Medical School

Syllabus

Course Name Conception, Birth, and Early Development

Program Undergraduate MD (Medical Doctor)

Course Code MDC0042

Course Status Core

Level of Study One-Cycle (Equal to master’s degree)
Semester IX

Course Duration One Semester/20 weeks

ECTS 13 credits/390 hours

ECTS/per subject 5 Credits Obstetrics/Gynecology
5 Credits Pediatrics
3 Credits Clinical Skills

Instructor Maia janelidze Maiajanelidze@gau.edu.ge

Tamar giorgadze Tamargiorgadze@gau.edu.ge
Miranda khidasheli Mirandakhidasheli@gau.edu.ge
Lali vashakidze Lalivashakidze@gau.edu.ge
Nino Totadze NinoTotadze@gau.edu.ge
Workplace Georgian American University
Consultation Time Negotiable

Course Format Lecture/Seminar

Total Hours 390
180 (75+75+30)
Obstetrics/Gynecology.
 15 Lecture
 60 Seminar
Contact hours Pediatrics.
 15 Lecture
 60 Seminar
Clinical Skills;
 0 Lecture
 30 Seminar
Independent 198 hours
12 Hours
Assessment  Mid-Term – 4 hours (2 sets mini-OSCE/SAQ)
 Final – 8 Hours (OSCE/SAQ)

Prerequisites Internal Medicine II, Surgery I

 Course objectives are:
 To teach students fundamentals of obstetrics and gynecology
 To familiarize them to clinical procedures of examination of gynecological diseases
Course Objectives
and pregnancy
 To teach students fundamentals of pediatrics
 To familiarize them to clinical diagnosis of children diseases
Learning Outcomes / Subject Specific Competencies:
Competences 1. Field knowledge
(general and specific) Students will have obtained knowledge in obstetrics and gynecology and have clinical skills
required for examining patients with corresponding medical conditions;
• Physiological features of female life`s periods
• The diseases of female genital organs and their treatments.
• The distinctive features of the gynecological and non-gynecological conditions
• The indications of surgical gynecology; Surgical techniques
• Research methods in gynecology.
• Health assessment and main methods of obstetric examination, Consultation.
• Dysfunction of female genital organs and its treatment
• Woman's body during pregnancy the physiological and pathological changes.
• Assessment and management principles of pregnant woman’s body.
• Signs featured of high risked pregnant
• Signs and management of complicated pregnancy
• Signs and management of overdue pregnancy
• Anesthesia principles during pregnancy
• Signs and management of physiological pregnancy
• Signs and management of pathological pregnancy
• Principles of operative obstetrics Evaluate intrauteral state of fetus Intrauteral
Resuscitation principles Perinatal diagnostic principles
• Evaluation and management the processes during pregnancy
• Students will be able to identify and differentiate between disease in pediatric
patients
2. Consulting patients
Students will be mastering the skills:
• Taking patient's history;
• Performing physical examination;
• Assessment patient's mental status;
• Providing relevant explanation, support and advice.
3. Assess clinical presentations, order investigations, make differential diagnoses, and
negotiate a management plan
Students will be mastering the skills:
• Recognize and assess the severity of clinical presentations;
• Order appropriate investigations and interpret the results;
• Make differential diagnosis;
• Demonstrate effective clinical problem solving and judgement to address
patient problems, including interpreting available data and integrating
information to generate differential diagnoses and management plan;
• Negotiate an appropriate management plan with patients and their family
members;
6. Performing Practical Procedures
Students will be mastering the skills:
• Carry out Physical examination
• Identify dysfunction of the menstrual cycle and its treatment, to diagnose
genital infections and manage its treatment.
• Identify signs and symptoms, requiring treatment and / or referral
arrangements
• Assist in Pre surgery preparation and post operation care of patient.
• assist in emergency situations
• Assist during Small "operations”, manual vacuum aspiration under the
supervision of the teacher.
• Pain management and family counseling and assistance.
• Collect the anamnesis, physical examination methods, uterine base and
circumference measurements, fetal heartbeat, pelvic external measurement
measures;
• Fetal external cardiogram Processing of umbilical cord;
• Infant first aid First aid in various obstetric pathologies;
• Abortion clinical signs and first aid; diagnosis of ectopic pregnancy and first aid
Assistant at obstetric operations.
• Obstetric forceps, vacuum ekstraktorisa and deplete fetal phantom of
operations;
 • History, objective examination, laboratory data, based on the conclusions of
mutual, diagnosis structuring, (analytical thinking);
• Pregnant and woman in childbirth to prepare for the reception room of the
hospital to accommodate (the patient's medical treatment, the history should
be taken, to the appointment of analyzes, credit history and the patient
hospitalized proper section;
• Selection criteria for modern contraceptives and intrauterine devices
imbedded in the phantom.
• examining pediatric patients and conducting differential diagnosis
7. Communicate effectively in a medical context
Students will be mastering the skills:
• Communicate with patient;
• Communication in seeking informed consent;
8. The use of Ethical and Legal Principles in Medical Practice Students will be mastering the
skills:
• Maintain confidentiality;
• Apply ethical principles and analytical skills to clinical care;
• Apply Georgian and international legislation during treatment;
• Conducting medical practice in multi-cultural environment;
9. Evaluation of psychological and social aspects regarding patients’ disease.
Students will be mastering the skills:
• Evaluating the social factors of disease detection and impacts on the patients;
10. The use of knowledge, skills and principles based on evidence-based medicine
Students will be mastering the skills:
• Critical analysis of the published literature, making conclusion and using them
in practice;
• The active use of evidences obtained through different literature sources and
making the conclusions regarding the health conditions of patient on the basis
of assessing the level of evidence.
14. Professionalism
Students will be practicing the skills:
Professional attributes
• Probity, honesty, ethical commitment
• Commitment to maintaining good practice, concern for quality
• Empathy
• Ability to solve problems
• Ability to make decisions
• Ability to work in a multidisciplinary team
• Ability to communicate with experts in other disciplines
• Capacity to adapt to new situations
• Capacity for analysis and synthesis
• • Capacity for applying knowledge in practice

