Assessment of performance over competence after a simulation-based training among post graduates of obstetrics

Abstract

: There are real differences in between what doctors do in controlled settings or their actual performance in real life situation. This study was carried to find out whether there is achievement of performance apart from competence after a simulation based training among post graduates of obstetrics.: Seven resident doctors of Obstetrics and Gynecology were randomly assigned to study group A and the other seven to control group B. The study group students were taught normal delivery on birthing simulators. They were then evaluated for competence through an OSPE performance followed by DOPS in labour room by independent observers. Constructive feedback was given. The control group then underwent a crossover On analyzing the results it was found that competence achieved was better in study group as compared to control group for conducting vaginal delivery and this was statistically significant for all 5 OSCE stations. Performance achieved in conducting normal delivery was measured by DOPS which was also better in study group as compared to control group and this was statistically significant for all the 11 skills. Comparison was done by applying unpaired student’s t-test for both OSCE and DOPS. Faculty and students had good satisfaction with simulation based teaching and found it to be a better method than the traditional method.Simulation based training of postgraduates helped them in achieving performance over competence in conducting vaginal delivery in labour room. They could not only perform well in controlled situations but they also performed well on patients.