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1
PETRE SHOTADZE
TBILISI MEDICAL ACADEMY
One-Step Educational Programme Description
Medicine
2019-2020
Academy Year
2
Table of Contents Contact .....................................................................................................................................................3
The Academic Calendar for 2019-2020.................................................................................................. 4
Fall Semester: .......................................................................................................................................4
Spring Semester: .................................................................................................................................. 4
General Information ............................................................................................................................... 5
Mission .................................................................................................................................................5
Aim .......................................................................................................................................................5
Objectives ............................................................................................................................................ 5
Educational program ................................................................................................................................ 6
Admission ............................................................................................................................................ 6
Goal ......................................................................................................................................................6
Methods for achieving the goals ......................................................................................................... 8
Educational plan ................................................................................................................................. 11
Student’s evaluation system ................................................................................................................... 15
The Program Outcomes/Competencies .............................................................................................. 15
Technical and Human Resources ....................................................................................................... 23
The opportunities for the continuation of study ................................................................................. 23
Future employment .............................................................................................................................23
Information for Incoming Students .................................................................................................... 23
Accommodation ................................................................................................................................. 23
Health Insurance .................................................................................................................................23
Contact
Address: Ketevan Tsamebuli Ave., 51/2
Tbilisi, Georgia,
Tel: (+995 32) 2912484
(+995 32) 2746409
Fax: (+995 32) 2747134
E-mail: [email protected]
Skype: international.tma
Admission Office Maia Ratishvili
Tel: (+995 32) 2912484
(+995 32) 2746409
E-mail: [email protected]
International Department Khatuna Khatiashvili
Tel: (+995 32) 2912484
(+995 32) 2746409
E-mail: [email protected]
3
Study Process Coordinator Sophio Dvali
Tel: (+995 32) 2912484
(+995 32) 2746409
E-mail: [email protected]
Office Manager Natia Toronjadze
Tel: (+995 32) 2912484
(+995 32) 2746409
E-mail: [email protected]
Dean Nino Kekenadze
Tel: (+995 32) 2912484
(+995 32) 2746409
E-mail: [email protected]
Head of Quality Assurance
Department
Nino Shiukashvili Tel: (+995 32) 2912484
(+995 32) 2746409
E-mail: [email protected]
Rector Irine Shotadze Tel: (+995 32) 2912484
(+995 32) 2746409
E-mail: [email protected]
The Academic Calendar for 2019-2020
Fall Semester:
Lecture period 23 September 2019 - 18 January 2020
Exam period
Middle exam period 11 November 2019 - 16 November 2019
Final exam period
20 January 2020 - 15 February 2020
Spring Semester:
Lecture period 02 March 2020 – 20 June 2020
Exam period
Middle exam period 21 April 2020 – 27 April 2020
Final exam period 22 June 2020 - 18 July 2020
General Information
4
TMA is one of first private medical educational institutions in Georgia, which was established by
famous Georgian doctor, Prof. Petre Shotadze in 1992. Paramount priority of TMA, since its
establishment, is sustainable development, thus year after year, TMA aspires to implement and
exercise international standards within processes of teaching, study and research.
TMA is recognized and listed by international organizations; also, more than 1500 TMA graduates
are leading successful careers at leading hospitals, scientific-research institutions and healthcare
organizations on local, as well as international level.
Tbilisi Medical Academy is actively involved in various international exchange programmes, which
provide successful students with opportunities to spend part of their studies at various international
universities and obtain priceless experience for further development into international standard
professionals.
Currently TMA successfully runs two one-step educational programmes – (Medicine - taught
language Georgian and Medicine – taught language English) as well as residency programmes of
postgraduate education.
Mission TMA, as a student-oriented higher education institution, primarily seeks to teach and develop national and
international healthcare professionals in an innovative manner by using evidence-based knowledge, whilst
practically benefiting the community in Georgia through research-based outreach activities.
Aim The main goal of Academy is to elaborate independent and critical thinking, scientific reasoning
abilities, and reasonable judgments among students, in order to support their development into
highly qualified specialists.
Objectives
Upbringing of highly trained and qualified medical professionals with leadership
qualities;
Creating new knowledge through medical research based on society needs;
Sharing knowledge to ensure sustainable development of the society.
The content and teaching level of TMA educational programs corresponds to the International
standards, which promotes the mobility of young people and gives them the opportunity to continue
their studies and increase their knowledge in the higher institutions of foreign countries.
