All internationally educated midwives must apply to the BCCNM, the provincial regulatory authority for midwifery.

• The BCCNM reviews your credentials, education, and work history.
• If you meet the minimum eligibility, you’ll be invited to undergo the Substantial Equivalence Assessment (SEA) — BC’s competency-based assessment process.

📎 Visit the BCCNM midwifery registration page to begin.

The SEA is a structured assessment that evaluates your practical knowledge, clinical skills, and decision-making in a Canadian context.

It includes:

• Portfolio review (education, experience, references)
• Multiple-choice knowledge test
• Structured clinical exam (OSCE-style stations)
• Interview or professional judgment assessment

Outcome:

• If you demonstrate substantial equivalence, you may proceed to the registration exam (CMRE).
• If gaps are identified, you’ll be referred to the UBC Midwifery Bridging Program (MBP).

The MBP helps internationally educated midwives gain competencies aligned with BC practice standards.

Program highlights:

• Clinical placements across BC
• Courses on Indigenous cultural safety, legal frameworks, and health system orientation
• Simulation labs and mentorship support
• CMRE exam preparation

📎 Learn more about UBC’s Bridging Program

After completing the bridging program (if required), you must pass the CMRE to qualify for registration.

• This is a national exam used by most provinces.
• It tests your readiness to practice independently and safely as a midwife in Canada.

Once you’ve passed the CMRE:

• Apply to register with BCCNM as a practicing midwife.
• Upon approval, you’re eligible to begin practicing legally in British Columbia.