S-0.1, r. 13 - Regulation respecting diploma and training equivalence standards for the issue of permits by the Ordre des sages-femmes du Québec

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3. A candidate who holds a diploma issued by an educational institution outside Québec is granted a diploma equivalence if
(1)  the diploma was obtained upon completion of theoretical instruction at a level equivalent to a university-level comprising a minimum of 1,080 hours, 899 of which are apportioned as follows:
(a)  a minimum of 577 hours of instruction in basic subjects apportioned as follows:
i.  170 hours in human anatomy and physiology, including a review of the various systems, the physiology of reproduction and breastfeeding, embryogenesis, genetics, physiological changes in pregnancy and the physiology of labour, delivery and the normal puerperium;
ii.  85 hours in biomedical science, including interpretation of laboratory tests, biochemistry, endocrinology, microbiology, haematology and immunology;
iii.  42 hours in pharmacology, including pharmacology pertaining to childbearing;
iv.  70 hours in the psychosocial aspects of pregnancy and communication skills;
v.  42 hours in nutrition of women during pregnancy and the puerperium and in infant feeding, in particular breastfeeding;
vi.  45 hours in the professional obligations, ethics and professional regulations in Québec;
vii.  42 hours in epidemiology and research methodology;
viii.  42 hours in the social and cultural aspects of health care in Québec; and
ix.  39 hours in women’s studies;
(b)  a minimum of 322 hours of specific instruction in the field of midwifery practice apportioned as follows:
i.  39 hours dealing with normal pregnancy;
ii.  82 hours in pathologies of pregnancy;
iii.  24 hours dealing with normal labour and delivery;
iv.  15 hours in pathologies of the intrapartum period;
v.  22 hours dealing with the normal puerperium;
vi.  12 hours in pathologies of the puerperium;
vii.  12 hours dealing with the normal newborn;
viii.  26 hours in neonatal pathologies;
ix.  45 hours of introduction to the practice of midwifery in Québec; and
x.  45 hours dealing with the technical and interpersonal skills required of midwives in Québec;
(2)  the diploma was obtained upon completion of practical training comprising a minimum of 1,740 hours including
(a)  300 hours in prenatal clinical placement, including a minimum of 250 prenatal consultations;
(b)  480 hours in clinical placement in labour and delivery, including labour support and a minimum of 60 deliveries, 40 of which have been performed as primary caregiver;
(c)  complete physical examination of 15 newborns during their first 24 hours of life;
(d)  85 hours in postpartum clinical placement, including breastfeeding support and a minimum of 60 maternal consultations and 60 newborn consultations;
(e)  450 hours of internship within a team of midwives during which the candidate independently provided all primary care that is part of the practice of midwifery, including prenatal, intrapartum and postnatal care; and
(f)  160 hours spent with professionals other than midwives during which the candidate had exposure to clinical risk situations and obstetrical and neonatal complications.
The practical training under subparagraph 2 of the first paragraph must have included a minimum of 10 continuous courses of care. Each course of care must include a minimum of 7 consultations, at least 1 of which is prenatal and 1 is postnatal, in addition to attending the delivery. The complete courses of care may have been performed, in whole or in part, within the scope of subparagraphs a to e of subparagraph 2 of the first paragraph.
O.C. 671-2007, s. 3.