5
Educational program
Program Description One-step educational program – Medicine
Level One-step educational program is equals to the second stage of
higher academic education
Duration of the program 6 year, 12 Semester
Number of Credits (ECTS)
1 Credit 30 hour
Semester 30 Credit
Year 60 Credit
Total 360 Credit
Degree Medical Doctor
Language of instruction English
The program is divided into three parts:
I Part
Basic Subjects
2.5 – 3 Years
II Part
Clinical Subjects
3 – 5 Years
III Part
General Specialization
6th Year
Admission Citizens of Georgia with general secondary education are admitted to One-Step Educational Programme
– Medicine (taught language English) based on results of Unified National Examinations, including
following subjects: English and Chemistry/Biology.
Citizens of foreign countries are admitted to the programme, in accordance to acting legislation of
Ministry of Education and Science of Georgia, bypassing Unified National Examinations. Admission
procedure is conducted through demonstrating evidence of English proficiency, equal to B2 level
(Common European Framework of Reference for Languages: Learning, Teaching, Assessment), proven
by valid language certificate, English-taught secondary education certificate or results of TMA internal
English language examination. Applicants with general secondary education must demonstrate
transcripts with Natural Science profiles (biology, chemistry or physics).
Goal To raise Medical Doctors, through developing and strengthening among them in-depth clinical
thinking; providing them with international standard up-to-date evidence-based knowledge,
6
necessary for medical practice; raising awareness and enhancing knowledge regarding public health
system and role of the doctor within; elaborating clinical and communication skills, abilities to use
modern methodologies in clinical practice and research, as well as introduce and discuss results with
peers and colleagues; and fostering among them highest ethical values and attitude, required for
medical practice.
Objectives of the Programme:
• To provide students with knowledge regarding structure and functioning of normal human
body, organs and systems;
• To familiarize students with various pathological processes of human body and disorders
caused by them;
• To give students in-depth vision regarding etiology, pathogenesis, clinical manifestation,
diagnostics and differential diagnostics of various acute and chronical diseases;
• To elaborate ability of critical thinking and logical decision making, based on given clinical
symptoms and signs;
• To facilitate necessary expertise among students for creating optimal plan for patient
assessment and if needed, commencing corresponding treatment;
• To elaborate and enhance among students’ clinical skills, necessary for medical practice;
• To facilitate scientific-research skills, in accordance to modern experience and best practices;
• To provide students with knowledge regarding epidemiology, public health and health
promotion, foundations of healthcare systems and their management, as well as legislation of
healthcare and medical profession.
• Promote and encourage development of effective skills for patient management;
• Foster awareness and ability to manage adequately process of disease prevention and
corresponding measures;
• To elaborate excellent communication skills for efficient and outstanding communication
with patient, colleagues and society;
• To establish and strengthen positive attitude towards independent learning among students;
• To develop and ensure among students’ necessary skills for careful and detailed history taking
and recording.
• To elaborate among students’ necessary skills to identify, define and solve a problem, through
demonstrating critical thinking and research-oriented attitude.
Methods for achieving the goals
Theoretical Methods:
• Verbal Method – during study process, one of key forms of interacting with students is verbal
method, which includes forms like: interactive lecture using power-point presentations,
7
group working, seminars, practical sessions, Q&A (Question and answer) sessions and
individual work with student, around subject of student’s interest. In itself, individual work
with student presumes head to head consultation upon necessity, among them: further
clarification of material, (which is interesting, yet unclear for student) discussion of midterm
examination or any other assessment results, guidance while selecting literature for research
project or its’ analysis as well as supervising student’s preparation for scientific conferences
or student debates.
• Working with Textbook – considers student’s independent work on preliminarily explained
material, through self-directed studying, processing and analyzing of textbook materials.
• Written Assignments – range of subjects at TMA are considering completion of various
written assignments, among them essays, open text question assignments and Power-point
presentations.
Practical Methods:
• Bedside Teaching – among other advantages of this method, bedside teaching is a clear
demonstration of clinical skills for a student, which gives opportunity to observe application
of existing knowledge to a real-life situation. Through the method students also acquire new
knowledge, practical skills and awareness towards medical professionalism. Moreover,
through bedside teaching are elaborated key professional qualities like collegiality,
assertiveness and commitment to teamwork. Demonstration of practical skills may include
following key points: taking patient history, physical examination of patient, registration of
findings, ordering relevant investigations and laboratory tests, interpreting examination/lab
test results, (determining type and grade of lesion, analysis of lab tests etc.) making
differential diagnosis, creating management plan and exercising appropriate communication
with patients or their caretakers.
