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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Acosta, T; Sutton, JM; Dotters-Katz, S

Published Date

  • February 14, 2020

Published In

  • Mededportal

Volume / Issue

  • 16 /

Start / End Page

  • 10878 -

PubMed ID

  • 32175471

Pubmed Central ID

  • PMC7062555

Electronic International Standard Serial Number (EISSN)

  • 2374-8265

Digital Object Identifier (DOI)

  • 10.15766/mep_2374-8265.10878


  • eng

Conference Location

  • United States