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Rehearsal simulation for antenatal consults.

Anita Cheng¹, Doris Yuen¹, Sayra Cristancho²

¹Neonatal-Perinatal Medicine, Center for Education Research & Innovation, Western University, Ontario, Canada.

Canadian Medical Education Journal

|July 12, 2021

Summary

Rehearsal simulation for antenatal consults enhanced resident confidence and communication skills. This training improved medical content organization and rapport-building, fostering more compassionate patient care.

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Area of Science:

Medical Education
Neonatal Medicine
Communication Skills Training

Background:

Rehearsal simulations are patient-specific tasks performed before clinical duties to enhance performance.
Antenatal consults prepare parents for expected complications in newborns.

Purpose of the Study:

To evaluate the impact of rehearsal simulation on resident learning in difficult antenatal conversations.
To assess changes in resident confidence and communication skills during antenatal consults.

Main Methods:

Residents in Neonatal Intensive Care Unit (NICU) underwent case-matched, video-recorded rehearsal simulations.
Post-simulation assessments included questionnaires on confidence and communication skills, and qualitative interviews.

Main Results:

Rehearsal simulation increased resident confidence in organizing medical information and employing effective communication techniques.
Residents shifted from a checklist-based approach to prioritizing rapport-building and empathy.

Conclusions:

While not preparing for unexpected parental reactions, rehearsal simulation boosted resident confidence in content delivery and communication.
This enhanced confidence facilitated reflection-in-action and more compassionate approaches in antenatal consultations.