• Demonstration method – considers visualization of information and practical skills. This
method is used at the OSCE (Objectively Structured Clinical Examination) Centre, in terms
of teaching practical procedures on manikins and patient examination on SP. (Standardized
Patient) Demonstration can be carried out by teaching staff, as well as by student.
• Role Play – method considers application of different roles, mainly roles of doctor and patient
and elaboration of practical/clinical skills through their interpretation. Role play is widely
used on the basic level of education, for optimal explanation and demonstration of practical
skills, as well as during OSCE examination, where SP scenarios are applied.
• Analysis and Synthesis – considers discussion of clinical cases, including critical analysis and
synthesis of findings, obtained through physical, instrumental and laboratory examinations,
carrying out and stating differential diagnosis, elaboration of relevant and appropriate
management plan.
• Discussion/Debates – there is no doubt, that process of discussion regarding specified topic,
significantly enhances the quality and activity of students' involvement within process, as
well as increases students’ abstract thinking abilities and helps them to exercise various points
8
of view, though logical argumentation. In addition to above stated, TMA periodically hosts
student scientific debates, in frames of which, students from TMA, as well as other medical
HEIs are invited to state and protect their position, regarding preliminarily determined
scientific subject, using factual knowledge and ethical considerations.
• Case Study – considers two methods: TBL (Team-Based Learning) and Situational Judgement
Scenarios. TBL is implemented on basic stage of education and considers discussion of clinical
cases, correlations and situational scenarios in rather simple way, under guidance and
supervision of teaching staff. On clinical stage of education, however are implemented
situational judgement scenarios, in case of which students are introduced to specific case by
teaching staff. Situational judgement scenarios consider demonstration of existing
knowledge, critical judgement and practical skills, while assessing, analyzing and elaborating
management plan for given scenario. Role plays, involving students, teaching staff as well as
SP or an actual patient are also practiced under above described method.
• Laboratory Teaching – this method is a substantial part of teaching process within basic
biomedical disciplines and is implemented as a mandatory activity. Additionally, students
have opportunities to engage in scientific-research projects and develop further relevant
laboratory skills, while carrying out necessary tasks.
• Teaching in VR lab. -teaching by applying Virtual Reality technologies.
• Participation in Scientific Research – as mentioned above, TMA students are actively
involved in the scientific-research processes. On basic stage of education are taught
foundations of scientific research, which helps students to acquire valuable skills for further
scientific development. Among others, students learn how to obtain and assess evidence-
based information critically, elaborate research design, plan and organize entire process, as
well as analyze and present findings both verbally and in written form. Must be mentioned
that annually, TMA organizes scientific conference, where students are encouraged to
present their scientific work, whether in form of desk-review or scientific research report.
Such practice clearly strengthens students scientific confidence and inspires for further
participation in research activities.
During final year, students select one of available research projects, at the beginning of each
semester, which they are carrying out during term, under guidance of appointed supervisor.
By end of semester, student’s scientific activity is assessed based on presented work, where
students not only share findings with audience, but also demonstrate abilities to lead
discussion and defend certain point of view.
• Analysis – this method considers discussion of specific cases with students. Thus, students
have opportunities to explore and approach matters from different angles, extending
sightseeing and critical thinking abilities. Through this method is possible to put complex
study material into rather simple components, which remarkably simplifies detailed coverage
of given information.
9
• Synthesis – method implies summarization of separate issues, questions or various
considerations into one point. Method is used to elaborate among students’ necessary skills
for assessing various issues as a whole.
• Explanatory method – is based on providing judgements around given subjects. In practice,
students are given by teaching staff a concrete example, followed by detailed explanation of
various topic related aspects.
• Audio-Visual method – is practiced during both stages (basic and clinical) of study by vast
majority of disciplines, in terms of using posters, atlases, computer programmes, animations,
video clips and virtual laboratory. The latter is used in frames of Anatomy and Immunology
study courses and is to be implemented within other disciplines respectively. Audio-visual
method also includes use of various slides, presentations and even a white(black) board.
