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Ovarian Hyperstimulation Syndrome: A Simulation Case for Emergency Medicine Residents
Kathleen A Wittels1, Katherine Dickerson Mayes2, Andrew Eyre3
1Assistant Professor, Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School.
Mededportal : the Journal of Teaching and Learning Resources
|September 26, 2022
Summary
Emergency medicine residents showed improved confidence in managing ovarian hyperstimulation syndrome (OHSS) after a simulation. This training is vital for recognizing and treating this rare assisted reproductive technology complication.
Area of Science:
- Medical Education
- Emergency Medicine
- Reproductive Endocrinology
Background:
- Ovarian hyperstimulation syndrome (OHSS) is a significant complication of assisted reproductive technology (ART).
- Emergency medicine (EM) residents require training to recognize and manage OHSS due to potential morbidity.
- OHSS can present with symptoms mimicking other conditions, necessitating accurate diagnosis.
Observation:
- A high-fidelity human patient simulator was utilized for EM residents (PGY 1-4).
- Residents participated in a simulated case of a 28-year-old female with OHSS presenting with shortness of breath and near syncope.
- Bedside ultrasound was available during the simulation.
Findings:
- Prior to simulation, only 62% of residents had heard of OHSS, and 17% had managed a patient.
- Post-simulation, resident comfort in managing OHSS increased significantly from 1.7 to 3.7 on a 5-point Likert scale (p < .001).
Implications:
- Simulation-based training enhances EM residents' confidence and competence in managing OHSS.
- Early recognition and diagnosis of OHSS are critical, emphasizing detailed history and bedside ultrasonography.
- Improved resident preparedness can lead to better patient outcomes for OHSS complications.
