Optimization of competency in obstetrical emergencies: a role for simulation training.

Area of Science:

• Medical Education
• Obstetrics and Gynecology
• Healthcare Simulation

Background:

• Effective management of obstetrical emergencies relies on coordinated multidisciplinary teams.
• Simulation training is a key tool for enhancing team performance in high-stakes medical scenarios.

Purpose of the Study:

• To evaluate the impact of simulation training on self-confidence, emergency situation management, algorithm knowledge, and team communication in obstetrical emergencies.
• To assess the long-term effects of simulation training on these skills.

Main Methods:

• Participants received training for six common obstetrical emergencies using high- and low-fidelity simulation.
• Skills were assessed via anonymous self-assessment questionnaires using a five-point Likert scale immediately post-training and at a 3-month follow-up.

Main Results:

• 168 participants completed the training, with high initial response rates (92.9%) and a 36.3% follow-up rate.
• Participants reported statistically significant improvements (p ≤ 0.05) in self-confidence, emergency handling, and algorithm knowledge at 3 months compared to immediately after training.
• While team communication skills also improved, the change was not statistically significant.

Conclusions:

• Simulation training effectively enhances professional competency in managing obstetrical emergencies.
• Sustained improvements in key skills suggest simulation training is a valuable educational strategy.