Multidisciplinary Simulation Improves Resident Confidence for Pregnant Patients Requiring Surgical Intervention

Area of Science:

• Medical Education
• Surgical Simulation
• Obstetrics and Gynecology
• Hepatobiliary Surgery

Background:

• Hepatocellular adenomas present a rare but significant bleeding risk, particularly during pregnancy.
• Effective management necessitates interprofessional cooperation, crucial for residency training.
• This simulation addressed the complex surgical and obstetric care of pregnant patients with hemorrhagic shock due to hepatocellular adenoma.

Purpose of the Study:

• To evaluate resident and nurse confidence in managing pregnant patients with hemoperitoneum and shock.
• To assess the ability to demonstrate interdisciplinary collaboration among specialties.
• To evaluate the application of the massive transfusion protocol (MTP) and critical decision-making in severe abdominal pain scenarios.

Main Methods:

• A simulated clinical scenario involving obstetric, general surgery, and anesthesia residents, and labor and delivery nurses.
• Focus on managing a pregnant patient experiencing hemorrhagic shock.
• Learner feedback collected via a Return on Investment in Learning survey post-simulation.

Main Results:

• Twenty-three residents and medical students provided feedback.
• Confidence in the four learning objectives increased significantly (77.3-95.4%).
• Over 90% found the simulation relevant and realistic; 100% reported learning new or clarified information.

Conclusions:

• Multidisciplinary simulation effectively improved learner confidence in managing complex surgical emergencies in pregnant patients.
• The intervention fostered crucial inter-residency cooperation.
• Simulation-based education is a valuable tool for preparing healthcare teams for critical obstetric surgical events.