Targeted obstetric haemorrhage programme improves incoming resident confidence and knowledge

Area of Science:

• Obstetrics and Gynecology
• Medical Education
• Simulation Training

Background:

• Postpartum hemorrhage (PPH) is a rare but severe obstetric emergency.
• Effective management requires specialized knowledge and skills.
• Simulation offers a safe environment for training in managing obstetric emergencies.

Purpose of the Study:

• To evaluate the effectiveness of an educational program using lecture and high-fidelity simulation for PPH management.
• To assess the impact on resident confidence and knowledge in diagnosing and managing PPH.
• To determine the correlation between confidence and knowledge improvement.

Main Methods:

• An educational program combining lecture and high-fidelity simulation was delivered to incoming Obstetrics/Gynecology (OB) and Family Medicine (FM) residents.
• Residents' confidence levels were measured using pre- and post-intervention Likert scale surveys.
• A subset of residents completed a PPH knowledge assessment before and after the intervention.

Main Results:

• Residents reported significant improvements in confidence regarding PPH diagnosis and management.
• Mean scores on the PPH knowledge assessment significantly increased from 57.4% to 77.1% (p < 0.01).
• Confidence scores showed a significant positive correlation with knowledge assessment scores (Spearman's coefficient = 0.651, p < 0.001).

Conclusions:

• An educational program incorporating high-fidelity simulation effectively enhances resident confidence in managing postpartum hemorrhage.
• The simulation-based approach demonstrably improves resident knowledge of PPH diagnosis and management.
• This educational strategy appears to be a valuable tool for preparing residents to handle critical obstetric emergencies.