Simulation as a tool for improving acquisition of neonatal resuscitation skills for obstetric residents

C. J. Bruno, R. Angert, O. Rosen, C. Lee, M. Vega, M. Kim, Y. Yu, P. S. Bernstein, D. Goffman

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Objective: Our goal was to compare the confidence, knowledge, and performance of obstetric residents taught initial neonatal resuscitation steps in a simulation-based versus lecture-based format.Methods: Our study was a prospective randomized controlled trial of 33 obstetric residents. Baseline confidence, knowledge, and clinical skills assessments were performed. Subjects were randomized to traditional lecture (n = 14) or simulation-based (n = 19) neonatal resuscitation curriculum with a focus on initial steps. Follow-up assessments were performed at 3 and 6 months. Total confidence, knowledge, and clinical performance scores and change from baseline in these scores were calculated and compared between groups.Results: Both the lecture-based and simulated-based groups demonstrated significant improvement in confidence, knowledge, and performance over time. However, compared with the lecture group, the magnitude of the mean change from baseline in performance scores was significantly greater in the simulation group at 3 months (2.9 versus 10.1; p < 0.001), but not at 6 months (7.0 versus 9.3; p = 0.11).Conclusions: Our study demonstrates the superiority of simulation in teaching obstetric residents initial neonatal resuscitation steps compared with a traditional lecture format. Skills are retained for upwards of 3-6 months. Refresher instruction by 6 months post-instruction may be beneficial.

Original languageEnglish (US)
Pages (from-to)2625-2629
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume29
Issue number16
DOIs
StatePublished - Aug 17 2016

Keywords

  • Cardiopulmonary
  • delivery room
  • newborns
  • obstetricians

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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