• Assisting Doctor – considers student’s participation during process of assessment or while
performing manipulations.
Educational plan
First year
I Semester
N Learning Course Credit
1 Human Anatomy I 7
2 General Histology, Cytology, Embryology 7
3 Genetics 4
4 Biochemistry I 7
5 Introduction to Clinical Medicine I (ICM I) 2
6 Foreign language 3
30
II Semester
N Learning Course Credit
1 Human Anatomy II 6
2 Systemic Histology I 2
3 Physiology I 6
4 Biochemistry II 6
5 Immunology 3
6 Bioethics 2
7 Introduction to Medical Research 3
8 Introduction to Clinical Medicine II (ICM II) 2
30
10
Second year
III Semester
N Learning Course Credit
1 Human Anatomy III 4
2 Systemic Histology II 2
3 Physiology II 6
4 Biochemistry III 4
5 Microbiology I 6
6 Communication Skills 3
7 Social and Environmental Health 3
8 Introduction to Clinical Medicine III(ICM III) 2
30
IV Semester
N Learning Course Credit
1 Human Anatomy IV 2.5
2 Systemic Histology III 2
3 Physiology III 5
4 Microbiology II 5
5 Physiology of Behavior 3
6 General Pathology 6.5
7 Pharmacology I 5
8 Introduction to Clinical Medicine IV(CM IV) 1
30
Third year
V Semester
N Learning Course Credit
1 Systemic Pathology I 6.5
2 Pharmacology II 6
3 Behavioral Science 4
4 Health Pshychology 3.5
5 Clinical Skills I 3.5
6 Diagnosis of Internal DiseasesI withPOL 6.5
30
VI Semester
N Learning Course Credit
1 Systemic Pathology II 6.5
2 Pharmacology III 6
11
3 Diagnosis of Internal Diseases II with POL 6.5
4 Basics of Nutrition 2
5 General Surgery 5
6 Radiology 4
30
Fourth year
VII Semester
N Learning Course Credit
1 Internal Diseases I 9
2 Otorhinolaryngology 3
3 Traumatology 4
4 Neurology 7
5 Clinical Skills II 3
6 Biostatistics 2
7 Elective:
1. Conscious Pshychology
2. Physiotherapy
2
30
VIII Semester
N Learning Course Credit
1 Surgery I 6
2 Infectious Diseases 6
3 Clinical Parasitology 2
4 Obstetrics 7
5 Ophthalmology 2
6 Endocrinology 5
7 Elective:
1. ECG Course
2. Neurosurgery 2
30
Fifth year
IX Semester
N Learning Course Credit
1 Internal Diseases II 9
2 Gynecology 6
3 Dematovenerology 4
4 Epidemiology 3
12
5 Pediatrics I 6
6 Elective:
1. Tuberculosis
2. Clinical Immunology
2
30
X Semester
NN Learning Course Credit
1 Surgery II 6
2 Psychiatry 5
3 Oncology&Paliative Care 3
4 Pediatrics II 5
5 Clinical Pharmacology 4
6 Disease Prevention and Health Promotion 3
7 Geriatrics 2
8 Elective:
1. Professional Pathologies Occupational
Diseases
2. Pediatric Surgery
2
30
Sixth year
XI Semester
N Learning Course Credit
1 Differential Diagnosis of Internal Diseases I 7
2 Public Health 3
3 Clinical Hematology 3
4 Forensic Medicine 4
5 Medical Rehabilitation 3
6 Family Medicine 3
7 Scientific Research Activity 3
8 Urology
2
9 Elective:
1. Plastic Surgery
2. Clinical Nutritiology
2
30
XII Semester
N Learning Course Credit
13
1 Differential Diagnosis of Internal Diseases II 7
2 Surgery III 5
3 Obstetrics and Gynecology 4.5
4 Clinical Ethics and Legal Basis of Medical
Practice
3.5
5 Critical Care and Anesthesiology 4
6 Clinical Toxicology and Emergency Medicine
4
7 Elective:
1. Pediatric Orthopedic Surgery
2. Vascular Surgery
2
30
To get acquainted with the syllabuses of educational courses provided by the Educational program is available at the
Library or on the website of Petre Shotadze Tbilisi Medical Academy – www.tma.edu.ge.
The syllabuses are protected by a code which may be received at the library or the Dean’s office after the registration of the
student.
