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Cesarean Section Surgical Competency Operating Room Evaluation (CS-SCORE) Use as Assessment Tool Has a Learning Curve

Background: We had faculty all agree to a standarad procedure of performing a cesarean delivery (CD)  based on latest literature review. A CD was then video taped and recorded. Also, we adopted the Cesarean section surgical competency operating room evaluation (CS-SCORE) from the O-SCORE described in literature. The control group was those interns who learnt theCD procedure by traditional methods which included memorizing the steps & using simulation models. The video group watched a video of CD being performed along with the traditional methods. Our objective was to determine whether using a video of CD as an alternative teaching method and the CS-SCORE as an evaluation tool will help intern performance.


Methods: An evidenced based video of a primary CD was made. The 2013-14 interns comprised the controls. The interns starting July, 2014 and then July, 2015, were shown the CD video along with the traditional methods (video group). The CS-SCORE was completed by the faculty present at surgery. The video group was compared to the control. The CS-SCORE included preop preparation of patient, each step of the surgery and immediate post op care. Each of these was compared using Man Whitney test and student t test. P value


Results: Eight interns from UTMB and 6 from UCSD were included each year. 112 CS-SCORE were completed for control group and 167 for video group.  Intern survey indicated that video improved understanding and learning in a low stress environment. Comparing CS-SCORE forms revealed better performance of the controls for most of the CD steps than the video group in 2014-15 group, but equally good performance in 2015-16 video group.


Discussions: Introducing CS-SCORE form may be a useful tool for feedback provided discussion of the completed form is done with resident .• There may be a learning curve to use of CS-SCORE forms for those providing the assessment. Video of CD may be a useful tool for teaching CD to resident interns


Keywords: Assessment, Communication Skills, Evaluation of Clinical Performance, Evidence Based Practice, Faculty Development, Feedback Evaluation, Milestones, Teaching Skills, Video Creation

Topics: CREOG & APGO Annual Meeting, 2017, Faculty, Osteopathic Faculty, Residency Director, Patient Care, Professionalism, Systems-Based Practice & Improvement, Interpersonal & Communication Skills, Practice-Based Learning & Improvement, GME, CME, Assessment, Simulation, Quality & Safety, Standardized Patient, Faculty Development, Maternal-Fetal Medicine, General Ob-Gyn,

General Information

Faculty,Osteopathic Faculty,Residency Director,
Patient Care,Professionalism,Systems-Based Practice & Improvement,Interpersonal & Communication Skills,Practice-Based Learning & Improvement,
Assessment,Simulation,Quality & Safety,Standardized Patient,Faculty Development,
Clinical Focus
Maternal-Fetal Medicine,General Ob-Gyn,

Author Information

Sangeeta Jain, Maternal Fetal Medicine, University of Texas Medical Branch at Galveston; Tony Wen, Maternal Fetal Medicine; George Saade, L&D Director

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