Heather Gilchrist, a midwife based in Victoria, B.C., has found herself in a challenging predicament due to issues related to her immigration paperwork. Originally from the U.K., Gilchrist sought a fresh start in Canada after the death of her husband. However, Canadian immigration officials mandated that she take a language proficiency test despite being a native English speaker.
Gilchrist asserts that she completed the required language test in July, but the application form she used didn't provide an option for uploading her test results. To complicate matters, the accompanying checklist for her application did not mention the language test at all. Consequently, the failure to submit her test results led to the cancellation of her work permit.
Despite her extensive experience—having taught twice as many midwives in Scotland as are registered in British Columbia—federal immigration officials dismissed her application due to the missing language test. “It just doesn’t make any sense, and I just need someone to lift their head and understand that it can’t be this faceless system,” she remarked, highlighting her qualifications and frustration with the situation.
In December, Immigration, Refugees and Citizenship Canada (IRCC) updated its "How to Apply" webpage for post-graduate work permits, adding a disclaimer about how to properly upload language test results. Unfortunately, this update was too late for many applicants, including Gilchrist, who faced similar denials. A Change.org petition advocating for the reinstatement of applications rejected due to language test issues has garnered 1,700 signatures.
Gilchrist's denial caused an immediate halt to her midwifery practice, which comes at a time when the Ministry of Health has been actively promoting its efforts to recruit health professionals from the United States. “You are going to have me leave, and yet you seem so proud of the people you’re attracting,” said Gilchrist, expressing disbelief that she would be forced to leave when she has already established her practice in Canada.
Midwives are often overlooked in the Canadian immigration system, according to Gilchrist, who observed that they do not receive the same welcoming treatment as doctors or nurses. The province has witnessed frequent diversions in maternity wards, a situation that Dr. Rob Carruthers, president of Consultant Specialists of B.C., acknowledged could be alleviated by midwives. Carruthers stated, “We don’t have enough obstetric doctors to cover major hospitals in British Columbia… That means that women who are trying to grow their families are not going to have access to the care they need.”
The IRCC indicated that it is working towards making the process of uploading language tests easier and reminded applicants that they have the option to request a reconsideration if their applications were denied. However, Gilchrist, who has already invested $60,000 to obtain her credentials and initiate a new life in B.C., expressed that both she and her patients could not afford to wait for a resolution. “That phrase about throwing the baby out with the bathwater seems more relevant than ever as a midwife, because that’s what’s happening right now,” she stated.
In conclusion, Heather Gilchrist's predicament shines a light on the complexities of navigating immigration processes for qualified professionals and raises questions about the efficiency and fairness of the system in addressing the urgent need for healthcare providers in British Columbia.




