Ob/Gyn Boot Camp Using High-Fidelity Human Simulators: Enhancing Residents’ Perceived Competency, Confidence in Taking a Leadership Role, and Stress Hardiness

Abstract

Boot Camp simulation training early in the curriculum has the potential for enhancing residents' self-assessments of confidence, competency, and stress hardiness in managing obstetrical emergencies.

Simulation based learning in midwifery education: A systematic review

“…Training covered umbilical cord prolapsed, 42 vaginal breech delivery, 21 pre-eclampsia, 31,43 PPH, 15,28,44 shoulder dystocia, 20,24,27,30,45 and combinations of the above. 5,25,26,[32][33][34]37,42,46 Notably, there were no studies of non-technical skills (leadership, teamwork, situation awareness, decision making) in undergraduate midwifery but a number that examined teamwork skills in a multi-professional setting. 29,[31][32][33][34]36,44,47,48 Pedagogical approach Reported pedagogical approaches also varied, ranging from low to high fidelity (Table 1).…”

“…48 Further, in obstetric emergencies, improvements in perceived technical competence and stress hardiness were noted, but with no improvement in medical residents perceived leadership ability. 25 Simulation was also used by Daniels et al 46 but in this study as an assessment tool, identifying failures in obstetrics teams management of hypotension and amniotic fluid embolism, including poor communication, failures in leadership, and workload allocation.…”

“…manikin and standardised patients) were also identified. 21,23,25,33,40,42,47 The literature review Aim…”

“…2,[9][10][11][12][13][14][15][16] Obstetricians, residents and medical students studying obstetric skills. [17][18][19][20][21][22][23][24][25] Team based studies (including obstetricians, residents, midwives, medical students, nurse anaesthetists; nurse midwives; auxiliaries). [26][27][28][29][30][31][32][33][34][35] Curricula approach…”

Key Elements of Clinical Physician Leadership at an Academic Medical Center

“…Training that is provided focuses predominately on the skills to succeed during specific highstress events. [14][15][16] The lack of formal training in leadership has left physicians feeling unprepared not only for specific events 17,18 but also unprepared for other, less well-defined leadership roles. Understanding physician attributes and behaviors that result in effective leadership can lay the groundwork for more formal leadership education for physicians-in-training.…”