Improving Learners' Comfort With Cesarean Sections Through the Use of High-Fidelity, Low-Cost Simulation

Abstract

Introduction: Several studies have demonstrated effective simulation-based training for laparoscopic procedures in OB/GYN, but limited simulation curricula exist for abdominal procedures, particularly cesarean sections (CSs). Methods: We developed a high-fidelity modification of an existing CS model costing about $25 and incorporated it into a 90-minute teaching simulation event for medical students and OB/GYN residents in a single academic program. The simulation included a structured curriculum, pre-/postsimulation surveys, a surgical instrument review, a mannequin with the CS model containing a fetus in breech position, and live video streaming. Our surveys assessed participants' comfort with the procedure and its related components on a 5-point scale, and we used a paired t test to analyze our data. Results: Twenty-two learners (eight third-year medical students, one fourth-year medical student, three first-year residents, four second-year residents, one third-year resident, four fourth-year residents, and one unknown level) participated in this simulation. We found a statistically significant improvement in perceived CS instrument knowledge, suturing skills, and satisfaction with the model among all participants. Only third-year medical students had a statistically significant increase in comfort level in performing a CS after the simulation. Video streaming engaged a wider audience, but poor lighting and audio limited its efficacy. Discussion: Using this simulation model at the end of medical school or early in residency may have the greatest positive effect on resident comfort with CSs. This low-cost and versatile model can be used across educational settings, including OB/GYN interest group activities, intern boot camp, and interprofessional emergency drills.

Knowledge and confidence levels improvement among obstetrics residents regarding caesarean section training using video-mannequins combination

“…Previous literature reviews mentioned that this mannequin became an excellent simulation media [ 28 ]. Furthermore, a recent study claimed cesarean section practice using mannequin simulation demonstrated important knowledge improvement, particularly in suturing ability [ 29 ]. Simulation of clinical practice improved performance more than a single video tutorial in medical students [ 19 ].…”

“…Simulation of clinical practice improved performance more than a single video tutorial in medical students [ 19 ]. This method allowed residents to gain experiment chances repeatedly along with a minimum stress environment [ 29 ]. Simulation using a mannequin is considered as a complementary medium for learning caesarean section, because the mannequin can be adjusted similar to the management of patients [ 30 ].…”

Full-Dress Rehearsals with Actual Non-Infected Patients Builds Confidence and Familiarity – An Experience from Singapore during the COVID-19 Pandemic

“…Most importantly, it allows everyone to learn at their own pace, without fear and stress of having viral transmission. The efficacy of simulation training has been replicated in many areas in medical and surgical practice [7,8]. It also encourages realistic team-based communication training and allows the retention of knowledge and skills for a longer duration [9].…”