Increase capacity among General Surgeons working in rural and remote communities, and/or global surgery environments to provide safe surgical obstetrical and emergency gynecology care to maintain high quality maternity care and critical women’s health services for patients close to home.


Providing maternity care close to home is a quality-of-life issue for women and their families and is crucial to maintaining vibrant communities and culturally supportive local health care services. General Surgeons have the operative competencies to acquire the necessary procedural skills to support safe operative delivery and maternal care in rural communities. The program is working to develop competency-based training opportunities for practicing General Surgeons to gain these skills, in addition to providing Continuing Professional Development for practicing General Surgeons who participate in maternity care programs.


Eligible applications must be practicing General Surgeons or be enrolled in a General Surgery Residency Training Program.  Surgeons interested in the Clinical Training Exposure component must be licensed or eligible to obtain licensing in the province where the Clinical Training is located.

Recommended Program Path

Eligible surgeons can choose to take any course component as a standalone post-graduate course. For those pursuing the full certificate of recognition, we recommend taking the courses in the order indicated (however, it is not a requirement).

Certificate of Recognition in Operative Delivery and Maternal Care for General Surgeons

The goal of this certificate program is to provide General Surgeons with a competency-based training opportunity to gain the skills and expertise to support safe operative delivery and maternal care programs in rural and remote communities and global surgery programs.


  • Completion of Online Course
  • Completion of Skills Simulation Course
  • Completion of Clinical Training/Exposure Evaluation minimum requirements
  • Active membership in CAGS

For more information on this program, contact learn@cags-accg.ca.


Operative Delivery and Maternal Care Online Course

Target Audience

This course component is designed for practicing surgeons and residents both actively involved and interested in providing operative delivery and maternal care support in rural and remote communities and global surgery programs.


The online course will be delivered through both self-paced learning and online group discussions via the CAGS General Surgery Learning and Resources Centre focused on the assessment and management of challenging cases and complications in operative delivery for the General Surgeon.  This course includes two live discussions with course faculty, however, asynchronous options are available for those in different time zones and practice contexts who cannot attend live. All course materials will be available to participants for one year following the completion of the course.

Reference Textbook

Posner, G., Dy, J., Black A., and Jones, GD. (2013) Oxorn-Foote Human Labor and Birth (6e). Mc-Graw-Hill.

Course Directors

Dr. Cait Champion, Dr. Roy Kirkpatrick


Dr. Glenn Posner, Dr. Cait Champion, Dr. Roy Kirkpatrick


2024: Dr. Cait Champion, Dr. Aisling Clancy, Dr. Naana Jumah, Dr. Roy Kirkpatrick

Learning Objectives

By the end of the webinar series participants will be able to:

  • Identify and describe safe surgical management principles and approaches to complex surgical deliveries
  • Develop and implement a stepwise approach to assessment and management of Post-Partum Hemorrhage (PPH)
  • Describe an approach to assessment and surgical management of complications following vaginal delivery and caesarean section
  • Initiate collaborative approaches to operative maternal care team building and local quality assurance around high-acuity low-occurrence obstetrical complications in rural and remote settings


Module 1 – Managing Complex Deliveries

Module 2 – Managing C-section and Vaginal Delivery Complications

Module 3 – Managing Post-Partum Hemorrhage

Module 4 – Strengthening Collaborative Rural and Remote Maternal Care

Course Dates

2024: Course starts April 2

Learning Hours: This course runs for 10 weeks. Participants should expect to spend 3-5 hours per week on course materials, activities, and webinars.

Enroll here: 2024 Operative Delivery & Maternal Care for General Surgeons | General Surgery Learning & Resource Centre (cags-accg.ca)

Online Course Cost

  • CAGS Practicing Member – $350
  • CAGS Member Learner (Resident/Fellow) – $225
  • Affiliate/International/Non-Member – $550

Operative Delivery and Maternal Care Skills Simulation Course

The next skills simulation will be held on in two sessions on Wednesday, September 25 at CSF 2024 in Winnipeg, Manitoba.
Conference registration opens April 25, 2024, visit canadiansurgeryforum.com to register.

Skills Simulation Faculty

2024: Dr. Cait Champion, Dr. Adam Garber, Dr. Naana Jumah, Dr. Roy Kirkpatrick

Stay connected and join the waiting list by filling out the expression of interest form Skills Simulation Course.

Operative Delivery and Maternal Care Clinical Training/Exposure

CAGS is in the process of identifying opportunities for clinical training.  We are also encouraging people to reach out locally through their own clinical networks to seek out learning opportunities guided by our clinical training minimum case volume criteria and evaluations.  As you complete your clinical training, track your cases using our template.  The course directors will review for completion when you have finished your Clinical Training/Exposure.  For those surgeons who already perform c-sections as part of their scope of practice, practice improvement projects that have been approved by the course directors will be accepted.  Please contact learn@cags-accg.ca for more information.

  • 25 c-sections (minimum) as primary surgeon (case mix to include elective primary, elective repeat, urgent second stage, breech)
  • 5 D&C as primary surgeon
  • 5 salpingectomy/tubal ligation as primary surgeon (mix of laparoscopic and open)
  • Case log – This activity is considered an Accredited Practice Assessment (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada and can be self-submitted through Mainport.

Clinical Training/Exposure Cost

Fees for clinical training/exposure vary by host institution. Course directors or CAGS staff will notify you of the fee scale prior to acceptance of the clinical program.

Upcoming Clinical Training Opportunities

Ottawa, Block 9 (2025)

To join the waiting list and to hear about additional opportunities, please fill out the expression of interest form [link].

Submit your interest by May 15, 2024 to be eligible for 2025 opportunities.

For more information on this program, contact learn@cags-accg.ca.