Featured Research

from universities, journals, and other organizations

Simulation training in obstetric clerkship improves medical students' examination scores

Date:
September 2, 2011
Source:
University of South Florida (USF Health)
Summary:
Medical students who practiced on a high-fidelity patient simulator before assisting in real-life vaginal deliveries scored significantly higher on their final obstetric clerkship examinations than did students receiving a lecture only, a new study reports.

Medical students who practiced on a patient simulator before assisting in real-life vaginal deliveries scored significantly higher on their final examinations than did students receiving a lecture only at the start of an obstetric clerkship.

Related Articles


Results of the University of South Florida randomized, controlled trial appear in the September 2011 issue of the journal Obstetrics & Gynecology.

The USF researchers also found that students receiving simulation training were initially more confident of their ability to perform a vaginal delivery, although these differences narrowed over time as all the students participated in actual deliveries.

"The simulation training engaged the students early on," said lead author Dr. Shelly Holmstrom, assistant professor of obstetrics and gynecology at USF Health. "As a result, they may have been more invested in the clerkship and absorbed the information more effectively and comprehensively. That may explain why these students scored higher on their oral and written examinations."

Previous smaller studies have looked at the effects of obstetric simulation training on student confidence, comprehension, satisfaction, and comfort in performing common obstetric procedures, including vaginal delivery maneuvers such as controlling the head, delivering shoulders and examining placenta. The USF study, which enrolled most students rotating through the medical school's maternal newborn clerkship last year, is one of the first, however, to evaluate simulation's effect on students' final examination and evaluation scores.

The study followed 113 out of 119 third-year medical students rotating through USF's four-week maternal newborn clerkship from February 2010 through January 2011. At the start of the clerkship, students were randomly assigned to either a traditional lecture on performing a vaginal delivery or a lecture followed by a hands-on vaginal delivery simulation. The instructor demonstrated a vaginal delivery using a NOELLE® birthing simulator, computerized life-size maternal and neonatal mannequins, and then let each student practice at least one simulated delivery.

Participants completed confidence assessment surveys before their assignment and four weeks after training. End-of-rotation examination scores were compared for the simulation and non-simulation groups.

Immediately after the simulation training, more than 52 percent of the students reported they felt confident enough to perform vaginal delivery maneuvers with minimal supervision or independently with assistance from an attending physician. Only 16 percent of students in the lecture-only group were confident they could do the same. By the time the students completed their first three actual deliveries, there was no difference in self-assessed confidence levels between the simulation and non-simulation trained groups.

Simulator-trained students scored significantly higher on their oral and written examinations, even though the number of vaginal deliveries in which both groups participated did not differ.

A growing body of evidence indicates that simulation shortens the learning curve for mastering technical skills and is valuable in measuring how well medical/surgical teams solve problems when confronted with complications.

Simulation can be used to teach medical students and physicians in a safe environment without risk to an actual patient, Dr. Holmstrom said. The ability to realistically recreate high-risk, as well as routine, clinical scenarios through simulation is critical in obstetrics training, because a seemingly normal delivery may rapidly turn complicated, even potentially life threatening.

While high-risk complications like breech delivery, postpartum hemorrhage and shoulder dystocia (baby's shoulder stuck in the birth canal) are relatively uncommon, Dr. Holmstrom said, "when they do happen, you need to know exactly what to do and react very quickly."

Dr. Holmstrom initiated the study while participating in the Association of Professors of Gynecology and Obstetrics (APGO) Academic Scholars & Leaders Program. She presented the findings at the joint annual meeting of APGO and the Council on Resident Education in Obstetrics and Gynecology this spring in San Antonio, TX.

The study's co-authors are Katheryne Downes and Dr. James Mayer, both of USF Health, and Dr. Lee Learman of Indiana University. The obstetric clerkship simulation training was conducted at the USF Department of Pediatrics TEAM Education and Multidisciplinary Simulation (TEAMS) Center.


Story Source:

The above story is based on materials provided by University of South Florida (USF Health). Note: Materials may be edited for content and length.


Journal Reference:

  1. Holmström, Shelly W.; Downes, Katheryne; Mayer, James C.; Learman, Lee A. Simulation Training in an Obstetric Clerkship: A Randomized Controlled Trial. Obstetrics & Gynecology, 118(3):649-654, September 2011 DOI: 10.1097/AOG.0b013e31822ad988

Cite This Page:

University of South Florida (USF Health). "Simulation training in obstetric clerkship improves medical students' examination scores." ScienceDaily. ScienceDaily, 2 September 2011. <www.sciencedaily.com/releases/2011/09/110902110254.htm>.
University of South Florida (USF Health). (2011, September 2). Simulation training in obstetric clerkship improves medical students' examination scores. ScienceDaily. Retrieved March 28, 2015 from www.sciencedaily.com/releases/2011/09/110902110254.htm
University of South Florida (USF Health). "Simulation training in obstetric clerkship improves medical students' examination scores." ScienceDaily. www.sciencedaily.com/releases/2011/09/110902110254.htm (accessed March 28, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Saturday, March 28, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

S. Leone in New Anti-Ebola Lockdown

S. Leone in New Anti-Ebola Lockdown

AFP (Mar. 28, 2015) — Sierra Leone imposed a three-day nationwide lockdown Friday for the second time in six months in a bid to prevent a resurgence of the deadly Ebola virus. Duration: 01:17 Video provided by AFP
Powered by NewsLook.com
These Popular Antibiotics Can Cause Permanent Nerve Damage

These Popular Antibiotics Can Cause Permanent Nerve Damage

Newsy (Mar. 27, 2015) — A popular class of antibiotic can leave patients in severe pain and even result in permanent nerve damage. Video provided by Newsy
Powered by NewsLook.com
WH Plan to Fight Antibiotic-Resistant Germs

WH Plan to Fight Antibiotic-Resistant Germs

AP (Mar. 27, 2015) — The White House on Friday announced a five-year plan to fight the threat posed by antibiotic-resistant bacteria amid fears that once-treatable germs could become deadly. (March 27) Video provided by AP
Powered by NewsLook.com
House Ready to Pass Medicare Doc Bill

House Ready to Pass Medicare Doc Bill

AP (Mar. 26, 2015) — In rare bipartisan harmony, congressional leaders pushed a $214 billion bill permanently blocking physician Medicare cuts toward House passage Thursday, moving lawmakers closer to resolving a problem that has plagued them for years. (March 26) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins