Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON.
Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON.
J Obstet Gynaecol Can. 2022 Aug;44(8):934-937. doi: 10.1016/j.jogc.2022.04.011. Epub 2022 May 10.
This study aimed to assess the effectiveness of rapid cycle deliberate practice (RCDP) in improving obstetrics and gynaecology residents' performance and skill retention in forceps-assisted vaginal deliveries. Thirty-three residents were randomly assigned to RCDP or traditional debriefing. Performance was evaluated using an objective structured assessment of technical skills (OSATS) tool. There were no significant differences in immediate performance scores between groups (P = 0.082). At 4-6 months, both groups demonstrated improved performance scores (traditional, P = 0.001; RCDP, P = 0.001). Seventy-six percent of residents in the RCDP group indicated "real-time" feedback was advantageous. Three residents suggested this method was less beneficial at a senior level.
本研究旨在评估快速循环刻意练习（RCDP）在提高妇产科住院医师在产钳辅助阴道分娩中的表现和技能保留方面的效果。33 名住院医师被随机分配到 RCDP 组或传统讨论组。使用客观结构化评估技术技能（OSATS）工具评估表现。两组即时表现评分无显著差异（P=0.082）。4-6 个月后，两组的表现评分均有所提高（传统组，P=0.001；RCDP 组，P=0.001）。76%的 RCDP 组住院医师表示“实时”反馈是有利的。有 3 名住院医师认为这种方法在高级别时效果较差。
