The four year program which spans nine terms, includes courses from basic sciences, social sciences, health sciences, women’s studies and electives, in addition to clinical courses. A variety of course formats include classroom, distance learning through web conferencing and print-based self-study courses. Teaching methods include lecture format, small group tutorials, self-directed activities and practical learning experiences in both laboratory and clinical practice settings.

Intensives
An Intensives course is 5-7 days in duration and consists of workshop-style presentations focussing on clinical skills. Attendance (100%) is mandatory.

Clinical Courses
Clinical courses consist of a practical and theoretical component and concurrent problem-based weekly tutorials. Students are assigned to a midwifery practice as well as to interprofessional placements including nursing, neonatal intensive care nursery, and obstetrical practices. Throughout the program, students will be placed in more than one midwifery practice within the McMaster Midwifery Program catchment area and will gain clinical experience in a hospital setting and with an obstetrician. Students should expect to relocate for clinical placements. Travel and living expenses are the responsibility of the student.

The Midwifery Education Program reserves the right, at any point during the term, to remove a student from a clinical placement or laboratory setting if the student exhibits unsafe clinical practice or behaviour that places clients or others at risk and/or violates the Midwifery Act of Ontario. Such removal will result in the student receiving a grade of F and may result in dismissal from the program.

Requirements
135 units total (Levels I to IV)

Note
An asterisk (*) following a course code indicates that transfer credit may be available.

Tuition fees per year are listed and vary with each year. Additional costs include supplementary fees, books, supplies, equipment and learning resources. Students are also expected to cover their own travel expenses for intensives and clinical courses.

Year I (30 Units)


6 unit(s)

This course covers basic concepts of human structure and function, genetics and embryology through lectures, demonstrations and appropriate laboratory assignments.

Lectures/tutorial (four hours), labs (two hours); both terms

Prerequisite(s): Registration in the Midwifery Education program

Co-requisite(s): HTHSCI 1BS0 if not already completed
Antirequisite(s): BIOLOGY 1J03, BIOLOGY 3U03, BIOLOGY 3UU3, HTHSCI 2F03, HTHSCI 2FF3, KINESIOL 1A03, 1A06, KINESIOL 1AA3, 1X06, KINESIOL 1Y03, KINESIOL 1YY3, MED PHYS 4XX3, SCIENCE 4XX3

6 unit(s)

This course draws on perspectives from sociology, anthropology, cultural studies and women’s studies to explore the challenges and opportunities of working across differences of race, class, sexuality, ability (and other markers of difference) in midwifery care. The course will focus on development and strengthening the skills required to work competently and compassionately across social and identity differences among and between midwives, midwifery clients and other health care providers.

Lectures/tutorials (three hours); both terms

Prerequisite(s): Registration in the Midwifery Education program

3 unit(s)

Seminar presentations, discussion and arranged experiences to introduce students to the history, philosophy of care, and role of the midwife in Canada and elsewhere.
Seminar (three hours); first term

Prerequisite(s): Registration in the Midwifery Education Program

Antirequisite(s): MIDWIF 1A06

3 unit(s)

Introduction to the principles of clinical research and statistical inference, with particular emphasis on critical assessment of research evidence (both qualitative and quantitative) as presented in the health sciences literature related to midwifery care.
Lectures/tutorials (three hours); second term

Prerequisite(s): Registration in the Midwifery Education Program

Antirequisite(s): HTHSCI 3C04

3 unit(s)

This course provides an overview of basic concepts relating to chemistry, biochemistry and microbiology. Content areas will include practical applications of clinical chemistry, specimen collection, related disease entities and pathologies, and the significance of laboratory values.
One lecture (three hours) one lab (two hours); first term

Prerequisite(s): Registration in the Midwifery Education program

Co-requisite(s): HTHSCI 1D06 A/B
Antirequisite(s): MIDWIF 1C03

6 Unit(s) of the following

WOMENST 1A03 – Women, Culture, Power

3 unit(s)

An interdisciplinary introduction to Women’s Studies focusing on how women and men shape and are shaped by culture (including popular culture), systems of power and institutional ideologies.
Three hours (two lectures, one tutorial); one term

WOMENST 1AA3 – Women Transforming the World

3 unit(s)

An interdisciplinary introduction to Women’s Studies that explores women’s historic and current collective efforts to transform social, economic and political conditions both nationally and globally.
Three hours (two lectures, one tutorial); one term

INDIGST 3H03 – Indigenous Medicine I – Philosophy

3 unit(s)

This course will examine the Aboriginal concepts of health and wellness. The wholistic traditional approach will be used in the classroom as well as in visits by elders, medicine people and class trips to places of health, wellness and healing.
Three hours (lectures and seminars); one term

Prerequisite(s): Three units of Level II Indigenous Studies or permission of the instructor

Not open to students with credit in INDIGST 3CC3, if the topics were Traditional Approaches to Healing and Wellness or Indigenous Peoples Health.

