Forceps-Assisted Vaginal Delivery Objective Structured Clinical Skills Exam (OSCE)

Abstract

OPEN ACCESSOctober 26, 2011Forceps-Assisted Vaginal Delivery Objective Structured Clinical Skills Exam (OSCE) Sara Petruska, MD, Carrie Bohnert, MPA Sara Petruska, MD University of Louisville School of Medicine Google Scholar More articles by this author , Carrie Bohnert, MPA University of Louisville School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.8562 SectionsAboutAbstract ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstract Introduction: Currently, the average graduate from residency training in obstetrics-gynecology in the U.S. has performed five forceps-assisted vaginal deliveries in the surgeon's role during training. The relative rarity with which this procedure is performed limits opportunities for assessment of competence. This objective structured clinical examination (OSCE) was designed both to provide formative feedback to learners and to assist with summative assessment of competence in the performance of forceps-assisted vaginal delivery. Methods: This learning resource gives instructions and assessment tools to implement a three-station OSCE in forceps-assisted vaginal delivery. The competencies of interpersonal communication and professionalism are assessed as residents complete an informed consent discussion station, medical knowledge and patient care are assessed at a forceps-assisted vaginal delivery simulation station, and patient care and professionalism are assessed at a documentation station. Results: Following our implementation of this session in our residency training program, residents indicated an increased level of comfort with forceps-assisted vaginal delivery and we noted an increase in our operative vaginal delivery volume. This OSCE allows programs to provide formative feedback to learners and to assist in a summative manner with assessment of competence in the performance of forceps-assisted vaginal delivery. Discussion: As structured, the consent discussion station is focused on evaluating the competencies of professionalism and interpersonal communications, but does not substantively evaluate the content of the resident's counseling for medical knowledge. The scoring instrument for this station could be expanded to more thoroughly evaluate the resident's medical knowledge, or this could be assessed separately via a multiple-choice or short-answer quiz at another station. Educational Objectives By the end of this module, the learner will be able to: Conduct an informed consent discussion for operative vaginal delivery.Perform a forceps-assisted vaginal delivery with the obstetrical simulator demonstrating appropriate technique.Write a delivery note properly documenting the procedure. ReferencesACGME National Case Log statistics, 2010.Google ScholarAngoff Scales, norms and equivalent scores. In Thorndike RL (Ed.), Educational Measurement (2nd ed pp 508–600). Washington, DC: American Council on Education, 1971.Google Scholar Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Standardized Patient Instructions.doc Forceps-Assisted Vaginal Delivery OSCE.docx Operative Vaginal Delivery OSCE Resident Packet.docx To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. This publication includes large downloadable files. If you experience difficulty downloading these files, please contact [email protected] to receive a free DVD version via mail. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Copyright & Permissions© 2011 Petruska and Bohnert. This is an open-access publication distributed under the terms of the Creative Commons Attribution-Share Alike license.KeywordsInformed ConsentOSCEForceps-Assisted Vaginal DeliveryOperative Vaginal DeliveryAcknowledgmentsMIRS adapted by Gayle Gliva-McConvey, et al, The Theresa A Thomas Professional Skills Teaching & Assessment Center at Eastern Virginia Medical School and used with permission. Disclosures None to report. Funding/Support None to report. Loading ...