Effectiveness of Vaginal Delivery Simulation in Novice Trainees.
| Autor: | Shumard KM; Division of Maternal Fetal Medicine, Department of OB/GYN, Wake Forest School of Medicine, Winston-Salem, NC., Denney JM, Quinn K, Grandis AS, Whitecar PW, Bailey J, Jijon-Knupp RJ, Huang C, Kesty K, Brost BC, Nitsche JF |
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| Jazyk: | angličtina |
| Zdroj: | Family medicine [Fam Med] 2016 Oct; Vol. 48 (9), pp. 696-702. |
| Abstrakt: | Objective: Simulation training has been demonstrated to increase medical student confidence with vaginal deliveries; however, effect on skill performance is still lacking. To determine if integration of simulation training into the OB/GYN clerkship improves performance of vaginal deliveries, we assessed the effectiveness of simulation in third-year medical students. Methods: During the OB/GYN clerkship, third-year students were assigned to receive vaginal delivery simulation (n=54) or cervical exam simulation (n=56), with each group serving as a simulation naïve control for the other skill. As a final assessment of their skill, students performed a simulated vaginal delivery scored by a blinded observer using a procedural checklist (score 0-30). A satisfactory score was considered 26 or greater. The individual scores and percentage of satisfactory scores were compared between both groups using a Mann-Whitney U test and chi-square test, respectively. Results: Vaginal delivery students had a significantly higher mean score (27 +/- 3.2) and percentage of students achieving a passing score (85%) than the cervical exam students (22 +/- 3.5 and 15%). There were no differences in vaginal delivery performance based on gender, nor was there any difference in the number of real-life deliveries performed between vaginal delivery and cervical exam students. Conclusions: Even though medical students had an equivalent clinical rotation experience, a short period of simulation training had a marked effect on their end-of-rotation performance. During initial resident or midwife training more than 5 hours of simulation will likely be required to properly prepare 100% of trainees. |
| Databáze: | MEDLINE |
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