title: Development and validation of an objective structured assessment of technical skill tool for the practice of breech presentation delivery.
abstract: To develop and test the validity of an Objective Structured Assessment of Technical Skills (OSATS) tool for breech presentation delivery.
  
  
  
  Monocentric prospective study conducted in the Department of Gynecology, Obstetrics, Fetal Medicine and Reproductive Medicine at the University Hospital of Nice. The study consisted of two parts, the development of the OSATS scoring system and its objective validation. Several experts in obstetrics from university hospital centers and private French hospitals were invited to participate in the development phase of the scoring system. For the validation phase, we formed a group of 20 novices and a group of 20 experts, who had to perform a breech presentation delivery on a simulator, according to a standardized scenario. Each participant was filmed and two experts would then evaluate their performance by viewing anonymized videos and using the OSATS score.
  
  
  
  The scores obtained by the expert group were significantly higher than those of the novice group, with a total score of 21.73/25 versus 6.95/25 (p < 0.0001), a task-specific score of 87.2/110 versus 44.3/110 (p < 0.0001) and an overall score of 108.93/135 versus 51.25/135 (p < 0.0001), respectively.
  
  
  
  The OSATS score developed in this study for breech presentation delivery is a reliable model to assess the competence level in procedural skills using a simulator.
authors.affiliation: Medical Simulation Center, University of Nice Sophia-Antipolis, UFR Médecine, 06107, Nice, France. ajordan.go@gmail.com.|Department of Obstetrics, Gynecology, Reproduction and Fetal Medicine, University Hospital Center of Nice (Archet 2), CHU Archet 2, 151 Route de Saint-Antoine de Ginestière, 06202, Nice Cedex 3, France. ajordan.go@gmail.com.
authors.forename: Alexis
authors.initials: A
authors.lastname: Jordan
authors.affiliation: Medical Simulation Center, University of Nice Sophia-Antipolis, UFR Médecine, 06107, Nice, France.|Department of Obstetrics, Gynecology, Reproduction and Fetal Medicine, University Hospital Center of Nice (Archet 2), CHU Archet 2, 151 Route de Saint-Antoine de Ginestière, 06202, Nice Cedex 3, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Antomarchi
authors.affiliation: Medical Simulation Center, University of Nice Sophia-Antipolis, UFR Médecine, 06107, Nice, France.|Department of Obstetrics, Gynecology, Reproduction and Fetal Medicine, University Hospital Center of Nice (Archet 2), CHU Archet 2, 151 Route de Saint-Antoine de Ginestière, 06202, Nice Cedex 3, France.
authors.forename: André
authors.initials: A
authors.lastname: Bongain
authors.affiliation: Medical Simulation Center, University of Nice Sophia-Antipolis, UFR Médecine, 06107, Nice, France.|Pediatric Emergency Department, University Children's Hospital, Foundation LENVAL, 57 Avenue de la Californie, 06200, Nice, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Tran
authors.affiliation: Medical Simulation Center, University of Nice Sophia-Antipolis, UFR Médecine, 06107, Nice, France.|Department of Obstetrics, Gynecology, Reproduction and Fetal Medicine, University Hospital Center of Nice (Archet 2), CHU Archet 2, 151 Route de Saint-Antoine de Ginestière, 06202, Nice Cedex 3, France.
authors.forename: Jérome
authors.initials: J
authors.lastname: Delotte
mesh_terms: D001946:Breech Presentation; D002983:Clinical Competence; D036861:Delivery, Obstetric / Q000193:education* / Q000592:standards; D004521:Educational Measurement; D005260:Female; D006176:Gynecology; D006801:Humans; D007396:Internship and Residency; D007746:Labor Presentation; D009774:Obstetrics / Q000193:education* / Q000592:standards; D016544:Patient Simulation; D011247:Pregnancy; D011446:Prospective Studies; D015203:Reproducibility of Results
keywords: Breech delivery; Medical student; Midwifery; OSATS; Simulation; Training