Shoulder Dystocia
|
Obstet Gynecol. 2004 Jun;103(6):1224-8.
Improving resident competency in the management of
shoulder dystocia with simulation training.
Deering S, Poggi S, Macedonia C, Gherman R, Satin AJ.
Department of Obstetrics and Gynecology, Georgetown
University Hospital, 3-PHC, 3800 Reservoir Road NW,
Washington, DC 20007, USA. deering95@hotmail.com
Objectives:
To determine whether a simulation training
scenario improves resident competency in the management
of shoulder dystocia.
Methods:
Residents from 2 training
programs participated in this study. The residents were
block-randomized by year-group to a training session on
shoulder dystocia management that used an obstetric
birthing simulator or to a control group with no
specific training. Trained residents and control
subjects were subsequently tested on a standardized
shoulder dystocia scenario, and the encounters were
digitally recorded. A physician grader from an external
institution then graded and rated the resident's
performance with a standardized evaluation sheet.
Statistical analysis included the Student t test,
chi(2), and regression analysis, as appropriate.
Results:
Trained residents had significantly higher
scores in all evaluation categories, including timelines
of their interventions, performance of maneuvers, and
overall performance. They also performed the delivery in
a shorter time than control subjects (61 versus 146
seconds, P =.003).
Conclusion:
Training with a
simulation-training scenario improved resident
performance in the management of shoulder dystocia.
