Abstract
Background: Skilled performance of cesarean deliveries is essential in obstetrics and gynecology residency. A computer-enhanced visual learning module (CEVL Cesarean) was developed to teach cesarean deliveries.
Methods: An online module presented cesarean deliveries as a series of components using text, audio, video and animation. First-year residents used CEVL Cesarean and were evaluated intra-operatively by trained raters, then provided feedback about surgical performance. Clinical outcomes were collected for approximately 50 cesarean deliveries for each resident.
Results: From 2010 to 2011, 12 first-year residents participated in the study. About 406 unique observed cesarean deliveries were analyzed. Procedures up to each resident's 70th case were analyzed by grouping cases in 10s (cases 1-10 and 11-20), or deciles. Resident performance significantly improved by decile [χ 2 (6)=47.56, p0.001]. When examining each resident's performance, surgical skill acquisition plateaued by cases 21-30. Procedural performance, independent of resident, also improved significantly by decile [χ 2 (6)=186.95, p0.001], plateauing by decile 4 (cases 31-40). Throughout the observation period, operative time decreased by 3.84min (p=0.006).
Conclusions: Pre-clinical teaching using computer-based modules for cesarean sections is feasible to develop. Novice surgeons required at least 30 procedures before performing the procedure competently. When residents performed competently, operative time and complications decreased.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 958-964 |
| Number of pages | 7 |
| Journal | Medical Teacher |
| Volume | 36 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 1 2014 |
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ASJC Scopus subject areas
- Education
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Development and evaluation of cesarean section surgical training using computer-enhanced visual learning. / York, Sloane L.; Maizels, Max; Cohen, Elaine; Stoltz, Rachel Stork; Jamil, Adeel; McGaghie, William C.; Gossett, Dana R.
In: Medical Teacher, Vol. 36, No. 11, 01.11.2014, p. 958-964.Research output: Contribution to journal › Article
TY - JOUR
T1 - Development and evaluation of cesarean section surgical training using computer-enhanced visual learning
AU - York, Sloane L.
AU - Maizels, Max
AU - Cohen, Elaine
AU - Stoltz, Rachel Stork
AU - Jamil, Adeel
AU - McGaghie, William C.
AU - Gossett, Dana R.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Background: Skilled performance of cesarean deliveries is essential in obstetrics and gynecology residency. A computer-enhanced visual learning module (CEVL Cesarean) was developed to teach cesarean deliveries.Methods: An online module presented cesarean deliveries as a series of components using text, audio, video and animation. First-year residents used CEVL Cesarean and were evaluated intra-operatively by trained raters, then provided feedback about surgical performance. Clinical outcomes were collected for approximately 50 cesarean deliveries for each resident. Results: From 2010 to 2011, 12 first-year residents participated in the study. About 406 unique observed cesarean deliveries were analyzed. Procedures up to each resident's 70th case were analyzed by grouping cases in 10s (cases 1-10 and 11-20), or deciles. Resident performance significantly improved by decile [χ 2 (6)=47.56, p0.001]. When examining each resident's performance, surgical skill acquisition plateaued by cases 21-30. Procedural performance, independent of resident, also improved significantly by decile [χ 2 (6)=186.95, p0.001], plateauing by decile 4 (cases 31-40). Throughout the observation period, operative time decreased by 3.84min (p=0.006). Conclusions: Pre-clinical teaching using computer-based modules for cesarean sections is feasible to develop. Novice surgeons required at least 30 procedures before performing the procedure competently. When residents performed competently, operative time and complications decreased.
AB - Background: Skilled performance of cesarean deliveries is essential in obstetrics and gynecology residency. A computer-enhanced visual learning module (CEVL Cesarean) was developed to teach cesarean deliveries.Methods: An online module presented cesarean deliveries as a series of components using text, audio, video and animation. First-year residents used CEVL Cesarean and were evaluated intra-operatively by trained raters, then provided feedback about surgical performance. Clinical outcomes were collected for approximately 50 cesarean deliveries for each resident. Results: From 2010 to 2011, 12 first-year residents participated in the study. About 406 unique observed cesarean deliveries were analyzed. Procedures up to each resident's 70th case were analyzed by grouping cases in 10s (cases 1-10 and 11-20), or deciles. Resident performance significantly improved by decile [χ 2 (6)=47.56, p0.001]. When examining each resident's performance, surgical skill acquisition plateaued by cases 21-30. Procedural performance, independent of resident, also improved significantly by decile [χ 2 (6)=186.95, p0.001], plateauing by decile 4 (cases 31-40). Throughout the observation period, operative time decreased by 3.84min (p=0.006). Conclusions: Pre-clinical teaching using computer-based modules for cesarean sections is feasible to develop. Novice surgeons required at least 30 procedures before performing the procedure competently. When residents performed competently, operative time and complications decreased.
UR - http://www.scopus.com/inward/record.url?scp=84911916753&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84911916753&partnerID=8YFLogxK
U2 - 10.3109/0142159X.2014.917156
DO - 10.3109/0142159X.2014.917156
M3 - Article
VL - 36
SP - 958
EP - 964
JO - Medical Teacher
JF - Medical Teacher
SN - 0142-159X
IS - 11
ER -