title: Simulation as a tool for improving acquisition of neonatal resuscitation skills for obstetric residents.
abstract: OBJECTIVE
  Our goal was to compare the confidence, knowledge, and performance of obstetric residents taught initial neonatal resuscitation steps in a simulation-based versus lecture-based format.
  
  
  METHODS
  Our study was a prospective randomized controlled trial of 33 obstetric residents. Baseline confidence, knowledge, and clinical skills assessments were performed. Subjects were randomized to traditional lecture (n = 14) or simulation-based (n = 19) neonatal resuscitation curriculum with a focus on initial steps. Follow-up assessments were performed at 3 and 6 months. Total confidence, knowledge, and clinical performance scores and change from baseline in these scores were calculated and compared between groups.
  
  
  RESULTS
  Both the lecture-based and simulated-based groups demonstrated significant improvement in confidence, knowledge, and performance over time. However, compared with the lecture group, the magnitude of the mean change from baseline in performance scores was significantly greater in the simulation group at 3 months (2.9 versus 10.1; p < 0.001), but not at 6 months (7.0 versus 9.3; p = 0.11).
  
  
  CONCLUSIONS
  Our study demonstrates the superiority of simulation in teaching obstetric residents initial neonatal resuscitation steps compared with a traditional lecture format. Skills are retained for upwards of 3-6 months. Refresher instruction by 6 months post-instruction may be beneficial.
authors.affiliation: a Department of Pediatrics , Albert Einstein College of Medicine/the Children's Hospital at Montefiore , Bronx , NY , USA .
authors.forename: C J
authors.initials: CJ
authors.lastname: Bruno
authors.affiliation: a Department of Pediatrics , Albert Einstein College of Medicine/the Children's Hospital at Montefiore , Bronx , NY , USA .
authors.forename: R
authors.initials: R
authors.lastname: Angert
authors.affiliation: a Department of Pediatrics , Albert Einstein College of Medicine/the Children's Hospital at Montefiore , Bronx , NY , USA .
authors.forename: O
authors.initials: O
authors.lastname: Rosen
authors.affiliation: b Department of Clinical Obstetrics & Gynecology and Women's Health , Albert Einstein College of Medicine/Montefiore Medical Center , Bronx , NY , USA , and.
authors.forename: C
authors.initials: C
authors.lastname: Lee
authors.affiliation: a Department of Pediatrics , Albert Einstein College of Medicine/the Children's Hospital at Montefiore , Bronx , NY , USA .
authors.forename: M
authors.initials: M
authors.lastname: Vega
authors.affiliation: c Department of Epidemiology & Population Health , Albert Einstein College of Medicine , Bronx , NY , USA.
authors.forename: M
authors.initials: M
authors.lastname: Kim
authors.affiliation: c Department of Epidemiology & Population Health , Albert Einstein College of Medicine , Bronx , NY , USA.
authors.forename: Y
authors.initials: Y
authors.lastname: Yu
authors.affiliation: b Department of Clinical Obstetrics & Gynecology and Women's Health , Albert Einstein College of Medicine/Montefiore Medical Center , Bronx , NY , USA , and.
authors.forename: P S
authors.initials: PS
authors.lastname: Bernstein
authors.affiliation: b Department of Clinical Obstetrics & Gynecology and Women's Health , Albert Einstein College of Medicine/Montefiore Medical Center , Bronx , NY , USA , and.
authors.forename: D
authors.initials: D
authors.lastname: Goffman
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007396:Internship and Residency / Q000379:methods*; D008297:Male; D009774:Obstetrics / Q000193:education*; D011446:Prospective Studies; D012151:Resuscitation / Q000193:education* / Q000379:methods; D000066908:Simulation Training / Q000379:methods*; D013663:Teaching
keywords: Cardiopulmonary; delivery room; newborns; obstetricians