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Development and validation of a pudendal nerve block simulation-based educational intervention
Dhanalakshmi Thiyagarajan1,2, Catherine Wheatley1, Catherine R Salva3
1Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois, USA.
Summary
Simulation training significantly improved obstetric clinicians' competence and confidence in performing pudendal nerve blocks. This effective educational intervention addresses declining clinical exposure for this essential obstetric procedure.
Area of Science:
- Obstetrics and Gynecology
- Medical Education
- Pain Management
Background:
- Pudendal nerve block is crucial in obstetric care.
- Declining clinical exposure limits training opportunities.
- Need for effective simulation-based education identified.
Purpose of the Study:
- Develop and evaluate a simulation-based educational intervention for pudendal nerve block.
- Assess its effectiveness in improving knowledge, comfort, and confidence.
Main Methods:
- Intervention included pre/post-evaluation, lecture, and simulation practice.
- Utilized a task trainer across four academic institutions.
- Paired t-tests analyzed survey and performance data.
Main Results:
- 56 participants (residents, fellows, attendings, midwives) completed the intervention.
- Significant increases in competence, comfort, and confidence observed (P < 0.001).
- No significant difference in procedural competence between residents and practicing clinicians (P = 0.96).
Conclusions:
- Simulation-based training enhances knowledge and skills for pudendal nerve blocks.
- The intervention improves clinician confidence in candidate selection, procedure performance, and complication management.
- This method offers a reproducible educational solution for obstetric providers.
