Vieille P, Mousty E, Letouzey V, Mares P, de Tayrac R
Service de gynécologie obstétrique, CHU Carémeau, 30029 Nîmes, France.
Service de gynécologie obstétrique, CHU Carémeau, 30029 Nîmes, France.
J Gynecol Obstet Biol Reprod (Paris). 2015 May;44(5):471-8. doi: 10.1016/j.jgyn.2014.08.001. Epub 2014 Sep 26.
The aim of this study was to assess the gynecology obstetric residents training on a birth simulator.
This is a prospective monocentric study, which had included residents at the beginning of their formation and performed on SIMone™, 3B SCIENTIFIC(®) birth simulator. It had included four sessions (supervised by two seniors registrar): two on instrumental extraction (vacuum and forceps) and two on labor monitoring. The two sessions were performed at one month. A theoretical formation was accomplished after the first assessment. Three assessments were performed based on two score scales (extraction and labor monitoring). A free training was allowed at each extraction session.
Twelve interns were included in this study. There was a significant scores improvement between first and third session for instrumental extraction (2.4 points on 11 [±1.8] vs. 8 [±0.9]; [P<0.05]) and for labor monitoring (5.2 [±1.4] points on 9 vs. 6.6 [±1.3]; [P<0.05]). Interns considered this training improved their theoretical and practical knowledge for respectively 11 and 12 interns on 12. For 9 interns, a most important debriefing with teachers was desirable.
Training on birth simulator allows an improvement of knowledge and skill of gynecology obstetric interns. A structured debriefing should be instituted after the sessions.
本研究旨在评估妇产科住院医师在分娩模拟器上的培训情况。
这是一项前瞻性单中心研究，纳入了刚开始培训的住院医师，并在3B SCIENTIFIC（®）的SIMone™分娩模拟器上进行。研究包括四个培训环节（由两名高级住院医师指导）：两个关于器械助产（真空吸引和产钳助产）的环节和两个关于产程监测的环节。两个环节在一个月内完成。在第一次评估后进行了理论培训。基于两个评分量表（助产和产程监测）进行了三次评估。每次助产环节都允许进行自由培训。
本研究纳入了12名实习生。在器械助产方面，第一次和第三次培训环节之间的得分有显著提高（11分制中从2.4分[±1.8]提高到8分[±0.9]；[P<0.05]），在产程监测方面也有显著提高（9分制中从5.2分[±1.4]提高到6.6分[±1.3]；[P<0.05]）。12名实习生中有11名和12名分别认为这种培训提高了他们的理论和实践知识。9名实习生希望能与教师进行更重要的总结汇报。
分娩模拟器培训可提高妇产科实习生的知识和技能。培训环节后应建立结构化的总结汇报机制。
