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Forceps Assisted Vaginal Delivery: Bringing back a dying art with OSATS and simulation

Background: CREOG’s educational objectives list that residents are expected to understand and perform FAVD, but programs to assess and improve resident performance in FAVD are few. As such a FAVD Assessment and Educational Curriculum was developed and implemented.

Methods: A curriculum was developed that included a didactic lecture, written summaries of material for review and hands-on individual simulation sessions.
An a-priori assessment of resident knowledge and skills included a written test and an objective standardized assessment of technical skills (OSATS) in a simulation environment. After participation in the FAVD curriculum these measures were repeated. Residents were surveyed regarding their attitudes toward assisted delivery and the curriculum.

Results: 24 residents participated. Marked deficiencies in FAVD were evident in the pretest phase, most in the knowledge and skills categories. PGY year did not predict performance on the written test (p=0.58), however performance on the simulation varied by PGY year (range 35.7 – 60.0, p=0.001).
Across all PGY years, knowledge as assessed on the written test (p=0.008), knowledge & skills on the OSATS (p=0.001), overall performance (p=0.005), and economy of time and motion (p<0.001) improved after participation. Communication was rated highly in both phases and did not vary statistically. Survey data were strongly supportive of participation in the curriculum.

Conclusion: Residents demonstrate deficiencies of knowledge and skills performing FAVD. Performance and confidence improved by participating in a structured multimodal curriculum. Residents rated the simulation portion most favorably. This curriculum offers an OSATS that can be used in simulation and clinical scenarios.

Topics: CREOG & APGO Annual Meeting, 2015, Resident, Residency Director, Patient Care, GME, Assessment, Simulation,

General Information

Date Presented
2015 Oral Abstract

Keywords
Assessment, Evaluation of Clinical Performance, Feedback & Evaluation, Simulation

Intended Audience
Resident, Residency Director 

Copentencies Addressed
Patient Care

Educational Continuum
GME

Educational Focus
Assessment, Simulation

Intended
Audience
Resident,Residency Director,
Competencies
Addressed
Patient Care,
Educational
Continuum
GME,
Educational
Focus
Assessment,Simulation,
Clinical Focus

Author Information

Primary Author
D. Yvette LaCoursiere, MD, MPH 
UC San Diego, San Diego, CA 

Secondary Authors
Shonté McKenzie, Stephen Hebert, Jamie Resnik MD 

Additional Materials

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