Amniocentesis learning curve using a low-cost simulation model to teach maternal-fetal medicine fellows
| Autor: | Tania G Ramirez-Abarca, Sara M. Seifert, Berenice Velázquez-Torres, José Antonio Ramírez-Calvo, Juan Manuel Gallardo-Gaona, Maria J Rodriguez-Sibaja, Mario I Lumbreras-Marquez, Sandra Acevedo-Gallegos |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Graduate medical education Maternal-fetal medicine 03 medical and health sciences Standardized technique 0302 clinical medicine Informed consent Pregnancy medicine Humans Medical physics Computer Simulation 030212 general & internal medicine Prospective Studies Competence (human resources) Mexico 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Obstetrics and Gynecology General Medicine Institutional review board Perinatology Learning curve Education Medical Graduate Amniocentesis Female Clinical Competence business Learning Curve |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and ObstetricsREFERENCES. 153(1) |
| ISSN: | 1879-3479 |
| Popis: | Objective To describe the learning curve for amniocentesis among Maternal-Fetal Medicine (MFM) fellows using a low-cost simulation model in Mexico. Methods Fourteen first- and second-year MFM fellows with no previous experience in amniocentesis participated in this single-center prospective study from March to June of 2019. The study was approved by the Institutional Review Board at the Instituto Nacional de Perinatologia and written informed consent was obtained from all participants. After an introductory course based on a standardized technique for amniocentesis, each fellow performed this procedure using a low-cost simulation model; experienced operators supervised the procedures. Learning curves were then created using cumulative sum analysis. Thresholds for acceptable and unacceptable failure rates were defined as 10% and 25%, respectively. Results Experienced MFM specialists evaluated 3675 procedures. On average, MFM fellows performed 263 ± 53 procedures. The mean number to achieve competence was 255 ± 53. The overall failure rate among the trainees was 16%. Conclusion We describe individual learning curves for amniocentesis among MFM fellows using a low-cost simulation model. This approach allows direct assessment of proficiency in amniocentesis before clinical practice. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text