[Assessment of shoulder dystocia related knowledge among French obstetrics and gynecology residents].
OBJECTIVE
To study the related knowledge of French residents in obstetrics concerning maneuvers for shoulder dystocia (SD).


METHODS
Multicenter descriptive transversal study conducted from June to September 2014. Data collection was performed through questionnaires sent by email to French resident in obstetrics.


RESULTS
Among the 1080 questionnaires sent, 366 responses were obtained with a response rate of 33.9%. One hundred and forty-three residents (39.1%) were in the first part of their training (≤5th semester) and 60.9% (n=223) were in the second part of their training. Theoretical training on the SD was provided to 88.2% of resident (n=323). In total, 38.8% (n=142) obtained their French degree in mechanical and technical obstetric and among them 77.5% (n=110) had the opportunity to train on simulators and dummies. Concerning their practical experiences, 31.5% (n=45) residents ≤5th semester reported having experienced SD during their residency vs 58.3% (n=130) amongst oldest residents (P<0.001). In the second part of residency, 40% of residents (n=89) expressed to feel able to manage shoulder dystocia. Only 19.1% (n=70) were satisfied with their residency training program vs 39.1% (n=143) who were unsatisfied.


CONCLUSIONS
Our study showed that less than one resident out of two (40%) felt able to perform maneuvers for SD in the second part of residency. We think that simulation activities should be mandatory for residency training programs in Obstetrics and Gynecology, which have to develop dependable measures to assess resident competencies to execute practical maneuvers for clinical emergencies in obstetrics.
Pôle femmes-mères-enfants, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France.
A
A
Schmitt
Pôle femmes-mères-enfants, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France.
H
H
Heckenroth
Pôle femmes-mères-enfants, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France.
L
L
Cravello
Pôle femmes-mères-enfants, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France.
L
L
Boubli
Pôle femmes-mères-enfants, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France.
C
C
d'Ercole
Pôle femmes-mères-enfants, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France; Aix-Marseille université, CNRS, IRD, Avignon université, IMBE UMR 7263, 13397 Marseille, France. Electronic address: blandine.courbiere@ap-hm.fr.
B
B
Courbiere
D002983:Clinical Competence / Q000706:statistics & numerical data*; D004420:Dystocia / Q000628:therapy*; D005260:Female; D005602:France; D006176:Gynecology / Q000193:education*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D009774:Obstetrics / Q000193:education*; D011247:Pregnancy; D012782:Shoulder
Dystocie des épaules; Formation; Interne; Maneuver; Manœuvres; Resident; Shoulder dystocia; Simulation; Training