Forceps Assisted Vaginal Delivery Simulation Training: Changes in Resident Confidence, Knowledge and Skill [31M]

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Abstract

INTRODUCTION:

Simulation is a powerful learning tool for low frequency events. In 2015, 3.1% of all deliveries were operative vaginal deliveries and only 0.56% were forceps assisted vaginal deliveries (FAVD). The aim of this study is to create a simulation-based curriculum on FAVD and evaluate resident knowledge, confidence, and performance before and after training.

METHODS:

An IRB-approved prospective cohort study was conducted. Obstetrics and gynecology residents participated in three hours of a three-part simulation training including a video, didactic teaching, and hands-on simulation practice during the 2016-2017 academic year. A 26 item pre- and post-survey and skills assessments was conducted to assess confidence, knowledge, and ability to perform a forceps delivery. Our primary outcome was improvement in resident confidence and skill.

RESULTS:

Twenty residents consented to participate and 14 surveys were completed (70%). There was a 28.5% increase in self-perceived confidence before and after training for all residents (P<.001). Significant differences in perceived confidence between resident classes were seen pre-simulation (P<.001). Junior residents demonstrated an increase in perceived confidence (P<.001), while senior residents did not (P=.13). There was an overall improvement in the percentage of residents who performed the required skills for an accurate forceps delivery post-simulation (P=.001).

CONCLUSION:

Our developed forceps simulation curriculum improves resident perceived confidence and skill. Additional simulation training will involve consenting training sessions. Future analysis will look at the number of forceps deliveries at our institution since the initiation of the simulation-based training curriculum.

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