Simulation training improves medical students' learning experiences when performing real vaginal deliveries.

摘要: OBJECTIVE To determine the relationship between simulation training for vaginal delivery maneuvers and subsequent participation in live deliveries during clinical rotation to assess medical students' performance confidence with without training. METHODS Medical students were randomized receive or not on a mannequin simulator at start of 6-week clerkship. Both groups received traditional didactic teaching. One researcher, blinded randomization, scored student competence overall simulator. Delivery was (1-5, 5 being highest) weeks 1 Students surveyed self-confidence ability perform 5, evaluated using obstetric patient logs. RESULTS Thirty-three randomized, 18 [simulation group (SIM)] 15 no [control (CON)]. Clerkship logs demonstrated that SIM participated more than CON (9.8 +/- 3.7 versus 6.2 2.8, P < 0.005). reported increased delivery, when compared end clerkship (3.81 0.83 3.00 1.0, respectively, 0.05). The score significantly higher SIM, week (3.94 0.94 2.07 1.22, 0.001) (4.88 0.33 4.31 0.63, simulated environment. CONCLUSIONS who participate actively environment course Student is beneficial learn skills minimal risk environment, demonstrate competency maneuvers, translate this into confidence.