-time clinical placement (clerkship)

In Manitoba we are able to offer the initial Assessment portion (midwifery and language exam) of the program in Winnipeg.  The Clinical Assessment portion is only offered in Manitoba when there are sufficient candidates.  Most years participants must travel to Ontario to take part in the International Midwifery Pre-Registration Program Clinical exams (Phase II exams)

Gap Training is not available in Manitoba.

Gap Training is available in Ontario through cooperation with the International Midwifery Pre-Registration Program (IMPP) at Ryerson University in Toronto.   Self-study modules may be completed at a distance; the gap training intensive must be completed in Toronto, ON; and the clerkship may take place either in Ontario or Manitoba.  Successful completion of both the Assessment portion and the Gap Training is a way to become eligible to be registered (licensed) as a midwife in Manitoba.

Please note: The CMM assessment process is not yet approved as a route to registration by other Canadian jurisdictions.

You must apply to be assessed.  The cost to apply is $100.00

The next application deadline is February 3, 2021.

Upcoming dates for the 2020-2021 assessment and gap training  (subject to change).

1. Written assessments

March 17, 2021 (application deadline February 3, 2021)

The cost to participate in the written assessment is $425.00

2. Clinical assessment
(only those who have passed the written assessment are eligible for the Clinical assessment):

Spring 2021 (Clinical assessment in Manitoba is dependent on sufficient candidates. Candidates may be required to attend clinical exams in Ontario.  Exact date to be determined)  Clinical assessment dates and format may change due to COVID-19 restrictions.  Further information will be available in February 2021.

The cost to participate in the clinical assessment in Manitoba is between $1700 and $3500 (depending on number of candidates)

3. Gap Training
(offered via the IMPP in Toronto, ON – only those who pass the written and clinical assessments are eligible for Gap Training):

July 2021 to April 2022
(exact dates to be confirmed)
The cost to participate in the gap training is between $5000 and $7000 – see IMPP website for more information

If you apply for the Manitoba IEM Assessment Process, it is not guaranteed that you will be assessed or eligible to receive gap training.

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