Tuition & teaching methods Interactive lectures, Practical work, Role-playing, Night calls, Group work;

Description of Academic Course

N Week Topic Literature Contact

hours
Lecture I Obstetrics/Gynecology Mandatory Literature: Lecture
Obstetrics/  Benign Disorders of the Lower 5
 Blueprints Obstetrics & Gynecology,
Obstetrics/Gyne
Gynecology Genital Tract 7th Edition, Dr. Tamara Callahan,
cology
 Benign Disorders of the Upper 2018
Seminar Genital Tract Seminar
Obstetrics/  Endometriosis and Adenomyosis Additional reading 20
Gynecology  Infections of the Lower Female  Williams Obstetrics, 25e F. Gary Obstetrics/Gyne
Clinical Skills Reproductive Tract Cunningham, Kenneth J. Leveno, cology
 Infections of the Upper Female Steven L. Bloom, Jodi S. Dashe, 5 Clinical Skills
Reproductive Tract and Systemic Barbara L. Hoffman, Brian M. Casey,
Infections
  Pelvic Organ Prolapse Catherine Y. Spong 2018
 Urinary Incontinence  Williams Gynecology, 4e Barbara L.
 Puberty, the Menstrual Cycle, Hoffman, John O. Schorge, Karen D.
and Menopause Bradshaw, Lisa M. Halvorson, Joseph
I. Schaffer, Marlene M. Corton, 2020
 Case Files Obstetrics and
Gynecology, Fifth Edition 5th Edition,
Clinical Skill Eugene Toy, 2016
 Skills corresponding to the  First Aid for the Obstetrics and
Covered Material Gynecology Clerkship, 4th Edition,
2016
Lecture II Obstetrics/Gynecology Mandatory Literature: Lecture
Obstetrics/  Amenorrhea 5
 Blueprints Obstetrics & Gynecology,
Obstetrics/Gyne
Gynecology  Abnormalities of the Menstrual 7th Edition, Dr. Tamara Callahan,
cology
Cycle 2018
Seminar  Hirsutism and Virilism Seminar
Obstetrics/  Contraception and Sterilization Additional reading 20
Gynecology  Termination of Pregnancy  Williams Obstetrics, 25e F. Gary Obstetrics/Gyne
Clinical Skills  Infertility and Assisted Cunningham, Kenneth J. Leveno, cology
Reproductive Technologies Steven L. Bloom, Jodi S. Dashe, 5 Clinical Skills
 Vulvar and Vaginal Neoplasia Barbara L. Hoffman, Brian M. Casey,
 Cervical Neoplasia and Cervical Catherine Y. Spong 2018
Cancer  Williams Gynecology, 4e Barbara L.
 Endometrial Cancer Hoffman, John O. Schorge, Karen D.
 Ovarian and Fallopian Tube Bradshaw, Lisa M. Halvorson, Joseph
Tumors I. Schaffer, Marlene M. Corton, 2020
 Gestational Trophoblastic  Case Files Obstetrics and
Disease Gynecology, Fifth Edition 5th Edition,
 Benign Breast Disease and Eugene Toy, 2016
Breast Cancer  First Aid for the Obstetrics and
Gynecology Clerkship, 4th Edition,
Clinical Skill 2016
 Skills corresponding to the
Covered Material
Lecture III Obstetrics/Gynecology Mandatory Literature: Lecture
Obstetrics/  Pregnancy and Prenatal Care 5
 Blueprints Obstetrics & Gynecology,
Obstetrics/Gyne
Gynecology  Early Pregnancy Complications 7th Edition, Dr. Tamara Callahan,
cology
 Prenatal Screening, Diagnosis, 2018
Seminar and Treatment Seminar
Obstetrics/  Normal Labor and Delivery Additional reading 20
Gynecology  Antepartum Hemorrhage  Williams Obstetrics, 25e F. Gary Obstetrics/Gyne
