First-Trimester Abortion Complications: Simulation Cases for OB/GYN Residents in Sepsis and Hemorrhage

Area of Science:

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

Background:

• First-trimester abortions are rare but can lead to serious complications like infection and hemorrhage.
• Obstetrics and Gynecology (OB/GYN) residents require adequate preparation to manage these rare but critical events.
• Existing training may not fully equip residents for managing abortion complications effectively.

Purpose of the Study:

• To develop and evaluate a simulation-based curriculum for OB/GYN residents on managing first-trimester abortion complications.
• To assess the impact of the curriculum on residents' clinical knowledge, competence, and preparedness.
• To enhance resident comfort and skills in managing postabortal hemorrhage and sepsis.

Main Methods:

• A 2-hour simulation-based curriculum was implemented for OB/GYN residents.
• The curriculum included didactic sessions, in-vivo hemorrhage simulation, and interdepartmental sepsis simulation.
• Pre- and post-participation surveys assessed clinical knowledge, self-rated competence, and preparedness.

Main Results:

• Clinical knowledge regarding sepsis management significantly improved post-simulation (62% to 91%).
• Self-assessed competence and preparedness for managing hemorrhage and sepsis significantly increased.
• Residents reported greater comfort in managing complications in future practice after the simulations.

Conclusions:

• Simulation-based training, incorporating in-vivo scenarios and interdepartmental collaboration, effectively enhances OB/GYN residents' preparedness for rare abortion complications.
• The curriculum improved both objective knowledge and subjective confidence in managing postabortal hemorrhage and sepsis.
• This innovative approach may be crucial for refining management skills and ensuring patient safety.