INDIGST 3HH3 – Indigenous Medicine II – Practical

3 unit(s)

This course will examine the concept of traditional medicines, their histories and their connection to Aboriginal philosophies of wellness (studied in Part I); procedures for procurement and use of the medicines will be addressed and emphasis will be placed on the reasons for efficacy.
Three hours (lectures and seminars); one term

Prerequisite(s): Three units of Level II Indigenous Studies or permission of the instructor

Not open to students with credit in INDIGST 3CC3, if the topics were Traditional Approaches to Healing and Wellness or Indigenous Peoples Health.

3 Unit(s)

One elective from the Faculties of Health Sciences, Humanities, or Social Sciences

$8,400.20 for Level One

(as of 2015-16)

Year II (30 Units)


3 unit(s)

This course emphasizes intrinsic and extrinsic methods of regulation of reproduction and also provides the basis for understanding alterations from normal mechanisms including the influence of medical conditions.
One tutorial (three hours); first term

Prerequisite(s): HTHSCI 1D06 A/B and registration in the Midwifery Education Program

Antirequisite(s): MIDWIF 2D03

15 unit(s)

First clinical placement under the supervision of a registered midwife (18 weeks): students focus on beginning level skills for the care of women experiencing normal childbearing. Weekly problem-based tutorials include normal antepartum, intrapartum, postpartum and newborn care situations.
Second term

Normal Childbearing is the first in a sequence of four clinical courses. The focus of the course is normal prenatal, intrapartum and postnatal midwifery care. Students will develop skills in conducting prenatal
and postpartum visits. At births students will develop skills in providing labour support, monitoring maternal and fetal well-being, and providing hands-on care for deliveries. Students will also develop introductory level skills in care management as a primary care provider, and build a foundation of knowledge regarding normal childbearing including common interventions and variations of normal. By
completion of this term, the student will have integrated theoretical and clinical content progressively to be able to provide primary care in normal situations throughout the childbearing cycle. Students are expected to apply research findings to clinical situations in their placement and in class. Clinical scenarios will be used for tutorial discussions with faculty tutors.

Prerequisite(s): HTHSCI 2M03, MIDWIF 1D03, MIDWIF 2F03, MIDWIF 2G06 (or 1A06 or 2G03). A minimum GPA of 6.0 in first term is required.

Antirequisite(s): MIDWIF 2E12

3 unit(s)

This course is an overview of basic concepts in pharmacy, pharmacology and therapeutics relevant to the practice of midwifery in Ontario. Content areas include pharmacokinetics, toxicology, adverse drug reactions during pregnancy and lactation and pharmacology in the neonate.
One lecture (three hours); first term

Prerequisite(s): HTHSCI 1D06 A/B

6 unit(s)

Lecture, demonstration and laboratory practice of fundamental skills for midwifery practice. This course combines theoretical aspects with clinical lab as well as including short placement components in which students attend births and midwifery clinics.
One lecture (three hours), one lab (three hours); first term

Prerequisite(s): MIDWIF 1D03

Antirequisite(s): MIDWIF 2G03
May be taken concurrently with MIDWIF 1D03 with permission of the Program Director.

3 Unit(s)

One elective from the Faculties of Health Sciences, Humanities, or Social Sciences

$8,400.20 for Level Two

(as of 2015-16)

Year III (45 Units)


3 unit(s)

A five day intensive course using workshop format to focus on emergency interventions, evidence based management of prenatal and intrapartum situations and communication . Students receive instruction from midwifery faculty and interdisciplinary experts in preparation for community placements and senior midwifery clinical placements.
First term

Prerequisite(s): MIDWIF 2H15

6 unit(s)

Web-tutorial and lecture format are utilized to provide a greater theoretical understanding of progressively complex midwifery scenarios. The course will also focus on situations where midwives consult and or work collaboratively with other care providers in the provision of care.
Prerequisite(s): MIDWIF 2H15

Co-requisite(s): MIDWIF 3K06

6 unit(s)

Students will be placed in community clinical settings for the equivalent of eight weeks. Placements will focus on neonatal needs, including Neonatal intensive care Units or Special Care Units and or pediatric placements, as well as with women in populations at risk.

This course involves a series of clinical placements designed for midwifery students who have completed the first two years of the program including an 18 week placement with a registered midwife. The EPP placements focus on developing skills for interprofessional practice and knowledge of scopes of practice and roles in the maternity care system and other health care providers. Additionally, placements focus on the social determinants of health relating to childbearing women, babies and their families. Although a separate course, registration for this course is concurrent with Preparation for Advanced Practice MIDWIF 3J06 with placements organized after course work to allow for consolidation of experiences.

