Emergency obstetric simulation training: How do we know where we are going, if we don't know where we have been?

Calvert, Katrina; McGurgan, Paul; Debenham, Edward M.; Gratwick, Frances J.; Maouris, Panos

doi:10.1111/ajo.12120

Cited by 51 publications

(40 citation statements)

References 58 publications

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“…The current evidence base suggests the use of local, inter-professional, in situ training provided to all staff in maternity care units. [5][6][7] Simulation training has been recognised as a valuable tool to improve not only knowledge and clinical skills, but also to improve communication and teamwork during the management of obstetric emergencies, and has been shown to lead to improved perinatal outcomes. [8][9][10] In-house training in particular is associated with improved outcomes 5 and the utilisation of training in remote and rural sites is an issue with obvious relevance to the Australian healthcare paradigm.…”

Section: Resultsmentioning

confidence: 99%

Keeping in time: Issues affecting the sustainability of obstetric emergency simulation training in outer metropolitan, rural and remote centres in Western Australia

Whitelaw

Calvert

Epee

2017

Aust NZ J Obst Gynaeco

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BackgroundObstetric emergency simulation training is an evidence‐based intervention for the reduction of perinatal and maternal morbidity. In Western Australia, obstetric emergency training has been run using the In Time course since 2006.AimsThe study aimed to determine if the provision of In Time train the trainer courses to outer metro, rural and remote units in Western Australia had led to sustained ongoing training in those units. Ten years following the introduction of the course, we performed a survey to examine which units are continuing to run In Time, what are the perceived benefits in units still utilising In Time, and what were the barriers to training in units that had discontinued.Materials and methodsA link to an online survey was sent to the units where In Time training had occurred. Telephone enquiries were additionally used to ensure a good response rate.ResultsThe survey response rate was 100%. Six of the 11 units where training had been provided continue to run In Time. Units where training had discontinued had done so in order to take up alternatives, or as a result of trainers leaving. Of the units who had discontinued training, one wished to recommence In Time.ConclusionsLocal in situ training in obstetric emergencies as exemplified by the In Time course remains a popular and valued training intervention across Western Australia. This training may be of particular benefit to small and remote units, but these are the areas in which training is hardest to sustain.

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Section: Resultsmentioning

confidence: 99%

Keeping in time: Issues affecting the sustainability of obstetric emergency simulation training in outer metropolitan, rural and remote centres in Western Australia

Whitelaw

Calvert

Epee

2017

Aust NZ J Obst Gynaeco

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“…These themes have been reiterated in two more recent reviews for obstetric training [14,23], one of which concluded that all maternity and neonatal health professionals should attend in-service training sessions. Furthermore, on-site 'in-house' training with low-tech, highly realistic models is more readily implementable than off-site training at simulation centres, and training integrated into institutional clinical governance and quality-improvement initiatives is likely to have better results.…”

Section: Myth 1: Training Must Be Effectivementioning

confidence: 99%

“…There is proof of principle that some training for obstetric emergencies is associated with improvements in outcome [14, 23,34,47]. However, there is a dearth of data on the effect of local context.…”

Section: Myth 3: Training Is Independent Of Contextmentioning

confidence: 99%

Myths and realities of training in obstetric emergencies

Draycott

Collins

Crofts

et al. 2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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“…The demonstration of improvement in clinical outcomes following simulation based training is an essential endeavour and a challenging one [15]. The assumption is frequently made that training using mannequins will improve delivery skills, translating into improved outcomes for mothers and babies [16].…”

Section: Discussionmentioning

confidence: 99%

Novel Simulation Workshop Improves Performance in Vacuum Delivery

Calvert¹,

Epee²,

Karzcub³

et al. 2016

OJOG

Self Cite

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Background: Operative vaginal delivery is a common obstetric intervention, with the potential to cause harm to mother and baby. Training in operative delivery traditionally comprised junior trainees learning the skills under supervision, then practicing and refining them independently. Recently this model has come under scrutiny, with the advent of simulation-based training suggesting a method by which the skills of safe delivery may be taught without risk. Multiple training courses exist, but few have been subjected to evaluation. Aims: The primary aim was to investigate if a simulation-based training workshop, where the development of a successful technique for vacuum delivery occurs using a collaborative, problem-solving approach, improves the rate of correct vacuum cup placement. The secondary aim was to determine if the workshop leads to improvement in theoretical knowledge of vacuum delivery. Methods: Participants on three workshops were assessed for their performance in vacuum delivery prior to and following a multimodal training program. Participants included general practitioner obstetricians, obstetric trainees and resident medical officers. Evaluation occurred using a standardised Likert-scaled rating sheet and utilising a diagrammatic representation of cup placement. Results: The participants demonstrated significant improvement (median post-pre score 1, p < 0.001) in the accuracy of cup placement, in a variety of practical core skills and in theoretical knowledge of vacuum delivery. Discussion: Participation in a simulation-based vacuum delivery workshop improves the performance of obstetric trainees and GP obstetricians. Further work is required to evaluate the performance of such training modalities on clinically relevant outcomes.

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Emergency obstetric simulation training: How do we know where we are going, if we don't know where we have been?

Cited by 51 publications

References 58 publications

Keeping in time: Issues affecting the sustainability of obstetric emergency simulation training in outer metropolitan, rural and remote centres in Western Australia

Keeping in time: Issues affecting the sustainability of obstetric emergency simulation training in outer metropolitan, rural and remote centres in Western Australia

Myths and realities of training in obstetric emergencies

Novel Simulation Workshop Improves Performance in Vacuum Delivery

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