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Near-Peer-Led Spontaneous Vaginal Delivery Simulation Improves Clerkship Students' Knowledge and Confidence
Claire M Schenken1, Nisha Kalyanpur1,2, Malavika Perinchery1,3
1Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Journal of Medical Education and Curricular Development
|June 11, 2026
Summary
Near-peer led spontaneous vaginal delivery (SVD) simulation significantly boosts medical students' knowledge and confidence. This 90-minute training improves skills for Obstetrics and Gynecology clerkships.
Area of Science:
- Medical Education
- Simulation-Based Learning
- Obstetrics and Gynecology
Background:
- Medical students require practical skills in spontaneous vaginal delivery (SVD).
- Traditional Obstetrics and Gynecology (OB/Gyn) clerkships may offer limited hands-on SVD experience.
- Near-peer teaching is an emerging educational strategy in medical training.
Purpose of the Study:
- To evaluate a near-peer-led, low-fidelity SVD simulation.
- To assess the impact on medical students' knowledge, confidence, and experience during OB/Gyn clerkships.
- To determine the feasibility of implementing SVD simulation early in the clerkship.
Main Methods:
- A pre-post intervention study design was employed.
- Senior medical students (MS4s) conducted SVD lectures and low-fidelity manikin simulations.
- Anonymous surveys assessed knowledge, confidence, and experience pre-simulation, post-simulation, and post-clerkship, with a control group for comparison.
Main Results:
- Post-simulation knowledge scores significantly increased compared to pre-simulation and control groups (76.9% vs. 54.5% and 53.3%, p < 0.01).
- Student confidence in all aspects of vaginal delivery significantly improved immediately post-simulation (p < 0.01).
- Confidence in placental delivery and examination increased further by the end of the clerkship (p=0.03 and p=0.04).
Conclusions:
- A 90-minute near-peer-led SVD simulation is feasible and effective at the start of OB/Gyn clerkships.
- The simulation significantly enhances medical students' knowledge and confidence in performing SVD.
- This intervention provides a valuable tool for improving practical obstetric skills training.
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