Effect of high-fidelity shoulder dystocia simulation on emergency obstetric skills and crew resource management skills among residents.
OBJECTIVE
To determine the effect of a simulation training program for residents in obstetrics and gynecology in terms of technical and nontechnical skills for the management of shoulder dystocia.


METHODS
A prospective study was performed at a center in Italy in April-May 2015. Thirty-two obstetrics and gynecology residents were divided into two groups. Residents in the control group were immediately exposed to an emergency shoulder dystocia scenario, whereas those in the simulation group completed a 2-hour training session with the simulator before being exposed to the scenario. After 8weeks, the residents were again exposed to the shoulder dystocia scenario and reassessed. Participants were scored on their demonstration of technical and nontechnical skills.


RESULTS
In the first set of scenarios, the mean score was higher in the simulation group than the control group in terms of both technical skills (P=0.008) and nontechnical skills (P<0.001). This difference was retained after 8weeks.


CONCLUSIONS
High-fidelity simulation programs could be used for the training of residents in obstetrics and gynecology to diagnose and manage obstetric emergencies such as shoulder dystocia.
First Division of Obstetrics and Gynecology, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy. Electronic address: p.mannella@obgyn.med.unipi.it.
Paolo
P
Mannella
Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Giulia
G
Palla
U.O. Neonatology, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Armando
A
Cuttano
U.O. Neonatology, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Antonio
A
Boldrini
Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Tommaso
T
Simoncini
D002983:Clinical Competence / Q000592:standards*; D036861:Delivery, Obstetric / Q000193:education*; D019468:Disease Management; D004420:Dystocia / Q000628:therapy*; D005260:Female; D006176:Gynecology / Q000193:education; D000070856:High Fidelity Simulation Training / Q000379:methods*; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D007558:Italy; D009774:Obstetrics / Q000193:education; D011247:Pregnancy; D011446:Prospective Studies; D012647:Self-Assessment; D012782:Shoulder / Q000503:physiopathology
Crew resource management; Education; Obstetric emergencies; Shoulder dystocia; Simulation; Technical skills; Training