title: Resident training for eclampsia and magnesium toxicity management: simulation or traditional lecture?
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA.
authors.forename: Nelli
authors.initials: N
authors.lastname: Fisher
authors.forename: Peter S
authors.initials: PS
authors.lastname: Bernstein
authors.forename: Andrew
authors.initials: A
authors.lastname: Satin
authors.forename: Setul
authors.initials: S
authors.lastname: Pardanani
authors.forename: Hye
authors.initials: H
authors.lastname: Heo
authors.forename: Irwin R
authors.initials: IR
authors.lastname: Merkatz
authors.forename: Dena
authors.initials: D
authors.lastname: Goffman
mesh_terms: 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*
chemical_list: D000927:Anticonvulsants; D008278:Magnesium Sulfate