Vacuum and forceps training in residency: experience and self-reported competency.
1Department of Obstetrics and Gynecology, Akron General Medical Center, Akron, OH 44307, USA.
Summary
Obstetrics and gynecology residents report less experience with forceps deliveries than vacuum-assisted deliveries. Many residents lack confidence in forceps procedures, impacting their future practice plans.
Area of Science:
- Obstetrics and Gynecology
- Medical Education
- Surgical Training
Background:
- Operative vaginal delivery, including vacuum and forceps, is a critical obstetric skill.
- Resident training in these procedures is essential for ensuring adequate competency upon graduation.
Purpose of the Study:
- To assess chief residents' experience and self-perceived competency in vacuum and forceps deliveries.
- To understand how perceived competency influences future operative delivery choices.
Main Methods:
- Two cross-sectional studies were conducted using mailed questionnaires and web-based surveys.
- Data were collected from fourth-year obstetrics and gynecology residents across US programs.
- Statistical analysis included chi-squared and Wilcoxon Signed Rank tests.
Main Results:
- Residents reported performing fewer forceps deliveries compared to vacuum-assisted deliveries.
- While nearly all residents felt competent in vacuum deliveries (over 94%), only about half felt competent in forceps deliveries (around 55%).
- Perceived competency significantly influenced residents' planned use of these delivery methods in their future practice.
Conclusions:
- Current obstetrics and gynecology residency training may not adequately prepare all graduates to confidently perform forceps-assisted deliveries.
- Addressing competency gaps in forceps delivery is crucial for resident preparedness and future obstetric practice.
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