CMRE Breakdown

The Canadian Midwifery Registration Examination (CMRE) is a national, competency-based exam designed to assess whether entry-level midwives possess the knowledge, skills, and judgment necessary for safe, autonomous practice in Canada.

Below is a general breakdown of the CMRE content structure, based on the Canadian Competencies for Midwives as defined by the Canadian Midwifery Regulators Council (CMRC).

Exam Format Summary

  • Format: Multiple-choice questions (MCQs) – 180 questions –
    • 40-60% case-based MCQs and 40-60% independent questions
  • Delivery: Administered electronically or in-person, depending on the jurisdiction and testing cycle
  • Language: Available in English and French
  • Schedule: Offered twice per year (typically spring and fall)
Competency Category  % Range for MCQs
1. Primary Care Provider 
1.A. Assessment 10-14% 
1.B. Decision-Making 10-14% 
1.C. Care Planning 10-14% 
1.D. Implementation 13-18% 
1.E. Population Health 5-8% 
1.F. Reproductive and Sexual Health 5-8% 
2. Advocate 8-12% 
3. Communicator 8-12% 
4. Collaborator 4-8% 
5. Professional 6-10% 
6. Life long Learner 2-4% 
7. Leader 2-4% 
Total100%