Gorantla Suhas, Bansal Utkarsh, Singh Jai Vir, Dwivedi Akhilesh Dutta, Malhotra Atul, Kumar Arunaz
1Monash University, Melbourne, Australia.
Hind Institute of Medical Sciences, Lucknow, Uttar Pradesh India.
Adv Simul (Lond). 2019 Apr 18;4:6. doi: 10.1186/s41077-019-0096-7. eCollection 2019.
Interprofessional simulation based education (SBE) improves core clinical skills and team training in obstetrics and gynaecology. In this innovative study, the introduction of an undergraduate interprofessional SBE program for teaching obstetrics and gynaecology skills in India was evaluated. The study attempted to evaluate the feasibility and benefit of the interprofessional skills training workshop in obstetrics and gynaecology, which was introduced for medical and midwifery students in a secondary level hospital in India. The program focuses on improving "hands-on" clinical skills and can be explained by the "skills acquisition theory". Using a survey, participants rated relevance, pitch and confidence (on a 5-point Likert scale) and described the contextualisation and teaching of core clinical skills through the workshop using free-text. Descriptive analysis of quantitative Likert scale responses and thematic analysis of the free-text data was conducted and themes identified. Ninety-five medical and midwifery students attended the inaugural workshop, in a low-resource setting. The clinical experience in obstetrics and gynaecology across both groups was minimal, neither were they exposed to any prior SBE. Both health professional groups found the workshop useful, relevant and improved their confidence in performing vaginal examination and births. The key theme, which emerged from qualitative analysis, was "getting hands-on" experience. Other themes included learning by simulation without clinical time constraints, retaining the ability to make mistakes, bridging theory to practice, valuing interprofessional experience and ensuring equal learning opportunities for all participating professional groups. The advantages of interprofessional SBE, for medical and midwifery students, are reproducible in a low-resource setting, and may be be helpful for learning intimate clinical examination, obstetric procedures and team training.
基于跨专业模拟的教育（SBE）可提高妇产科的核心临床技能和团队培训水平。在这项创新性研究中，对印度一项用于教授妇产科技能的本科跨专业SBE项目的引入情况进行了评估。该研究试图评估在印度一家二级医院为医学和助产专业学生开设的跨专业妇产科技能培训工作坊的可行性和益处。该项目专注于提高“实践”临床技能，这可以用“技能习得理论”来解释。通过一项调查，参与者对相关性、参与度和信心（采用5分制李克特量表）进行评分，并使用自由文本描述通过该工作坊进行的核心临床技能的情境化教学和指导。对李克特量表定量回答进行描述性分析，并对自由文本数据进行主题分析，确定了相关主题。在资源匮乏的环境中，95名医学和助产专业学生参加了首次工作坊。两组学生在妇产科方面的临床经验都很少，且此前均未接触过任何基于模拟的教育。两个卫生专业群体都认为该工作坊很有用、很有相关性，并且提高了他们进行阴道检查和接生的信心。定性分析得出的关键主题是“获得实践”经验。其他主题包括在无临床时间限制的情况下通过模拟学习、保留犯错的能力、将理论与实践相联系、重视跨专业经验以及确保所有参与专业群体都有平等的学习机会。跨专业SBE对医学和助产专业学生的优势在资源匮乏的环境中具有可重复性，可能有助于学习私密临床检查、产科操作和团队培训。
