Abstract
The aim of this study was the development of a curriculum for the management of postpartum hemorrhage and an objective assessment of technical skills (OSATS) for uterine compression sutures. Twenty-two residents participated in the study. Evaluations included the global rating scale, task-specific checklist, and pass/fail rating for the OSATS and task-specific checklist for the hemorrhage drill. The reliability and validity of the evaluation tools were calculated. The inter-rater reliability was 0.98 for the hemorrhage drill checklist, 0.77 for the global rating scale, and 0.93 for the uterine suture checklist. Construct validity evaluation revealed senior residents performed superiorly to junior residents on the global rating scale (P=0.006) and on the uterine suture checklist (P=0.04). There was an improvement in performance on the post-test in comparison to the pretest (P=0.001). We present an inexpensive, reliable, and valid curriculum to teach and evaluate the medical and surgical management of postpartum hemorrhage.
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