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Development and evaluation of cesarean section surgical training using computer-enhanced visual learning.

Sloane L York¹, Max Maizels, Elaine Cohen

¹Rush University Medical Center, Chicago, IL , USA .

Medical Teacher

|July 30, 2014

Summary

Computer-based learning modules effectively teach cesarean delivery skills. Novice surgeons achieve competence after approximately 30 procedures, leading to reduced operative times and fewer complications.

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Area of Science:

Medical Education
Surgical Training
Obstetrics and Gynecology

Background:

Skilled cesarean delivery performance is crucial for obstetrics and gynecology residents.
A computer-enhanced visual learning module (CEVL Cesarean) was developed to facilitate cesarean delivery training.

Purpose of the Study:

To evaluate the efficacy of a computer-enhanced visual learning module for teaching cesarean deliveries.
To determine the learning curve and competence acquisition for novice surgeons performing cesarean sections.

Main Methods:

First-year residents utilized an online module with text, audio, video, and animation to learn cesarean delivery components.
Trained raters provided intra-operative evaluations and feedback on resident surgical performance.
Clinical outcomes for approximately 50 cesarean deliveries per resident were collected and analyzed.

Main Results:

Resident performance significantly improved with experience, analyzed by deciles of cases.
Surgical skill acquisition plateaued around cases 21-30 for individual residents.
Procedural performance improved significantly by decile, plateauing by cases 31-40; operative time decreased by 3.84 minutes.

Conclusions:

Pre-clinical, computer-based modules for cesarean sections are feasible for development.
Novice surgeons require at least 30 procedures to achieve competent performance.
Competent performance by residents correlated with decreased operative time and complications.