Prerequisite(s): MIDWIF 2H15

Co-requisite(s): MIDWIF 3J06

9 unit(s)

Three one month placements will be organized over the term. One placement will be organized with a hospital labour and delivery department and one with an obstetrician. The third placement will be chosen by the student and may take place within or outside the province or country.

This interprofessional course consists of three, four-week placements – one in a hospital labour & delivery setting, one in an obstetric practice, and one elective placement. Students will spend a minimum of 30 hours per week in placement. The student can accompany a nurse or physician to home visits, hospital rounds, ER visits, and be available ‘on call’ when appropriate. In addition to maternity care, students may observe or participate in: general health and well women assessments, treatment of minor gynecological problems, conception services; well infant/child assessments and services including parenting issues, immunization and minor illnesses; assessment and care in situations of family/domestic violence and abuse, sexual and family counselling; and community group educational forums. In addition, students will gain insight into the role of other health professionals, develop communication skills and learn how to function in an interprofessional team.

Prerequisite(s): MIDWIF 2H15 or 3G15 (or 2B15)

Co-requisite(s): MIDWIF 3F03

3 unit(s)

This course addresses the theoretical basis for inter-professional collaboration and explores related professional issues such as global midwifery, ethics and risk management. The course includes critical analysis of issues in asynchronous online discussion and submission of a major paper.
Prerequisite(s): MIDWIF 2H15

Co-requisite(s): MIDWIF 3A09

3 unit(s)

Short intensive course of five to six days. The course builds on the skills introduced in MIDWIF 3I03 and focuses on preparing the student for recognizing situations where consultation and transfer of care is required, as well as in being able to initiate and facilitate such consultation.
Second term

Prerequisite(s): MIDWIF 3I03

15 unit(s)

Second placement in a midwifery practice: students extend skills to more complex childbearing situations. Problem-based tutorials focus on expanding the knowledge base of maternal-newborn complications, for consultation and referral, and relationships with other health care providers.

Midwifery Complications and Consultation (C&C) is the second in the sequence of four midwifery clinical courses. Building on and further consolidating the student’s knowledge and skills in normal childbearing and variations of normal, the theoretical and clinical components of C&C focus on the recognition and management of conditions that require consultation. The student learns the role of the midwife in detecting and managing these conditions, including the need for and process involved in inter-professional collaboration and consultation.
In the clinical placement, the student increasingly provides independent midwifery care to pregnant persons and their newborns throughout the childbearing cycle. The student assumes responsibility for care management in the primary care role in situations of normal with confidence and with growing confidence and competence in variations of normal and those leading to consultation. The student increasingly initiates consultation and referral when appropriate. The student also detects and assists in urgent and emergency maternal and newborn situations when they arise.

Summer term

Prerequisite(s): MIDWIF 2H15, MIDWIF 3A09, MIDWIF 3F03 , MIDWIF 3I03 , MIDWIF 3J06 , MIDWIF 3K06 , MIDWIF 3L03

$12,133.62 for Level Three

(as of 2015-16)

Year IV (30 Units)


15 unit(s)

Third placement in a midwifery practice. In defined situations, supervision is indirect. Students care for an assigned caseload, including situations with complications. Problem-based tutorials focus on midwifery roles and responsibilities in highly complex and urgent situations.

Maternal & Newborn Pathology is the third clinical midwifery course and includes
theoretical and practice components. The focus is on midwifery management and
includes the recognition and understanding of abnormal situations. Students will learn
the signs and symptoms of pathologic conditions of the mother and newborn infant and
the appropriate role of the midwife in detecting and managing these problems. Within
the clinical placement the student will provide increasingly independent care and will
initiate consultation and referral when appropriate. Students will help to manage
urgent or emergency situations.

First term

Prerequisite(s): MIDWIF 3H15

15 unit(s)

Final placement in a midwifery practice. Supervision is increasingly indirect. Students formulate and provide care to an entire caseload of women. Tutorials and workshops include case review, preparation for registration and establishing a practice in Ontario.

The midwifery Clerkship is the final clinical placement before graduation. In this placement, students demonstrate independent decision-making and apply the full range of their academic knowledge to professional practice. Students continue to gain technical expertise and exposure to a variety of clinical situations. Students must demonstrate achievement of the core competencies of a midwife at the entry-to-practice level, including the ability to establish successful interprofessional relationships. Students must demonstrate an understanding of the health care system and the legal, ethical and professional responsibilities of a midwife. Students will participate in selected aspects of the administration of a midwifery practice group to acquaint themselves with the business aspects of practice operation. Through systematic review of care management, students will demonstrate skills in evaluation and continuous quality improvement in midwifery care.

Second term

Prerequisite(s): MIDWIF 4A15

$7,789.49 for Level Four

(as of 2015-2016)

Sample First Year Weekly Schedule