Self-perceived long-term transfer of learning after postpartum hemorrhage simulation training

Area of Science:

• Medical Education
• Simulation-Based Training
• Obstetrics and Gynecology

Background:

• Postpartum hemorrhage (PPH) remains a critical obstetric emergency.
• Effective simulation training is crucial for improving PPH management.
• Long-term transfer of skills from training to clinical practice is a key outcome measure.

Purpose of the Study:

• To compare long-term skill transfer after PPH simulation training based on instructional design (ID) principles versus conventional best practice.
• To explore healthcare practitioners' perceptions of factors influencing skill transfer.

Main Methods:

• Qualitative study using semi-structured interviews with 12 obstetrics and gynecology residents.
• Participants attended either ID-based or conventional PPH simulation training 2 years prior.
• Thematic analysis explored perceptions of long-term transfer and influencing factors.

Main Results:

• Residents perceived long-term transfer of knowledge and skills regardless of simulation format.
• Instructional design elements, trainee characteristics, and workplace environment influenced transfer.
• ID-based simulation participants reported enhanced communication skills and situational awareness.

Conclusions:

• Simulation training for PPH management facilitates long-term skill transfer.
• Instructional design principles in simulation training may lead to superior improvements in critical skills like communication and situational awareness.