“…Hi-delity simulation has been demonstrated to meliorate competencies (Issenberg et al, 2005), de ne professional competence (Epstein and Hundert, 2002), improve patient outcomes (Cook et al, 2011), and develop and enhance teamwork (Baker et al, 2006) (Shapiro et al, 2004). Epecially in obstetrics, simulation is increasingly used for training of adverse and low-frequent events, such as shoulder dystocia (Mannella et al, 2016) or vacuum application (Mannella et al, 2021) or for didactic purposes (Mannella et al, 2018).…”