Clinical Skills  Complications of Labor and Cunningham, Kenneth J. Leveno, cology
Delivery Steven L. Bloom, Jodi S. Dashe, 5 Clinical Skills
 Fetal Complications of Barbara L. Hoffman, Brian M. Casey,
Pregnancy Catherine Y. Spong 2018
 Hypertension and Pregnancy  Williams Gynecology, 4e Barbara L.
 Diabetes During Pregnancy Hoffman, John O. Schorge, Karen D.
 Infectious Diseases in Pregnancy Bradshaw, Lisa M. Halvorson, Joseph
 Other Medical Complications of I. Schaffer, Marlene M. Corton, 2020
Pregnancy  Case Files Obstetrics and
 Postpartum Care and Gynecology, Fifth Edition 5th Edition,
Complications Eugene Toy, 2016
 First Aid for the Obstetrics and
Clinical Skill Gynecology Clerkship, 4th Edition,
 Skills corresponding to the 2016
Covered Material
Ongoing
Formative
Ongoing Formative Assessment – Assessment –
Mini-OSCE Mini-OSCE/SAQ
– 2 hours
Lecture IV Pediatrics Mandatory Literature: Lecture
Pediatrics  Overview of Pediatrics
 Ethics in Pediatric Care
Seminar  Growth, development, and
Pediatrics behavior
Clinical Skills  Behavioral and psychiatric
disorders
 Nutrition
 Fluid and electrolyte disorders
 Pediatric drug therapy
 Metabolic disorders
Clinical Skill
 Skills corresponding to the
Covered Material
Lecture V Pediatrics
Pediatrics  The fetus and the neonatal
infant
Seminar  Adolescent medicine
Pediatrics  Immunology
Clinical Skills  Allergic disorders
 Rheumatic diseases of childhood
 Infectious diseases
 The digestive system
 Respiratory system
 The cardiovascular system
 Diseases of the blood
 Cancer and benign tumors
 Nelson Textbook of Pediatrics, 2- 5 Pediatrics
Volume Set 21st Edition by Robert
Seminar
M. Kliegman MD, Joseph St. Geme
20 Pediatrics
MD, 2019
5 Clinical Skills
Additional reading
 Nelson, Essential of Pediatrics, 8th
Edition, Karen J. Marcdante, MD;
Robert M. Kliegman, MD, 2019
 Pediatrics: A Case-Based Review,
2019
Mandatory Literature: Lecture
5 Pediatrics
 Nelson Textbook of Pediatrics, 2-
Volume Set 21st Edition by Robert
Seminar
M. Kliegman MD, Joseph St. Geme 20 Pediatrics
MD, 2019 5 Clinical Skills
Additional reading
 Nelson, Essential of Pediatrics, 8th
Edition, Karen J. Marcdante, MD;
Robert M. Kliegman, MD, 2019
 Pediatrics: A Case-Based Review,
2019

Clinical Skill
 Skills corresponding to the
Covered Material
Lecture VI Pediatrics Mandatory Literature: Lecture
Pediatrics  Nephrology 5 Pediatrics
 Nelson Textbook of Pediatrics, 2-
 Urologic disorders in infants and Volume Set 21st Edition by Robert
Seminar
Seminar children M. Kliegman MD, Joseph St. Geme 20 Pediatrics
Pediatrics  Gynecologic problems of MD, 2019 5 Clinical Skills
Clinical Skills
childhood
 The endocrine system Additional reading
 The nervous system  Nelson, Essential of Pediatrics, 8th
 Neuromuscular disorders Edition, Karen J. Marcdante, MD;
 Disorders of the eye Robert M. Kliegman, MD, 2019
 The ear  Pediatrics: A Case-Based Review,
 The skin 2019
 Bone and joint disorders
 Rehabilitation medicine
 Environmental health hazards

