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Simulation training improves medical students' learning experiences when performing real vaginal deliveries
Ashlesha K Dayal1, Nelli Fisher, Diane Magrane
1Department of Obstetrics, Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10461, USA. adayal@montefiore.org
Summary
Medical students who underwent simulation training for vaginal delivery maneuvers showed increased participation in live deliveries and higher confidence. Simulation training is beneficial for learning obstetric skills in a low-risk setting.
Area of Science:
- Medical Education
- Obstetrics and Gynecology
- Simulation-Based Learning
Background:
- Clinical rotations are crucial for medical students to develop practical obstetric skills.
- Assessing the impact of simulation training on clinical performance and confidence is essential for improving medical education.
Purpose of the Study:
- To evaluate the relationship between simulation training for vaginal delivery and participation in live deliveries.
- To assess medical students' performance and confidence in vaginal delivery maneuvers after simulation training.
Main Methods:
- Randomized controlled trial involving medical students undergoing simulation training or traditional teaching.
- Competence and performance scored by a blinded researcher; self-confidence assessed via surveys; clinical participation logged.
- Evaluation occurred at weeks 1 and 5 of a 6-week clerkship.
Main Results:
- Simulation group (SIM) students participated in significantly more live deliveries (9.8 vs. 6.2).
- SIM students reported higher self-confidence in performing vaginal deliveries at clerkship end (P < 0.05).
- SIM students achieved significantly higher performance scores in simulated environments at weeks 1 and 5 (P < 0.001).
Conclusions:
- Simulation training enhances medical students' active participation in clinical obstetric settings.
- Simulation training is effective for acquiring obstetric skills safely, demonstrating competence, and boosting confidence.
- This approach translates simulated competence into greater clinical engagement and skill proficiency.
