Forceps-Assisted Vaginal Delivery Objective Structured Clinical Skills Exam (OSCE)

Publication ID Published Volume
8562 October 26, 2011 7
University of Louisville School of Medicine

Abstract

Currently, the average graduate from residency training in Obstetrics and Gynecology in the United States has performed five forceps-assisted vaginal deliveries in the surgeon’s role during training (1). The relative rarity with which this procedure is performed limits opportunities for assessment of competence. This Objective Structured Clinical Examination was designed both to provide formative feedback to learners and to assist with summative manner assessment of competence in the performance of forceps-assisted vaginal delivery.

This learning resource gives instructions and assessment tools to implement a three-station OSCE in forceps-assisted vaginal delivery. The competencies of interpersonal communication and professionalism are assessed as residents complete an informed consent discussion station, medical knowledge and patient care are assessed at a forceps-assisted vaginal delivery simulation station, and patient care and professionalism are assessed at a documentation station.

Following our implementation of this session in our residency training program, residents indicated an increased level of comfort with forceps-assisted vaginal delivery and we noted an increase in our operative vaginal delivery volume. This Objective Structured Clinical Examination allows programs to provide formative feedback to learners and to assist in a summative manner with assessment of competence in the performance of forceps-assisted vaginal delivery.

Citation

Petruska S, Bohnert C. Forceps-assisted vaginal delivery objective structured clinical skills exam (OSCE). MedEdPORTAL Publications. 2011;7:8562. http://dx.doi.org/10.15766/mep_2374-8265.8562

Educational Objectives

  1. To conduct an informed consent discussion for operative vaginal delivery.
  2. To perform a forceps-assisted vaginal delivery with the obstetrical simulator demonstrating appropriate technique.
  3. To write a delivery note properly documenting the procedure.

Keywords

  • OSCE, Operative Vaginal Delivery, Forceps-Assisted Vaginal Delivery, Informed Consent

Prior Scholarly Dissemination

References

  1. ACGME National Case Log statistics, 2010.
  2. MIRS adapted by Gayle Gliva-McConvey et all, The Theresa A Thomas Professional Skills Teaching & Assessment Center at Eastern Virginia Medical School and used with permission.
  3. Angoff, Scales, norms and equivalent scores. In R.L. Thorndike (Ed.), Educational Measurement (2nd ed pp 508-600). Washington, DC: American Council on Education, 1971.

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ISSN 2374-8265