This course offers a fourth year students the opportunity to be able to develop expertise and to implement problem solving and management principles in the midwifery management of selected groups from the health-illness continuum and to practice midwifery independently in three levels of prevention; primary, secondary, and tertiary at different clinical setting in the hospital and community (Antenatal care, labor and delivery unit, gynecology and postnatal). Students will apply theoretical knowledge to clinical settings with emphasis on leadership role, management and changing agent role, and taking full responsibility under the supervision of clinical instructors and nurse in charge of clinical setting as preceptors. The course also provide practice essential to the assessment, planning, implementation and evaluation of clients in different clinical setting as well as to apply Midwifery skills related to health promotion, health maintenance, health restoration and disease prevention and treatment among the target aggregates. This training will offer students the opportunity to take full responsibility as a charge midwife before graduation