With the PEP (portfolio evaluation process) you don't have to go through an accredited school. This is the route I've taken. Just establish an apprenticeship and start working towards all the requirements for an apprenticeship based education. Then, you will apply by submitting all of your information, take a skills assessment test, and then finally sit for the exam. If this is what you're interested in doing, I would recommend going ahead and spending the $50 for the candidate information bulletin and application packet just so you can keep it updated throughout your apprenticeship. It was a pain in the rear for me and my preceptor to have to assemble all the information post-facto. So, in a long-winded response, no- I didn't go through a program or school. It was just me and my sweet midwife, who has also caught both my boys and who I am delighted to be midwifing later this month! Ooh, what fun!