TMA offers the students the selective learning courses. Before the beginning of the semester during a
week a student has the right to choose one of the offered elective courses desirable for him/her without
any restriction.
Student’s evaluation system
14
Student is awarded a credit in case of the positive evaluation after the accomplishment of the learning
course. The evaluation of students knowledge is multicomponent. The sum of points makes up 100
points maximum and includes:
• 60 points on the basis of the attendance, activity, quiz, oral or written testing, the preparation of
reviews, the presentation, the elaboration of clinical skills or any other components. The quantity
of the components and estimation criteria are defined by the supervisor of the learning course
and are presented in the syllabus.
• 40 points are provided for the final exam.
o The student is allowed to pass the final exam in case if a maximum point of the final exam
and the midterm evaluation he/she gets 51 points.
o The final exam is considered to be passed if a student gets minimum 20 points.
Student is awarded a credit in case of getting 51-100 points.
In case of getting 41-50 points a student will re-take the exam. In case of getting 40 points or less a
student has to pass the learning course repeatedly.
The evaluation system
points Evaluation
91-100 (A) excellent
81-90 (B) very good
71-80 (C) good
61-70 (D) satisfactory
51-60 (E) sufficient
41-50 (FX) hasn’t passed; student is permitted to retake examination
The Program Outcomes/Competencies
I. Knowledge and Understanding
After completion of educational programme, graduate has:
1. Deep and systematic knowledge regarding basic concepts, scientific principles, and
applicable methods of basic and biomedical disciplines like Biochemistry, Molecular
15
Biology, Histology, Embryology, Anatomy, Genetics, Microbiology, Foundations of
Human Nutrition, Physiology, Pathology and Pharmacology.
Graduate Knows and Understands:
• Principles of normal structure, development and functioning patterns of
human body, structure and functions of normal molecular, micro/macro
systems, normal metabolism and nutritional requirements as well as impact of
environmental factors on health.
• Structure and function of human genome and immune system.
• Structure and mechanism of disease, including pathological morphology and
physiology; among them mechanisms of infectious, genetic and immune
system pathologies.
• Classification of medications, pharmacodynamics and pharmacokinetics of
essential pharmacological groups, individual drugs and principles of
prescription within different age groups; therapeutic effects and toxicity,
cross-reactivity with other drugs, long term prescription effects, problem of
antibiotic resistance within population, principles of blood/blood products
transfusion.
2. Student has deep and systematic knowledge of basic medical principles and research
methods, relevant to Behavioural and Social Sciences: (Medical Psychology, Behavioural
Science, Introduction to Medical Research, Social and Economic Aspects of Healthcare,
Epidemiology and Biostatistics, Preventive Medicine).
3. Strengthened and further development of knowledge, within Clinical Disciplines and
relevant areas, through obtained clinical experience:
a. care of acutely ill patients at the emergency/intensive care unit
b. care of general patients in the medical admission units,
c. care of general surgical patients in surgical admission and/or general admission
units
d. care in the primary care practice
e. care for elderly patients
f. care for sick children
g. palliative care
h. care for mentally ill patients
i. obstetric and gynaecological care and labour care
j. critical care and anaesthesiology
k. rehabilitation medicine
l. care for patients with various internal conditions
m. care for patients with various surgical conditions
4. Knowledge of Public Health Systems and Role of the Doctor in Health Care Systems
a. Student has deep and through knowledge regarding principles of disease
prevention and psychological aspects of health promotion.
16
b. Student has awareness regarding global/national health economics, resource
allocation and inequality in global health context
c. Student has information regarding laws and regulations, relevant to medical
profession
5. Knowledge of Ethical and Legal Principles in Medical Practice
a. Student has knowledge regarding legal aspect of patients’ rights and rights of
disabled people, duties and rights of doctor, as well as responsibilities in relation
to colleagues.
