Skill retention at 6 versus 12 months after simulation training in singleton vaginal breech delivery: a randomised controlled study Abstract
Man Hin Menelik LEE, Chau Ngan CHAN, Teresa Wei Ling MA
Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong
Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong
Introduction: Current evidence suggests that annual simulation training is adequate to maintain skills for management of vaginal breech delivery. This study aimed to investigate whether skill levels declined at 6 months and further declined at 12 months after training.
Methods: In this randomised single-blinded study, 12 obstetricians and 42 midwives were assigned at random to attend a 1-hour training session (lecture and simulation on singleton vaginal breech delivery) conducted at month 0 (control group) and at month 6 (intervention group). Their skill score was assessed before training (pre-test), immediately after training (at-test), and 12 months after training (post-test).
Methods: In this randomised single-blinded study, 12 obstetricians and 42 midwives were assigned at random to attend a 1-hour training session (lecture and simulation on singleton vaginal breech delivery) conducted at month 0 (control group) and at month 6 (intervention group). Their skill score was assessed before training (pre-test), immediately after training (at-test), and 12 months after training (post-test).
Results: Compared with the pre-test score, skill scores increased immediately after the simulation training (at-test) in the intervention group (7.98 vs 15.03, p<0.001) and in the control group (6.86 vs 14.92, p<0.001). Compared with the at-test score, skill scores decreased 6 months after the training (post-test) in the intervention group (15.03 vs 9.57, p<0.001) and 12 months after the training in the control group (14.92 vs 9.74, p<0.001). However, post-test skill scores were better than pre-test skill scores. The two groups were comparable in terms of the decline in skill score
from at-test to post-test (-5.49 vs -4.90, p=0.606).
Conclusions: Simulation training results in short-term and long-term improvements in vaginal birth delivery skills. However, skill scores degrade over time and ongoing training at a minimum of 12-month interval is suggested for obstetricians and midwives.
from at-test to post-test (-5.49 vs -4.90, p=0.606).
Conclusions: Simulation training results in short-term and long-term improvements in vaginal birth delivery skills. However, skill scores degrade over time and ongoing training at a minimum of 12-month interval is suggested for obstetricians and midwives.
