Purpose: Investigate the impact of OB/GYN emergency simulations on third-year clerkship students’ knowledge and experience.
Background: Simulations provide an opportunity for medical students to advance their knowledge and skill set without increased risk of patient morbidity or mortality. These simulations are utilized in the OB/GYN specialty, where they have been shown to increase medical students’ confidence in performing routine vaginal deliveries. The current literature is sparse regarding use of simulations to manage obstetrical emergencies.
Methods: One cohort of third year medical students on their OB/GYN clerkship participated in standardized simulations directed by Ob/GYN, family and emergency medicine residents. Simulations utilized the NOELLE model and included standard vaginal deliveries, shoulder dystocia, cord prolapse, pre-eclampsia, and postpartum hemorrhage. Students prepared for simulations via provided educational materials. Anonymous pre- and post-simulation surveys were utilized. Data were analyzed using independent samples t-test.
Results: Fourteen students participated in our simulation. After completion, students reported feeling more prepared (p< 0.001), more confident (p< 0.001) and more likely to volunteer in the case of an OB emergency (p=0.031). Participation in the simulation increased student interest (p=0.010). Students felt this was a beneficial learning tool and that this simulation was worth removing them from direct clinical time on the wards (p=0.017, p=0.012).
Discussions: Simulations in OB/GYN clerkships increased medical student knowledge and confidence, and likelihood of volunteering during obstetrical emergencies. Students felt simulations were beneficial to their education and increased their interest in obstetrics.
Topics: CREOG & APGO Annual Meeting, 2021, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Osteopathic Faculty, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, Interpersonal & Communication Skills, Practice-Based Learning & Improvement, GME, Virtual Patient, Simulation, Problem-Based Learning, General Ob-Gyn,
Robyn D\'Agostino, BA, Wright State University; Marilyn Kindig, DO; Joseph Hancox, MD; Rose Maxwell, PhD, MBA
