Obstetric emergencies simulation-based training in Ob/Gyn residency: A nationwide survey

Area of Science:

• Medical Education
• Obstetrics & Gynecology
• Emergency Medicine

Background:

• Simulation-based training is crucial for managing obstetric emergencies.
• Current training needs assessment is vital for residency programs.

Purpose of the Study:

• To assess the scope of simulation-based training for obstetric emergencies in Portuguese Ob/Gyn residency programs.
• Identify gaps in training for critical obstetric scenarios.

Main Methods:

• Cross-sectional survey of Ob/Gyn residents in Portugal (2023).
• Snowball sampling and self-designed questionnaire.
• Descriptive statistics and comparative analysis (χ², Fisher exact test).

Main Results:

• 97 residents participated, representing 33.6% of the national cohort.
• Average training time: 13.8 hours; common scenarios include normal delivery, vacuum/forceps, breech.
• Underrepresented scenarios (<5%): impacted fetal head, DIC, amniotic fluid embolism, polytrauma; low real-life retention for rare emergencies.

Conclusions:

• Significant gaps exist in simulation-based training for obstetric emergencies.
• Training deficiencies include unfamiliarity with guidelines, poor technical skills, and teamwork.
• Proposed strategies aim to enhance residency training for improved patient outcomes.