Navigation Links
Simulation training in obstetric clerkship improves medical students' examination scores
Date:9/2/2011

Tampa, FL (Sept. 2, 2011) -- 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.

Results of the University of South Florida randomized, controlled trial appear in the September 2011 issue of the high-impact 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."


'/>"/>

Contact: Susanna Martinez Tarokh
smartin1@health.usf.edu
813-974-3300
University of South Florida (USF Health)
Source:Eurekalert  

Related medicine news :

1. Using simulation to model the implementation of electronic health records
2. Elsevier and METI collaborate to offer simulation technology for health science curriculums
3. Researchers make the leap to whole-cell simulations
4. 520-day Mars mission simulation
5. National Institutes of Health Awards Kitware Over $600,000 to Develop Advancements in Neurosurgical Simulation
6. Sprained Ankles Straining ER Resources, Study Finds
7. BUSM professor honored with Excellence and Innovation in Education and Training Award
8. Training in Positive Thinking May Help Anxious Teens
9. Training via Video Game Shown to Boost Kids Brain Power
10. Strength training for grandma and grandpa
11. Health care providers need training to recognize signs of domestic violence, says nursing expert
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Simulation training in obstetric clerkship improves medical students' examination scores
(Date:1/19/2017)... ... January 19, 2017 , ... Creative messages to prevent distracted ... from Impact Teen Drivers and California Casualty. Entries from students aged 14-22 can ... totaling $15,000 will be awarded for the best peer-to-peer messages sharing solutions to ...
(Date:1/19/2017)... (PRWEB) , ... January 19, 2017 , ... Connecticut Dermatology ... H. Kim, a highly experienced and compassionate dermatologist. Dr. Kim brings an extensive ... . , “It is with considerable pleasure to welcome back Dr. Kim to the ...
(Date:1/19/2017)... ... , ... Infinity® Massage Chairs announced today that Dan Grover has joined the ... Grover comes with a total of 15 years experience in consumer goods and an ... President of Direct Sales at Traeger® Wood Pellet Grills. , Grover has elevated ...
(Date:1/18/2017)... ... January 18, 2017 , ... A recent video posting of ... discussion about the benefits of fidgeting to relieve stress and anxiety. No one ... Their Think Ink Pen had just completed a successful Kickstarter campaign raising $67,000 on ...
(Date:1/18/2017)... ... 18, 2017 , ... The VA Maryland Health Care System ... research project focused on multiple sclerosis (MS). Led by Christopher M. Jewell, PhD, ... the disease without compromising normal immune function that often occurs during autoimmune diseases. ...
Breaking Medicine News(10 mins):
(Date:1/18/2017)... NEW YORK , January 18, 2017 ... perception of people regarding the use of cannabis both for ... not only are more Americans open to the use of ... and financial sectors. According to Arcview Market Research, the North ... 2016, up 30% from the previous year. The research projects ...
(Date:1/18/2017)... TOKYO , Jan. 18, 2017  Astellas ... , "Astellas" ) today announced its participation in ... access to non-communicable disease (NCD) prevention, diagnostics and ... with 21 other leading pharmaceutical companies and in ... Union for International Cancer Control (UICC), Astellas will ...
(Date:1/17/2017)... LONDON , Jan. 17, 2017 ... health and for the treatment of disease. The ... individual response to a therapy. The approach studies ... with their lifestyle and environment. In January 2015, ... precision medicine to all diseases with more than ...
Breaking Medicine Technology: