Comparison of two simulation-based learning activities in the acquisition of childbirth delivery skills

• Grant number: 19/11551-4
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Effective date (Start): November 01, 2019
• Effective date (End): October 31, 2020
• Field of knowledge: Health Sciences - Medicine
• Principal Investigator: Roseli Mieko Yamamoto Nomura
• Grantee: Lívia Helena Gonçalves Mitsui
• Host Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo , SP, Brazil

Abstract

The increasing interest in medical simulations, particularly in Obstetrics, is due to contemporary changes in medical education. Objectives: This study aims to compare two different simulator-based learning activity concerning delivery assistance, in order to verify which of the two methods offers better acquisition of expected skills by analyzing the knowledge acquired by undergraduate medical students. Methods: It is an applied-type research, that will be developed at the Center for Teaching Skills and Simulation - CEHS - UNIFESP. The sample size will be 50 participants. The established scenario will take course at the Normal Delivery Center and the procedures will be simulated with the high-fidelity simulator Noelle S575. At each block of the curriculum of the 5th year of the medical course, the simulations will take place in two groups of four to five students, in two different dates: one for training and another for evaluation. In both groups, there will be a briefing session prior to the simulation, with the presentation of videos on childbirth care and instructions for the following scenario. Group A will observe a standard simulation of childbirth care, and then a student will be required to repeat the scenario right after; Group B will be exposed to the scenario directly, in which one student will be required to simulate the delivery assistance, and then another student will be selected to repeat the scenario. After each simulation, there will be the debriefing session, which will be recorded for later analyses and evaluation, that shall be done by using a scoring instrument. To assess the acquired knowledge and skills, the same scenario will be repeated to 2 students one week after the first session, and an instrument of evaluation will be applied. The final evaluation will consist of the score obtained by the student during the debriefing session of the first meeting with the grade of the simulation. The variables will be studied descriptively regarding the characterization of the participants and the results of the evaluation instruments, and, in addition, a quantitative analysis will be done by observing the minimum and maximum values, the calculation of medians, means and standard deviations.