Capacity building in obstetric ultrasound: Impact of simulation based clinical teaching on resident training at a health facility in India

IF 2.6 3区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Gynecology & Obstetrics Pub Date : 2024-12-04 DOI:10.1002/ijgo.16076

Latika Chawla, Rajan Kumar, Shalini Rajaram, Shalinee Rao, Kanak Dubey, Anupama Bahadur, Amrita Gaurav, Kavita Khoiwal, Rajlaxmi Mundra, Om Kumari, Poonam Gill, Jaya Chaturvedi

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引用次数: 0

Abstract

Objective

Current postgraduate curriculum in India lacks practical training in ultrasound for residents in obstetrics and gynecology. The objective of this study was to develop and assess impact of a capacity building program utilizing clinical teaching and simulation to enhance knowledge and skills of residents at a healthcare facility in India.

Methods

A training program comprising of 14 modules on basic obstetric ultrasounds was created over 3 months. These modules, validated by fetal medicine experts, underwent a pilot study for face validity. A total of 18 newly enrolled junior residents without prior ultrasound experience were recruited. A two-day workshop included interactive module sessions and 6 h and 30 min of hands-on training using an obstetric simulator. Pre- and post-tests consisting of 50 multiple-choice questions (MCQs) assessed knowledge. Follow-up assessments were carried out at 1 and 3 months. Skill assessment at the third month was conducted using an objective structured practical examination (OSPE), alongside image submission by residents.

Results

There was significant improvement in marks over time, with a mean pretest score of 24 ± 2.7 out of 50 marks, post-test score of 36.81 ± 2.86 and stable scores (34.6 ± 3.21, 34.4 ± 2.96) during follow-up reviews. OSPE scores at third month averaged at 21.47 ± 2.3 (maximum marks 30); image assessment scores averaged at 83 ± 8.62 (maximum marks 100). Participant feedback indicated a positive response to all program aspects (practicality, content and structured training). Confidence levels in performing clinical ultrasound improved significantly after attending the module (P < 0.0001).

Conclusion

Simulation with clinical teaching effectively enhanced knowledge and skills of residents, fostering confidence in performing basic obstetric ultrasounds early on in their residency. Integrating similar capacity building initiatives into residency training programs can improve healthcare delivery by ensuring a well prepared cadre of doctors skilled in obstetric ultrasounds.

查看原文本刊更多论文

产科超声能力建设：基于模拟的临床教学对印度一家卫生机构住院医师培训的影响。

目的：印度目前的研究生课程缺乏妇产科住院医师超声实践培训。本研究的目的是开发和评估利用临床教学和模拟的能力建设计划的影响，以提高印度一家医疗机构居民的知识和技能。方法：在3个月的时间里，制定了包括14个单元的基础产科超声培训计划。这些模块经过了胎儿医学专家的验证，并进行了面部有效性的初步研究。总共招募了18名没有超声经验的新入组初级住院医师。为期两天的讲习班包括互动式模块会议和使用产科模拟器进行6小时30分钟的实践培训。由50个选择题（mcq）组成的前后测试评估知识。在1个月和3个月时进行随访评估。第三个月的技能评估使用客观结构化实践考试（OSPE）进行，同时由居民提交图像。结果：随着时间的推移，两组患者的评分均有显著改善，平均前测评分为24±2.7分（满分50分），后测评分为36.81±2.86分，随访评分稳定（34.6±3.21分，34.4±2.96分）。第三个月平均评分为21.47±2.3分（最高30分）；图像评价平均得分为83±8.62分（满分100分）。参与者的反馈表明，对项目的所有方面（实用性、内容和结构化培训）都有积极的反应。结论：结合临床教学的模拟有效地提高了住院医师的知识和技能，培养了住院医师早期进行基础产科超声检查的信心。将类似的能力建设举措纳入住院医师培训计划，可以通过确保有一支熟练掌握产科超声的医生队伍来改善医疗保健服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Gynecology & Obstetrics 医学-妇产科学

CiteScore

5.80

自引率

2.60%

发文量

493

审稿时长

3-6 weeks

期刊介绍： The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.