Complete this questionnaire to receive credit

Included in this Questionnaire:
Exercise 1: Academic Lesson Preparation
Exercise 2: Create a Syllabus
Exercise 3: Prepare a Clinical Lesson
Exercise 4: Review this course

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* 1. Contact Information:

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* 2. Exercise 1: Academic Lesson Preparation
Choose a Title for this Academic Lesson

In Exercises 1 and 2 you are answering questions to set up your own Academic lesson plan. Choose a topic and answer the rest of the questions based on this topic

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* 3. Contact-(Story, tied to a midwifery situation, relevant to the subject and their level of training, including a current training site)

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* 4. Value -why do midwives and your midwifery students need to know about this topic?

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* 5. Key points (list any sub topics within your chosen topic)

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* 6. Conduct-(What do you want your students to be doing while you are teaching?) (There is no wrong answer, so choose as many as you like or add more)

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* 7. Learning Objective(s) (By the end of this session what will the student be able to do?)
Do use words like; describe, discuss, state, name.
Avoid vague words that can't be evaluated, such as; know, feel, or understand.
For example: By the end of this session the student will be able to name the three trimesters of pregnancy.

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* 8. Body of the Lesson:(Briefly write the answer to the learning objective you chose above)

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* 9. Which ONE of the following is NOT correct: The information taught to midwifery students by the instructor:

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* 10. Which of the following is recommended to add to the Body of your academic training session?

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* 11. Which items should be re-stated in the Summary of your academic lesson:

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* 12. Exercise 2: Create a Syllabus 
Choose a Title for this course Syllabus

In Exercise 2 you are answering questions to set up your own Course Syllabus. Choose a topic and answer the rest of the questions based on this topic

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* 13. Course Description (A brief description of the topics to be covered)

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* 14. Learning Objectives (By the end of this course, the student will be able to...)(be specific-something that can be tested or evaluated)

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* 15. Learning Activities (what activities will the student need to do to satisfy the learning objectives of this course?)
Choose as many or as few as are appropriate to the topic...

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* 16. Learning Materials/Resources (list at least 1-2 appropriate resources or textbooks. Be sure that they less than 5 years old)

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* 17. Evaluation Methods/Tools (How will you evaluate the students' learning of the topic? How will you calculate the grade?)
Choose any or all of the types of evaluations listed below and decide how the final grade will be weighted
What % each area will count towards the final grade?
There is no wrong answer
-this is a practical exercise to consider what sorts of tools can be used in an evaluation and how much each is worth in figuring the final grade.
A great tool for this when you are creating your own course syllabus is the Course/Credit Calculation Form, which can be found in the http://m2mi.org/ website for your use
Remember the areas and % you choose have to add up to 100%

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* 18. Exercise 3: Prepare a Clinical Lesson
Remember, the following questions should be answered for the NARM skill or clinical skill you choose

Briefing-OVERVIEW:
Choose 1 NARM skill or Clinical Skill to teach:

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* 19. Briefing-VALUE (Realistic value of why midwives will learn the skill and a reason to apply it during midwifery care):

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* 20. Briefing-OBJECTIVE (A clear statement of measurable performance requirement for each skill (by the end of this session you will be able to…):

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* 21. Briefing-EXPLANATION (A brief description of the critical steps required to complete the skill) :

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* 22. Briefing-CONDUCT (A clear description of where and when the skill practice will be performed . Where the students will be positioned while the preceptor demonstrates or other students practice. Also include statements describing what they should do before, during and after their performance):

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* 23. Preceptor DEMONSTRATION (Which ONE of the following is NOT correct)

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* 24. Student PRACTICE (Choose all of the following that are correct (more than one)):

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* 25. Debriefing (Which of the following answers is NOT CORRECT)

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* 26. Direct Supervision-The preceptor must be physically present and in control at all times during the entire activity, must catalyze the important decision making processes, elicit the student’s rationales for her/his decisions, and oversee the student’s charting. Preceptors may ONLY sign off experiences which she/he personally directly supervised and witnessed.

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* 27. Mastery-Is defined as being able to perform with the competence and confidence that would be expected from a reasonably well trained midwife.

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* 28. For students acting as AssistantActive Participation, not Mastery, is required for students acting as Assistant-The student must be actively involved in the clinical activity, including, but not limited to charting, hands-on assisting, & participation in management decisions

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* 29. Being a midwife and being a teacher demand the same set of skills.

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* 30. Exercise 4: Evaluating this course

Which of the following Learning Objectives were clearly stated and met?
(choose as many as are appropriate):

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* 31. Was subject matter relevant to learning objectives?

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* 32. How effectively was the subject matter presented?

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* 33. What would make the presentation more effective?

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* 34. Was this presentation relevant to your work?

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* 35. What other topics / courses / CEUs would you like to have available to you?

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