Clinical Skill
 Skills corresponding to the
Covered Material Ongoing
Formative
Assessment –
Ongoing Formative Assessment – Mini-OSCE/SAQ
Mini-OSCE – 2 hours
Final Exam VII OSCE/SAQ 8
Additional VIII OSCE/SAQ -
Exam
Assessment Components
Ongoing assessments 6 sets MCQs/SAQs – 2 points each 12 point
12 sets Practical Assessment – 2 points each 24 point
Ongoing Formative Assessment 2 sets – 10 points each (Mini-OSCE/SAQ) 20 point
Case study - Presentation 4 point
Final exam OSCE 40 point
Total 100 point
Assessment methods
During the academic course students will be evaluated as follows:
 Multiple Choice Questions (MCQs)
 Short Answer Questions (SAQs)
 Practical Assessment
 Mini-OSCE
 Case study - Presentation;
 Final Exam.

Maximum evaluation of students – 100 points.

A student can receive maximum 60 points before final exam, from which 30 points is the sum of oral exams interim
assessment held before and after the midterm, 10 points of the presentation, 20 points of midterm and 10 points of
attendance.

 Students should have minimum of 25 points (total score before final exam) and less than 20% absence rate to be
allowed to pass final exam.
 In the grading system final examination is assessed with 40 points. The minimal passing score for the final exam is
21 points.
 Students, who receive FX mark have an opportunity to take additional examination no less than 5 days after
announcing the results of the final exam.
 Study course will be considered passed if the student receives 51 points total.

Evaluations of ongoing MCQ tests, Short Answer Questions, Practical Assessment, Mini-OSCE and Case study -
Presentation

Ongoing assessment Multiple Choice Questions (MCQ)/Short Answer Questions (SAQ) tests consists of 10 MCQ and 5 SAQ
tests.
 Each MCQ question is assessed by 0.1 point, amounting to 1 points;
 Each Short Answer Questions is assessed by 0.2 point, amounting to 1 points. *
*Criteria for assessment of Short Answer Question see Below;

Evaluations of ongoing Practical Activities

Practical Activities Rubric:
 Performs manipulations fully and without errors – 2 points
 Performs manipulations partially and without errors – 1.5 points
 Performs manipulations with minor errors – 1 points
 Performs manipulations with some errors – 0.5 points
 Performs manipulations with errors – 0 point

Ongoing Formative Assessment – will be held in mini-OSCE/SAQ format, mini-OSCE consisting of 4 practical exams – each
evaluated by 1.25-point, total 5 point and 5 SAQs
The criteria are:
 0.75 – 1.25 points – Candidate has fulfilled OSCE criteria and has performed the tasks completely and with
confidence
 0.25 – 0.50 points – A fair performance fulfillment of most OSCE criteria
 0 points – Extremely poor performance, candidate has not performed any of the OSCE criteria
*Grades under each element of rubric are determined according to the checklists developed for the specific performance.
 Each Short Answer Questions is assessed by 1 point, amounting to 5 points. *
*Criteria for assessment of Short Answer Question see Below;

Case Study, amounting 4 points in total, is evaluated by criteria described below:

Case Study - assessment criteria are:
Criteria Max. 4 pts
1 Reads the case and identifies the problem – 0.5
2 Determines/analyzes the clinical investigations and provides evidence for their use – 0.5
3 Identifies the gaps in the knowledge/information and assertively seeks for the additional 0.5
information
4 Conducts/reviews differential diagnosis and supports with the evidence 0.5
5 Determines/proves the diagnosis – 0.5
6 Determines the pathogenesis or/and epidemiology of the disease – 0.5
7 Determines/reviews the plan of treatment, supports with the argumentation, Takes into 0.5
consideration drug interaction, side effects –
8 Evaluates the effectiveness of outcomes and actions, determines risks related to the case, 0.5
Determines valid guidelines related to the diseases and treatment –

Final exam - 40 points.

Final exam will be held in combined exam format consisting of two components OSCE/SAQ format total 40 points:
 In combined exam the student should pass both components and overcome the 50% limit of each one . If the student
fails one of the components, he/she must retake it.

