Intern Bootcamp Cervical Dilation Simulation: Findings and Assessment [34M

Abstract

INTRODUCTION: Evaluation of cervical dilation during labor is a learned tactile skill that requires consistency in order to adequately manage laboring patients. Traditionally this skill has been taught by subjecting laboring women to multiple pelvic exams in order to ensure that more junior providers have a similar assessment of a patient’s dilation as compared with more experienced providers. The purpose of this study is to see if simulated cervical dilation models can begin to teach this learned tactile skill and shorten the learning curve to competency. METHODS: We modified a cervical dilation simulation model and integrated this into our intern bootcamp. A baseline level of accuracy was obtained on our model and then learners practiced performing simulated cervical exams on our simulation model. On subsequent days, a series of four cervical exam quizzes were given and cervical exam accuracy was assessed for each quiz. A survey of impressions of the model and self-rated confidence regarding cervical exams was also obtained. RESULTS: There was a general trend of improving accuracy in the cervical exams with increasing exposure. Prior to the workshop 100% of residents did not feel confident in their cervical exams with 75% of respondents having no experience performing cervical exams on a laboring patient. After the workshop, 100% of the residents felt somewhat confident in their cervical exams. CONCLUSION: This simulation provides an innovative way to teach inexperienced providers basic obstetric skills that can be used in immediate practice.