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