OSCE format
OSCE It is one of the most effective methods to assess student’s theoretical and practical capabilities. During the exam
simulators/simulated patient/standardized patient is being used, which permits observation on student’s ability to use their
clinical knowledge and clinical skills while approaching the patient. OSCE consists of 16 practical exams, each assessed by
1.25 points – totaling 20 points.
The criteria are:
 0.75 – 1.25 points – Candidate has fulfilled OSCE criteria and has performed the tasks completely and with
confidence
 0.25 – 0.50 points – A fair performance fulfillment of most OSCE criteria
 0 points – Extremely poor performance, candidate has not performed any of the OSCE criteria
*Grades under each element of rubric are determined according to the checklists developed for the specific performance.

SAQ Fortmat
SAQ exam consists of 20 questions
 Each Short Answer Questions is assessed by 1 point, amounting to 20 points. *
*Criteria for assessment of Short Answer Question see Below;

Criteria for open-question assessment:

Main criteria of Criteria components Maximum Points
assessment Granted
(overall 100 points)
Language the text is coherent and cohesive 20
Information Answer is informative and, in the Length, and format Required and 30
predetermined by the lecturer
Relevance Information provided does not contain abstract irrelevant reasoning, (answer 36
contains only that information/data which is necessary to answer the question at
hand)
Context Answer is corresponding with the graphical content/data or/and quote provided 8
(graphical/statisti in the question,
cal)* Effective use of graphical/data content provided in the question (tables, pictures,
statistical data a.t.c)
Graphical content of the answer is full and corresponding with requirements of
the question
Presentation Individual components of the answer are clearly defined from one another and 6
can be easily understood
*If the graphical component is not present in the structure of the question corresponding points can be reallocated in
accordance with lecturers’ views
 1-mark question
 If student generates >70 = Full mark
 If student generates <70 = 0 mark
Plagiarism/Cheating – Students are expected to be honest in their fulfilment of assignments and in test-taking. Plagiarism
and cheating are serious forms of academic misconduct. Any student caught plagiarising or cheating on an examination will
receive zero mark. Written assignment check in Turnitin. Behaviour – Students are expected to behave according to the
rules/procedures and ethical guidelines presented by the instructor and written in the University’s code of ethics. They
should not in any circumstances disturb the ongoing lectures/seminars/presentations and should follow all the rules and
procedures established by the professor/instructor in the beginning of the course. The usage of mobile phones and other
sound equipment is forbidden during lectures and test taking situations. In case student does not follow the above
mentioned rules/ethical guidelines and he/she intensely tries to spoil the lecture, instructor is obliged to make the student
leave the class and report the outcomes to the dean for further evolution.

Grading Table

Maximum evaluation of the course is 100 points.

Students’ evaluation is determined according of the following system and quantitative indicators.
Positive evaluations:
(A) Excellent – outstanding performance with only minor errors, 91 points or above;
(B) Very good – above the average standard but with some errors, 81-90 points;
(C) Good – generally sound work with a number of notable errors, 71-80 points;
(D) Average – fair but with significant shortcomings, 61-70 points;
(E) Poor – performance meets the minimum criteria, 51-60 points.
Negative evaluations:
(FX) Fail – some more work required before the credit can be awarded, 41-50 points
(F) Fail – considerable further work is required.
(FX) Fail – student with negative evaluation has right to pass the repeated final exam.
Fail – student with this negative evaluation is obliged to pass the teaching course again.

1. Blueprints Obstetrics & Gynecology, 7th Edition, Dr. Tamara Callahan, 2018
Mandatory Literature 2. Nelson Textbook of Pediatrics, 2-Volume Set 21st Edition by Robert M.
Kliegman MD, Joseph St. Geme MD, 2019

1. Williams Obstetrics, 25e F. Gary Cunningham, Kenneth J. Leveno, Steven L.

Bloom, Jodi S. Dashe, Barbara L. Hoffman, Brian M. Casey, Catherine Y. Spong
2018
2. Williams Gynecology, 4e Barbara L. Hoffman, John O. Schorge, Karen D.
Bradshaw, Lisa M. Halvorson, Joseph I. Schaffer, Marlene M. Corton, 2020
Additional reading 3. Case Files Obstetrics and Gynecology, Fifth Edition 5th Edition, Eugene Toy,
2016
4. First Aid for the Obstetrics and Gynecology Clerkship, 4th Edition, 2016
5. Nelson, Essential of Pediatrics, 8th Edition, Karen J. Marcdante, MD; Robert
M. Kliegman, MD, 2019
6. Pediatrics: A Case-Based Review, 2019