APGO

Background:

Simulation Use for Global Away Rotations (SUGAR) is an open source curriculum initially developed by a collaborative of pediatricians to allow residents to experience and debrief common practical and emotional challenges of working in resource-limited settings. The original curriculum included 8 pediatric simulation cases with facilitators trained at over 80 institutions. A multi-disciplinary group was formed to harness the principals of the SUGAR curriculum to provide simulation training for residents in specialties beyond pediatrics.

Methods:

OB/Gyn collaborators were trained to facilitate SUGAR cases. New OB-Gyn simulation cases were developed, formatted, and piloted with multi-disciplinary groups of residents at our academic institution over a three-year period.

Results: Three new OB/Gyn SUGAR cases were developed and piloted with the goal of allowing residents to experience and debrief common medical management and emotional complexities faced in resource-limited settings. The following medical topics are addressed: obstructed labor, postpartum hemorrhage, eclampsia, female genital cutting. The following negative emotional experiences/adaptive characteristics are addressed: frustration/adaptability, floundering/awareness of resources, failure/adjustment & humility. Facilitator and resident feedback is under evaluation. Collaborators agreed that the content would be made available for free for use in global health education on the training website http://sugarprep.org/

Discussions: By creating, piloting, and open-sourcing simulation cases in OB/Gyn, the SUGAR curriculum can be expanded to fill a need of global health educators in OB/Gyn. SUGAR simulations hold promise to expand resident preparation for international electives in resource-llimited settings.

Keywords: Cultural Diversity/Cultural Competency, Global Health, Interdisciplinary, Simulation