Improving resident competency in the management of shoulder dystocia with simulation training

Shad Deering, Sarah Poggi, Christian Macedonia, Robert Gherman, Andrew J. Satin

Research output: Contribution to journalArticlepeer-review


OBJECTIVE: To determine whether a simulation training scenario improves resident competency in the management of shoulder dystocia. METHODS: Residents from 2 training programs participated in this study. The residents were block-randomized by year-group to a training session on shoulder dystocia management that used an obstetric birthing simulator or to a control group with no specific training. Trained residents and control subjects were subsequently tested on a standardized shoulder dystecia scenario, and the encounters were digitally recorded. A physician grader from an external institution then graded and rated the resident's performance with a standardized evaluation sheet. Statistical analysis included the Student t test, χ2, and regression analysis, as appropriate. RESULTS: Trained residents had significantly higher scores in all evaluation categories, including timelines of their interventions, performance of maneuvers, and overall performance. They also performed the delivery in a shorter time than control subjects (61 versus 146 seconds, P = .003). CONCLUSION: Training with a simulation-training scenario improved resident performance in the management of shoulder dystocia.

Original languageEnglish (US)
Pages (from-to)1224-1228
Number of pages5
JournalObstetrics and gynecology
Issue number6
StatePublished - Jun 1 2004
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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