II. Practical Application of Theoretical Knowledge
After completion of educational programme, graduate can carry out following activities:
6. Carry Out Consultation with a patient
a. Take and record patient history, including family and social history, in case of
necessity and with patient’s permission, obtain information from relatives and
caretakers,
b. assess patients’ degree of health literacy and decision-making capacity,
c. carry out physical examination
d. assess mental health state
e. provide patient, as well as patients’ relatives and caretakers, if necessary, with
explanation and support; exercise empathy and protect patients’ rights
7. Assessment and Management of Clinical Case
a. Integrate and interpret patient history, as well as physical/mental assessment
results, considering clinical, psychological, religious, social and cultural factors
b. Recognize and assess severity of patients’ condition and clinical presentation
c. Carry out differential diagnosis
d. Plan, negotiate with patient and order appropriate investigations, interpret results
and set diagnosis
e. Exercise clinical reasoning and decision making through cooperation with
colleagues, during ambiguous or uncertain situations
f. Develop a treatment plan, in accordance with patients’ informed consent. Respect
patients’ rights and facilitate autonomous decision-making during treatment
process.
g. Identify signs of violence and offer patients relevant legal, social or psychological
help
h. Provide care for terminally ill patient and support towards family/caretakers; plan
and carry out palliative care, through using effective communication and team-
work skills
i. Provide patients with acceptable treatment plan, considering age, social, cultural
and other influential factors, for effective management of chronical conditions
17
8. Management of Emergency Medical Care, including First Aid and Resuscitation, in
accordance to modern European Guidelines
a. Recognize and assess severity of medical emergencies
b. Diagnosis and treatment of medical emergencies
c. Provide basic first aid
d. Carry out measures for basic life support and cardiopulmonary resuscitation
e. Provide advanced life support
f. Provide emergency trauma care
9. Efficient, Safe and Cost-effective Prescribing
a. Prescribe clearly and accurately, in accordance to the legislation of the country
b. Take past and current medication history
c. Match appropriate drugs to clinical context and select drugs through evaluating
priorities of clinical problem, benefits and risks, as well as its’ convenience and
cost effectiveness.
d. Estimate doses and ways of its’ introduction
e. Identify and take into consideration actions, including benefits and side effects,
as well as interactions and toxicities of prescribed drug
f. Provide patients and their relatives/caretakers with necessary information, in
appropriate for, regarding prescribed drugs
g. Monitor treatment process: identify therapeutic and side effects and apply
changes to existing treatment plan, if necessary
10. Carry out Practical Procedures Safely and Effectively
a. Graduate is able to demonstrate appropriate practice, regarding general aspects of
practical procedures
b. Graduate is able to perform following diagnostic, treatment, emergency (First
Aid, BLS, CPR etc.) and hygienic (aseptic, antiseptic) practical procedures:
1. Measure blood pressure (non-invasive; independently, on SP)
2. Measure peripheral and central pulse (independently, on SP)
3. Measure frequency of respiration (independently, on SP)
4. Measure temperature (independently, on SP patient)
5. Assess pain using relevant scale system (independently, on SP)
6. Measure oxygen saturation (independently, on
SP patient/manikin)
7. Measure blood glucose concentration (independently, on SP
patient/manikin)
8. Urinalysis using dipstick method, midstream specimen (sample)
collection method (independently, on SP patient/manikin)
9. Assess nutritional status, evaluate patients’ diet, general physical
condition, measure height, weight, body mass index (BMI)
(independently, on SP patient)
18
10. Provide and run pregnancy test (independently, on SP patient)
11. Perform spirometry test, measure PEF (Peak Expiratory Flow) and
FEV1 (Forced Expiratory Volume in 1 Second) (independently, on
SP patient)
12. Perform basic life support algorithm; (independently, on SP
patient/manikin) including following
• CPR – cardiopulmonary resuscitation,
• AED – Automatic External Defibrillation, in accordance to
American Health Association (AHA)
• BLS – DRCABD protocol
13. Inpatient (hospitalized patient) care, including: bad linen
replacement, patient bathing, haircare, eye and year care, oral care,
back and spine care, perineal care (independently, on SP/manikin)
14. Sterile gowning and gloving technique (independently)
15. Safe disposal of used materials/sharp items and disposal to special
containers (independently)
16. Cutaneous injection (independently, on manikin)
17. Subcutaneous injection (independently, on manikin)
18. Intramuscular injection (independently, on manikin)
19. Intravenous injection (independently, on manikin)
20. Venepuncture (phlebotomy) and open blood-
sampling
(independently, on manikin)
21. Intravenous cannulation (insertion/removal of catheter in
peripheral vein) (independently, on manikin)
22. Nasogastric and orogastric intubation
(independently, on manikin)
23. Urine bladder catheterization (independently, on manikin)
24. Primary wound care (independently, on manikin)
25. Wound dressing, using different relevant techniques
(independently, on manikin)
26. Suturing, aseptic and antiseptic techniques (independently, on
