(678) Impact of Simulation-Based Training on OB/GYN Residents’ Competence in Managing Second-Stage Obstructive Labor Complications

To evaluate the impact of weekly multidisciplinary simulation-based training on residents’ knowledge and skills in managing second-stage obstructive labor complications, including shoulder dystocia and impacted fetal head during cesarean delivery.

Study Design:

This interventional study was conducted from November 2024 to August 2025. Weekly two-hour simulation sessions were held in the labor ward, combining hands-on practice with obstetric trainer manikins and communication/teamwork exercises involving residents and midwives. Senior physicians participated in each session—one portraying the patient and another evaluating resident performance. Scenarios were tailored by a multidisciplinary team. Residents’ knowledge and technical skills were assessed before and after the intervention using a written questionnaire and the Objective Structured Assessment of Technical Skills (OSATS), through both self-assessment and senior physician observation.

Results:

Thirty residents participated in 62 simulation sessions. Knowledge scores improved from 44.2 ± 15.9 to 65.0 ± 17.7 (p < 0.001), and OSATS scores increased from 38.3 ± 7.3 pre and post intervention respectively to 43.4 ± 10.5 (p = 0.007). Notably, a statistically significant difference was found between the residents’ self-assessed OSATS scores after simulation (43.4 ± 10.5) and the evaluations by senior physicians (49.6 ± 9.0), highlighting improvement and the added value of expert feedback (p < 0.001).

Conclusion:

Weekly simulation-based training significantly improved residents’ knowledge and skills in managing second-stage obstructive labor complications. These findings support incorporating simulation into obstetrics residency curricula to enhance clinical preparedness. Further research is needed to assess the effect on maternal and neonatal outcomes.