Bachelor s degree in Nursing (Midwifery)

Tbilisi State Medical University Faculty of Physical Medicine and Rehabilitation The first level of academic higher education Bachelor s degree in Nursing (Midwifery) TBILISI 2012

Name of qualification Bachelor s degree in Nursing (Midwifery) Official length of program 4 academic years, 240 ECTS Credits Language of Instruction/examination English Aim of program The midwifery curriculum presented in this document will enable students to: 1 Become safe, competent practitioners who are able to practise autonomously to promote reproductive health. 2 Be caring and sensitive and able to work alongside women and their families in the community and in health facilities adopting a partnership model to educate, advise, facilitate choice and respond to individual needs. 3 Develop the ability to work well within a multi-disciplinary team to promote reproductive health. 4 Build up good relationships and liase with community leaders and other relevant personnel in the community to increase the uptake of maternity care, promote health education strategies and to organise a reliable transport system for urgent referrals, thereby promoting reproductive health. 5 Make a positive contribution to the reduction of maternal and infant mortality and morbidity by recognising life-threatening conditions early and taking timely and skilled action. 6 Take responsibility for their own learning, this will be achieved by providing appropriate clinical and theoretical support and encouraging the skills of reflection, critical analysis and evaluation. 7 Reflect on their practice to promote learning from their experience which will enhance their future care of women and their families. 8 Recognise that learning is a life-long process and take every opportunity to keep up-to-date with new knowledge and research findings and to enhance their practice with all available forms of continuing professional education. 9 Develop into midwives who value their profession and contribute to the development of the profession by advocating change, where necessary, and by conducting research aimed at improving the care given to women and their families. 10 Develop into effective managers of a case-load and of health facilities. Access requirements - Secondary education certificate 2

Structure of the curriculum The following subjects are included: public health, health promotion, health education and therapeutic patient education epidemiology and care in illness and disease behavioural sciences biological sciences midwifery research awareness communication professional, ethical and legal issues information management and information technology management, leadership and organization. 3

Modules Introductory course Module 1: Module 2: Module 3: Biomedical sciences Humanities Pathology Preclinical barrier Module 4: Module 5: Module 6: Module 7: Module 8: Module 9: Module 10: Clinical subjects Gender perspective on health and ill-health. Fertility regulation Control sexually transmitted diseases and HIV infection Prconception and antenatal care Care during labour and delivery Postnatal care An introductory to ginaecology Preconsolidation barrier Module 11: Consolidation module - Professional issues in midwifery 4

Modules Knowledge and understanding Applying knowledge and understanding Learning outcomes Making judgements Communication Learning skills Values Introductory course Biomedical sciences Pathology Humanities Clinical subjects Gender perspective on health and ill-health. Fertility regulation Control of STDs and HIV infection Preconception and antenatal care Care during labour and delivery Postnatal care An introduction to gynaecology Consolidation module 5

Assessment 1. European Credit Transfer System Based on: Bologna Process - European Credit-Trasfer System (ECTS) Georgian Law on Higher Education #473 (June 8, 2005) Decree of the Pesident of Georgia #785 (September 21, 2009) Decree of the Minister of Education and Science of Georgia Changes in #3 (Januray 5, 2007) Decree of Minister of Education and Science of Georgia A - EXCELLENT B - VERY GOOD C - GOOD D - SATISFACTORY E - SUFFICIENT Fx - FAILED F - FAILED 91-100% of possible total points 81%-90% of possible total points 71%-80% of possible total points 61%-70% of possible total points 51%-60% of possible total points Amendments are necessary before the performance will be acknowledged Substantial improvements are necessary 2. Portfolio for final assessment Based on: AMEE Medical Education Guide #24 6

Minimum clinical experience to be gained The following is an outline of the minimum clinical experience which students should have during their programme: Conduct a minimum of 100 antenatal examinations in a variety of settings, including some examinations on admission to hospital and completion of records; identify any abnormal signs or symptoms and take appropriate and timely action. Conduct a minimum of 40 normal deliveries, having cared for the women in the first stage of labour Assist at 3 breech deliveries. Conduct a minimum of 3 vacuum extractions, under supervision. Perform at least one mediolateral episiotomy. Suture the perineum, following an episiotomy or second degree tear, on at least 3 women. Assess the condition of the newborn at birth and resuscitate, as required. Examine 100 newborn babies, noting any abnormal conditions, and take appropriate and timely action. Conduct a minimum of 100 postnatal examinations, identify any abnormal signs or symptoms and take appropriate and timely action. Care for at least 100 postnatal women and their newborn infants, giving appropriate health education and advice, and providing the support, midwifery care and prophylactic treatments which are required. Assist mothers with breast feeding, as appropriate, and give correct advice and care to women who develop breast problems. Give emergency care, under supervision, to women with obstetric and gynaecological problems, eg abortion, ectopic pregnancy, ante and postpartum haemorrhage, prolonged, pre-labour rupture of the membranes, obstructed labour, retained placenta, eclamptic fits, and puerperal sepsis. Management of shock. Cardio-pulmonary resuscitation on a model. Resuscitation of the newborn, first observation, then assistance and finally practice, under supervision. Liase with the community in order to have an effective system to ensure that rapid referral is possible when complications occur and to make arrangements for referral, when required. Liase with the community to give information about the health services which are available and devise and implement strategies to increase the uptake of care by a skilled attendant. Provide health education in the community and first level health facilities to pregnant women, families and to adolescents, with emphasis on good nutrition, healthy life-styles, immunizations, the avoidance of harmful practices, the prevention of sexually transmitted diseases and unwanted pregnancies. Liase with schools, churches, mosques, women s groups and places of employment to provide appropriate health education. Provide information and counselling on safe sex and contraceptives at family planning clinics and provide women with the method of their choice and follow-up care. Perform appropriate screening tests and give appropriate prophylactic treatments and/or immunizations, as required, e.g. for STDs, tetanus toxoid, anti-malarials, mebendazole, vitamin A if in deficient areas, iron/folate. Liase with other health care professionals in the community to monitor the health and well being of mothers and their infants, the uptake of care and devise strategies together to further improve the quality and uptake of care and health facilities. Liase with traditional birth attendants, spiritual healers and other untrained personnel in the community who are involved in care before, during or after childbirth in order to encourage safe practices, the acceptance of 7

training opportunities where they exist, information on the early recognition of complications and the promotion of early referral when complications arise. 8