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Frequency of Forceps Training: Difference in Comfort Levels and Likelihood of Use

Objectives: To determine if residency comfort with forceps improves with repeated drills on the NOELLE simulator. To determine if there is a plateau effect after 3 drills or there is continued improvement.

Study Design: Prospective cohort study. A small group of 16 residents from a single program of obstetrics and gynecology, including all PGY-1 through PGY-4 residents will participate in a didactic lecture about forceps and complete two drills on the NOELLE simulator, spaced 2 months apart. Prior to any lecture or drill, residents will complete a survey with a Likert scale, measuring the residents’ perceived comfort and likelihood of use. They will complete the same survey after each drill session. The survey results will be analyzed by linear regression to predict the comfort scores.

Results: The outcome of the study should be a comfort scale, indicating residents’ comfort with forceps evolving over time. There will be both a summation score and individual scores for each session.

Conclusion: Depending on the results of the study, there will likely either be a plateau effect with the residents’ comfort scale after the first or second session, or there will be a steady increase with each drill session. If there is a plateau, there is likely less benefit to repeating the drill after that session. If there is continued increase, there is likely to more benefit in scheduling repetitive drills into the curriculum.

Topics: 2013, Resident, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, GME, Virtual Patient, Simulation, Maternal-Fetal Medicine,

General Information

Date Presented
2013 ASL Abstract

Evaluation of Clinical Performance, Instructional Materials/Methods, Simulation

Intended Audience
Resident, Residency Director, Residency Coordinator

Copentencies Addressed
Patient Care, Medical Knowledge

Educational Continuum

Educational Focus
Virtual Patient, Simulation

Clinical Focus
Maternal-Fetal Medicine 

Resident,Residency Director,Residency Coordinator,
Patient Care,Medical Knowledge,
Virtual Patient,Simulation,
Clinical Focus
Maternal-Fetal Medicine,

Author Information

Primary Author
Miriam Marcum, MD


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