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Related Experiment Video

Updated: Jul 6, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

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Published on: May 20, 2018

Second-Trimester Dilation and Evacuation: A Simulation-Based Team Training Curriculum.

Leah N Schwartz¹, Andrea Pelletier², Alisa B Goldberg³

¹First-Year Resident, Department of Obstetrics and Gynecology, Brigham and Women's Hospital/Harvard Medical School.

Mededportal : the Journal of Teaching and Learning Resources

|August 17, 2023

Summary

This summary is machine-generated.

Simulation training significantly improves OB/GYN residents' competency and confidence in performing second-trimester dilation and evacuation (D&E) procedures and managing complications. This approach addresses critical gaps in surgical education for essential women's healthcare.

Keywords:

Abortion Dilation & Evacuation Hemorrhage Intrauterine Fetal Demise OB/GYN Simulation

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Published on: March 21, 2018

Area of Science:

Medical Education
Surgical Simulation
Obstetrics and Gynecology

Background:

Limited training opportunities exist for second-trimester dilation and evacuation (D&E) procedures, hindering the development of essential skills among OB/GYN residents.
Barriers such as restrictive laws, lack of faculty, and insufficient procedural volume impede traditional D&E training.
Simulation-based training offers a viable solution to enhance clinical competency in this critical area of women's healthcare.

Observation:

A high-fidelity simulation was developed for OB/GYN residents focusing on a second-trimester D&E for fetal demise and managing postprocedural hemorrhage.
The simulation involved a multidisciplinary team including anesthesiology, nursing, and OB/GYN faculty, utilizing a mannequin-based approach.
Learner performance was evaluated through pre/post-assessments, a critical action checklist, and facilitator focus groups.

Findings:

Forty-nine residents participated over eight years, demonstrating improved competency in D&E procedures and increased confidence in managing hemorrhage post-simulation.
Focus groups indicated that most learners exhibited confidence and effective team communication during decision-making roles within the simulation.
The simulation effectively enhanced both technical skills and non-technical skills, such as teamwork and communication.

Implications:

Simulation-based D&E training is crucial for improving resident skills and confidence in managing second-trimester abortions.
This method provides a standardized platform for assessing learner performance and practicing high-acuity team-based care.
Implementing such simulations can help overcome training barriers and ensure a competent workforce for essential reproductive health procedures.