The Canadian Midwifery Regulators Council created the national midwifery registration exam in 2006. The Canadian Midwifery Registration Exam (CMRE) is a national written examination designed to assess applicants for midwifery registration to ensure that they meet entry-level competency standards set out in the Canadian Competencies for Midwives. Its goal is to ensure that midwives gaining registration are competent and safe practitioners providing a consistent standard of care across Canada. The exam became mandatory when changes to the Registration Regulation were approved in 2012.
College of Midwives of Ontario