manikin)
27. Application of local anaesthetics (independently, on manikin)
28. Transfusion of blood/blood components and crystalloids, through
peripheral vein (independently, on manikin)
29. Management of trauma, immobilization types and techniques
(independently, on manikin)
30. Pre-hospital management of external and internal bleeding
(independently, on manikin)
19
31. Appropriate techniques for patient move, transportation and
handling (independently, on manikin)
32. Endotracheal intubation and oxygen administration through
different techniques (independently, on manikin)
33. Monitoring of patient’s vital signs (on computer/SP patient)
34. Central venous catheterization (internal jugular vein, subclavian
vein) (independently, on manikin)
35. Drug administration routes and techniques, calculation of dose,
dilution, drug administration within central and peripheral venous
systems (independently, on manikin)
36. Intravenous bolus administration, Hepa-lock injection
(independently, on manikin)
37. ECG taking techniques and procedure, interpretation of results
(independently, on SP/manikin)
38. Lumbar puncture (independently, on manikin)
39. Tracheostomy (independently, on manikin)
11. Assess Patient Influencing Social and Psychological Aspects
a. Explain normal behaviour of an individual, taking into consideration existing
psychological and social factors
b. Explain psychological and social concepts of health, illness and disease
c. Explain influence of psychological and social factors, affecting patient behaviour
and compliance during treatment process, in regard to treatment outcomes and
disease, within different social groups.
d. Elaborate and develop effective psychological management strategies for
drug/nicotine dependent patient
12. Management of Public Healthcare Problems and Effective Work within System
a. Participation in development of principles, determining healthcare policy in the
country, for further improvement of following: equal and fair distribution of
resources and medical care, and development of national guidelines for effective
clinical care and treatment.
b. Ensure patient safety through organizing range of practices, necessary for
minimizing treatment related risks
c. Obtain, assess and use epidemiological data from representative of different social
layers while organizing health care for public or individuals.
d. Carry out measures to prevent and control communicable diseases
e. Evaluate role of environmental and occupational (working environment) factors
in disease development.
f. Evaluate role of nutrition in context of health conditions
g. Primary, secondary and tertiary prevention
h. Carry out measures for health promotion – increase patient motivation and
facilitate modification of health and lifestyle behaviour
20
i. Discuss and evaluate health determinants from global prospective
13. Apply ethical and legal principles within medical practice
a. Graduate is able to demonstrate practically key legal and ethical principles,
necessary for medical profession: maintain confidentiality, obtain informed
consent, take part at ethical decision-making, certify death, request autopsy, use
active legislative and professional regulations within clinical practice.
14. Apply principles of evidence-based medicine within medical practice
a. Critically assess qualitative and quantitative data of recent clinical studies and
scientific literature, related to diagnostic and treatment methods.
b. Solve specific clinical problem within daily practice, using information obtained
from literature, share and discuss it with colleagues and familiarize
patient/patients’ relatives/caretakers with it.
15. Use scientific principles within medical research
a. Elaborate clear and relevant research topic, related to biomedical, psychological
or social disciplines, plan and implement relevant research design, analyse
research findings and formulate conclusion as well as present it to colleagues and
interested parties, while exercising knowledge of scientific research
methodology.
b. Demonstrate relevant knowledge and ability to use ethical and scientific
principles within practice.
III. Critical Thinking
16. Ability to Analyse and Synthesize
a. Graduate has critical thinking ability, can determine cause-effect relationship and
interpret general picture from wider angle through perception, structuring and
analysis of given facts and data.
b. Graduate can carry out valid conclusion through analysis and synthesis of given
data and support it with logical arguments.
IV. Ability to Communicate
17. Effective communication with patient and colleagues within medical context
a. Graduate has essential verbal, nonverbal and written communication skills
b. Graduate is able to establish effective face-to-face and written communication
with patient/patients’ relatives/caretakers, among them disabled patients and
patients with special needs, in terms of obtaining valid and informed consent,
breaking bad news, explain treatment plan and methods, as well as engage in
communication with colleagues; exercise written communication with legislative
bodies and/or press; is able to discuss patient and his/her treatment related issues
with colleagues, within frames of professional ethics; state, support and present
conclusions regarding patient care, in written as well as verbal forms; observe,
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listen, question and establish effective communication with various groups as well
as work efficiently for problem solving and conflict management.
c. Graduate has appropriate skills for telephone and electronic communication.
