The need and effectiveness of a national simulation training program in obstetric emergencies from a trainee view
Makaleler > Tam Makale · 2025
Yazarlar: Elif Goknur Topcu, Duygu Ucar Kartal, Merve Gul Kara, Mustafa Onur Kamani, Lena Tureyici, Erdem Gurkan, Sezin Eda Karsli, Kubra Karakolcu, Erhan Huseyin Comert, Dilek Sahin, Ozlem Moraloglu Tekin
International Journal of Gynecology & Obstetrics, Uluslararası, Wos, 2025, cilt 170, ss 1277-1283
DOI: 10.1002/ijgo.70117
Özet
OBJECTIVE: Simulation training is a highly valuable and effective tool that has been increasingly used in the field of obstetrics to enhance knowledge and experience. We aimed to evaluate the immediate impact of a 1 day trainee initiated national emergency obstetric simulation course on clinical knowledge and self-assurance of trainees. METHODS: This was a cross-sectional study conducted in the Ankara Bilkent City Hospital between December 2021 and March 2024. A total of eight courses were conducted with 200 trainees. Two online, anonymous surveys were created as pre- and post-tests of the course, consisting of the same 32 questions, filled in by the trainees before and after the course. RESULTS: A total of 192 people participated in the study and 171 people (167 residents and 4 young specialists) were included. Participants completed a 41 question test that assessed four key areas; management of postpartum bleeding, operative vaginal delivery, breech delivery and shoulder dystocia, both before and after the training. The majority (93.6%) had never attended an emergency obstetrics simulation training. When the test results of the participants before and after the training were compared, a statistically significant improvement was found in all topics (P < 0.001). It was observed that the greatest improvement was in shoulder dystocia (45%), followed by breech birth management (40%). Participants with prior simulation experience showed lower improvement in some areas compared to those without prior experience (P < 0.001). Trainees also reported that "they feel more confident," and "they are more ready to manage these cases." CONCLUSION: Emergency obstetric simulation training remarkably improves knowledge and self-assurance among postgraduate obstetrics and gynecology residents. Continued implementation of national programs are recommended to ensure optimal preparedness and standardization in emergency obstetrics.