TY - JOUR
T1 - Evaluation of residents' delivery notes after a simulated shoulder dystocia
AU - Deering, Shad
AU - Poggi, Sarah
AU - Hodor, Jonathan
AU - Macedonia, Christian
AU - Satin, Andrew J.
PY - 2004/10/1
Y1 - 2004/10/1
N2 - OBJECTIVE: To describe and analyze delivery notes after a shoulder dystocia drill with a birthing simulator METHODS: A total of 33 residents from 2 university training programs underwent testing on a standardized shoulder dystocia scenario with an obstetric birthing simulator. After the completion of the delivery, each resident was informed of the infant's Apgar scores and birth weight and told that the infant was moving all extremities. The resident was then given a blank progress note and asked to write a delivery note. The notes were evaluated for 15 key components. RESULTS: Seventy-six percent (n = 25) of residents recorded less than 10 of 15 key components of a delivery note after a shoulder dystocia. The majority of residents (91%, 30/33) included the correct order of the maneuvers used during the delivery, but most did not note which shoulder was anterior (18%, 6/33) or how long the head-to-body interval was during delivery (45%, 15/33). CONCLUSION: Residents' delivery notes after a shoulder dystocia simulation often lacked critical elements. Training in documentation is needed in residency training. The addition of the delivery note and feedback regarding the note represents a simple innovation in this teaching scenario that may help identify deficiencies in documentation.
AB - OBJECTIVE: To describe and analyze delivery notes after a shoulder dystocia drill with a birthing simulator METHODS: A total of 33 residents from 2 university training programs underwent testing on a standardized shoulder dystocia scenario with an obstetric birthing simulator. After the completion of the delivery, each resident was informed of the infant's Apgar scores and birth weight and told that the infant was moving all extremities. The resident was then given a blank progress note and asked to write a delivery note. The notes were evaluated for 15 key components. RESULTS: Seventy-six percent (n = 25) of residents recorded less than 10 of 15 key components of a delivery note after a shoulder dystocia. The majority of residents (91%, 30/33) included the correct order of the maneuvers used during the delivery, but most did not note which shoulder was anterior (18%, 6/33) or how long the head-to-body interval was during delivery (45%, 15/33). CONCLUSION: Residents' delivery notes after a shoulder dystocia simulation often lacked critical elements. Training in documentation is needed in residency training. The addition of the delivery note and feedback regarding the note represents a simple innovation in this teaching scenario that may help identify deficiencies in documentation.
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U2 - 10.1097/01.AOG.0000137347.94987.01
DO - 10.1097/01.AOG.0000137347.94987.01
M3 - Article
C2 - 15458883
AN - SCOPUS:7944232886
SN - 0029-7844
VL - 104
SP - 667
EP - 670
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 4
ER -