18. Use information and information technology effectively within medical context
a. Graduate is able to keep accurate, clear, and informative medical documentation,
in accordance to legal requirements,
b. Graduate is able to use computers and other electronic technologies, in terms of
document filing and protection, maintaining confidentiality and information
retrieval.
c. Use printed and electronic sources of information for advising and improving
patients’ health literacy, as well as for educational or scientific purposes.
V. Ability to Study
19. Ability to study and teach
a. Continuous thrive to obtain, assess, integrate and use in practice new knowledge,
which subsequently facilitates to adaptation with new challenges;
b. Plan and carry out strategy for continuous professional development and
implement it lifelong;
c. Consistent self-criticism of professional activities, identification and recognition
of mistakes and modification of approaches, based on critical self-analysis.
d. Demonstrate acceptance of evaluation from colleagues and modification of
approaches, based on their consideration and analysis.
e. Share knowledge and teach others, participate within peer assessment, exercising
fair and relevant criticism and facilitate to dissemination and exchange of
experience.
VI. Values
20. Professionalism (professional conduct and core values of doctor)
a. Professional values of doctor: acknowledgment and commitment of moral, ethical
and legal responsibilities of patient centered medical care;
b. Doctors’ moral attributes: courtesy and assertiveness, honesty and good faith,
altruism and empathy, recognition and respect towards patients’ dignity, privacy,
confidentiality and self-determination, as well as religious and cultural
beliefs/considerations within medical context;
c. Professional conduct, qualities and approaches of a doctor:
i. Abilities to adapt to changing environment, exercise leadership,
creativity and innovative vision, ability to act autonomously while
decision-making and problem-solving, ability to work within
multidisciplinary team and manage time effectively.
ii. Facilitate delivery of safe and high-quality patient-centered care;
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iii. Promoting and protecting patient rights and equity, regardless race,
gender, sexual orientation, social and economic state, religious beliefs
and ethnicity of patient.
iv. Respect towards colleagues and adhere to principles of subordination;
v. Abilities to recognize own capacities and capabilities, as well as to
recognize and manage own health problems.
vi. Ability to evaluate critically prescription and behaviour of another
doctor.
vii. General literacy, knowledge of foreign languages and abilities to
communicate with specialists of other fields.
viii. Ability to act within international context: being up-to-date with
modern international demands and standards of medical education,
treatment and health organization.
Technical and Human Resources Study process is conducted at the building of TMA and affiliated clinics. Study rooms at TMA are equipped
with following inventory: desks, chairs, black and white boards, projectors and computers, posters and in
some rooms, lockers. TMA has modern library, equipped with modern printed and electronic study and
scientific resources, which can be accessed from reading space and learning zones for individual study. Other
facilities, provided at TMA are objectively structured clinical skills examination (OSCE) centre, scientific-
research laboratory, haematology laboratory, VR teaching room, anatomical theatre, computerized
examination centre, (with CCTV surveillance) computer lab, staffrooms for academic personnel and
conference halls.
Program uses newest USA Medical Textbooks and materials which is aimed to help students to pass USMLE
(USA), PLAB (Great Britain), MCI (India) and other international exams.
The educational process will be performed by the academic staff of TMA and the invited teachers.
The opportunities for the continuation of study After the completion of educational program the graduate has the right to continue the study in the doctorate or
can take a course of residency in a concrete speciality in Georgia and abroad.
Future employment After the completion of educational program, according to the Law of Georgia “On Physician’s Work” the
graduate is allowed: to work as a physician’s assistant (under the supervision of certified doctor), to carry out
scientific and pedagogical activities in the theoretical branches of medicine or other spheres of health care which
does not mean independent work of a doctor.
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Information for Incoming Students Visa In order to obtain information regarding Visas, please visit the visit the website of Consular Department:
https://www.geoconsul.gov.ge/HtmlPage/Html/View?id=956&lang=Eng
Accommodation The Student Services at TMA are ready to help incoming students to find furnished and well-equipped
accommodation near the Academy. In case of flat-sharing, the cost of accommodation varies around
100-125$.
Health Insurance
The students must have local or international health insurance and present the corresponding proof
during mandatory registration, prior start of each semester.
Price for local insurance packages varies from 7 up to 25$ per month