Resident training for eclampsia and magnesium toxicity management: simulation or traditional lecture?
OBJECTIVE
To compare eclampsia and magnesium toxicity management among residents randomly assigned to lecture or simulation-based education.


METHODS
Statified by year, residents (n = 38) were randomly assigned to 3 educational intervention groups: Simulation→Lecture, Simulation, and Lecture. Postintervention simulations were performed for all and scored using standardized lists. Maternal, fetal, eclampsia management, and magnesium toxcity scores were assigned. Mann-Whitney U, Wilcoxon rank sum and χ(2) tests were used for analysis.


RESULTS
Postintervention maternal (16 and 15 vs 12; P < .05) and eclampsia (19 vs 16; P < .05) scores were significantly better in simulation based compared with lecture groups. Postintervention magnesium toxcitiy and fetal scores were not different among groups. Lecture added to simulation did not lead to incremental benefit when eclampsia scores were compared between Simulation→Lecture and Simulation (19 vs 19; P = nonsignificant).


CONCLUSIONS
Simulation training is superior to traditional lecture alone for teaching crucial skills for the optimal management of both eclampsia and magnesium toxicity, 2 life-threatening obstetric emergencies.
Fisher
Nelli
N
Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA.
Bernstein
Peter S
PS
Satin
Andrew
A
Pardanani
Setul
S
Heo
Hye
H
Merkatz
Irwin R
IR
Goffman
Dena
D
D000927:Anticonvulsants / Q000008:administration & dosage / Q000009:adverse effects*; D004461:Eclampsia / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008278:Magnesium Sulfate / Q000008:administration & dosage / Q000009:adverse effects*; D008508:Medication Errors / Q000517:prevention & control; D009774:Obstetrics / Q000193:education; D016544:Patient Simulation; D011247:Pregnancy; D011446:Prospective Studies; D012640:Seizures / Q000517:prevention & control; D013663:Teaching / Q000379:methods*
D000927:Anticonvulsants; D008278:Magnesium Sulfate