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Nitsche JF, Fino NF, Palomo JM, et al. Effectiveness of a Labor Cervical Exam Model in Family Medicine and OB-GYN Residents. Fam Med. 2017;49(5):384-387
Nitsche, J. F., Fino, N. F., Palomo, J. M., Perdomo, A. P., & Brost, B. C. (2017). Effectiveness of a Labor Cervical Exam Model in Family Medicine and OB-GYN Residents. Family medicine, 49(5), 384-387.
Nitsche, Joshua F, et al. "Effectiveness of a Labor Cervical Exam Model in Family Medicine and OB-GYN Residents." Family medicine vol. 49,5 (2017): 384-387.
Nitsche JF, Fino NF, Palomo JM, Perdomo AP, Brost BC. Effectiveness of a Labor Cervical Exam Model in Family Medicine and OB-GYN Residents. Fam Med. 2017 May;49(5):384-387. PMID: 28535320.
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Fam Med. 2017 May;49(5):384-387.

Effectiveness of a Labor Cervical Exam Model in Family Medicine and OB-GYN Residents.

Family medicine

Joshua F Nitsche, Nora F Fino, Jose M Palomo, Abraham Portillo Perdomo, Brian C Brost

Affiliations

  1. Department of Maternal-Fetal Medicine, Wake Forest School of Medicine.

PMID: 28535320

Abstract

BACKGROUND AND OBJECTIVES: Labor cervical exam accuracy is an essential skill for family medicine and OB-GYN residents to master. To determine the effectiveness of simulation on labor cervical exam training, family medicine and OB-GYN residents were trained using a self-constructed PVC pipe-based cervical exam model during a short and intensive simulation workshop or "boot camp."

METHODS: A task trainer was constructed that allows for the blind examination of cervical dilation and effacement. This model was used in the training of first-year family medicine and OB-GYN residents during an 8 day simulation course. A longitudinal comparison of pre- and post-training accuracy was performed. Using a cohort design, the post-training accuracy of first-year family medicine and OB-GYN residents (interns) was also compared to second-fourth year OB-GYN residents.

RESULTS: Use of the model by interns (n=25) resulted in significant improvements in the accuracy of their assessments of cervical dilation, but not effacement, and decreased intra-rater variability. When compared to the second-fourth year residents (n=25) who received traditional training, but not simulation training, interns were significantly more accurate and showed less intra-rater variability in their assessments of both dilation and effacement immediately after training compared to their senior colleagues.

CONCLUSIONS: Training with the cervical exam model improved interns' accuracy and precision immediately after an 8-day simulation course. Use of this model in resident education may aid in the early stages of training and benefit more experienced trainees by augmenting traditional clinical training.

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