Objective: To implement a vaginal delivery of the second twin simulation program for obstetric and gynecology residents, to reduce maternal-fetal mortality in the management of twin pregnancies in the delivery room.
Design: A prospective education program. The session consisted of a theoretical part, a practical part on a mannequin and an evaluation. The model was designed in a simple and reproducible way. The simulation evaluation was done at several levels according to the validated Kirkpatrick model.
Setting: A tertiary level university maternity hospital.
Participants: Ten obstetric and gynecology residents participated.
Results: The resident's personal feelings about their ability to perform the maneuvers increased significantly after participation in the simulation session. Their technical skills in performing the maneuvers were assessed in a second step. The majority of the participants considered the model realistic and the session useful. All agreed that the simulation was an essential part of their learning process.
Conclusion: A simulated vaginal delivery of the second twin session allows residents to be safely trained in these obstetrical maneuvers, which can be difficult to teach and perform.
Keywords: Breech extraction; Competencies; Medical knowledge; Patient care; Resident; Simulation; Simulation-based training; Systems-based practice; Twin pregnancy; Twin vaginal delivery.
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