HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Deering, S. Articles by Satin, A. J. Search for Related Content PubMed PubMed Citation Articles by Deering, S. Articles by Satin, A. J. Related Collections Medical education Obstetric complications of pregnancy

Evaluation of Residents’ Delivery Notes After a Simulated Shoulder Dystocia

Shad Deering, MD^*, Sarah Poggi, MD^*, Jonathan Hodor, DO, Christian Macedonia, MD and Andrew J. Satin, MD

From *Georgetown University Hospital, Washington, DC; National Naval Medical Center, Bethesda, Maryland; and Uniformed Services University, 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 describe and analyze delivery notes after a shoulder dystocia drill with a birthing simulator

METHODS: A total of 33 residents from 2 university training programs underwent testing on a standardized shoulder dystocia scenario with an obstetric birthing simulator. After the completion of the delivery, each resident was informed of the infant's Apgar scores and birth weight and told that the infant was moving all extremities. The resident was then given a blank progress note and asked to write a delivery note. The notes were evaluated for 15 key components.

RESULTS: Seventy-six percent (n = 25) of residents recorded less than 10 of 15 key components of a delivery note after a shoulder dystocia. The majority of residents (91%, 30/33) included the correct order of the maneuvers used during the delivery, but most did not note which shoulder was anterior (18%, 6/33) or how long the head-to-body interval was during delivery (45%, 15/33).

CONCLUSION: Residents’ delivery notes after a shoulder dystocia simulation often lacked critical elements. Training in documentation is needed in residency training. The addition of the delivery note and feedback regarding the note represents a simple innovation in this teaching scenario that may help identify deficiencies in documentation.

LEVEL OF EVIDENCE: III

This article has been cited by other articles:

				P. D. Stetson, F. P. Morrison, S. Bakken, S. B. Johnson, and eNote Research Team Preliminary Development of the Physician Documentation Quality Instrument J. Am. Med. Inform. Assoc., July 1, 2008; 15(4): 534 - 541. [Abstract] [Full Text] [PDF]

				R. Gherman and S. Chauhan Evaluation of Residents' Delivery Notes After a Simulated Shoulder Dystocia Obstet. Gynecol., February 1, 2005; 105(2): 448 - 448. [Full Text] [PDF]

				S. Deering and A. J. Satin Evaluation of Residents' Delivery Notes After a Simulated Shoulder Dystocia Obstet. Gynecol., February 1, 2005; 105(2): 448 - 449. [Full Text] [PDF]

				M. A. Belfort Shoulder Dystocia and Flying Airplanes! Obstet. Gynecol., October 1, 2004; 104(4): 658 - 660. [Full Text] [PDF]