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ORIGINAL RESEARCH |
From *Georgetown University Hospital, Washington, DC; National Naval Medical Center, Bethesda, Maryland; and Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Address reprint requests to: Shad Deering, MD, Department of Obstetrics and Gynecology, Georgetown University Hospital, 3-PHC, 3800 Reservoir Road, NW, Washington, DC 20007; e-mail: deering95{at}hotmail.com.
OBJECTIVE: To determine whether a simulation training scenario improves resident competency in the management of shoulder dystocia.
METHODS: Residents from 2 training programs participated in this study. The residents were block-randomized by year-group to a training session on shoulder dystocia management that used an obstetric birthing simulator or to a control group with no specific training. Trained residents and control subjects were subsequently tested on a standardized shoulder dystocia scenario, and the encounters were digitally recorded. A physician grader from an external institution then graded and rated the resident's performance with a standardized evaluation sheet. Statistical analysis included the Student t test, 
2, and regression analysis, as appropriate.
RESULTS: Trained residents had significantly higher scores in all evaluation categories, including timelines of their interventions, performance of maneuvers, and overall performance. They also performed the delivery in a shorter time than control subjects (61 versus 146 seconds, P = .003).
CONCLUSION: Training with a simulation-training scenario improved resident performance in the management of shoulder dystocia.
LEVEL OF EVIDENCE: I
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