To carry out medical practice, every midwife and nurses must competency test that will have certification. Purpose of the certification through competency test is that the services provided by midwives and nurses, the better. As stated by the Deputy Director Imelda Hospital Walman Ritonga. We are starting free cna classes for nurses that can be a great way in entering into the medical field. Previously, the academy graduate midwifery and nursing college or graduate school one year SPK obstetrics section, just take care of the medical practice license could open without a certified practice, he said on Thursday (14/4) interrupted nursing seminar in the framework of the 28th Anniversary of Imelda General Hospital Indonesian Workers (RSUIPI).