Impact of high fidelity simulation on perceptions and professional skills in obstetrics.

Abstract

Background: In our country, the introduction of simulation as a teachingtool for obstetric emergencies isveryrecent. Severalstudies are beingdeveloped to evaluateitsbenefit in the continuingeducation of healthprofessionals.
Objective: To evaluate the impact of a continuingmedicaleducation program based on High fidelity simulation drills (HFS) on professionalskills in obstetrics.
Results: 91 Learnerswere able to benefitfrom HFS continuingeducation program. Mean job tenure was 7.94 years [1-40]. Wewere able to highlight a positive impact of level 1 with satisfaction rates of more than 90%. 92% of participants saidtheyleftwithtools applicable in the functionframework. Midwives and emergency physicianswere the mostsatisfied. The generalevaluationbefore the beginning of the training hadrevealed an average score of 7.12/20 [2/20-13/20]. The variance of scores initiallyobtainedwassignificantlyrelated to the profession of the learner (p <0.0001, R = 0.61). Wefoundsignificantimprovement in post-training scores (p = 0.0001) and a meandifference of +1.46 [-6, +8.66]. Theseresultshighlight a level 2 impact of HFS training on learners' knowledge.
Conclusion: In this pilot multidisciplinary team training project in obstetrics, we highlighted a Level 1 and 2 impact on the Kirkpatrick  scale.