 This research sought to identify any gaps between midwifery preservice training curricula and the International Confederation of Midwives, ICM, Essential Competencies Framework. It was found that no curriculum fully met the ICM standards, suggesting that there may be skill, knowledge, and behavior gaps in preservice training for midwives. Additionally, it was noted that there were multiple professional titles and varying lengths of time spent in preservice training across the four countries studied. This article was authored by Anbeth Mahler, Joanne Welch, Elizabeth Ibert, and others.