Efficacy of different role-playing shoulder Dystocia management on simulation-based training in medical students
Creators: name: Morakot Suwanwanich
Publisher: name: F1000 Research Limited
Year: 2023

description: <b>Background</b><br>
Shoulder dystocia is the emergency situation of prolongation head to body delivery time more than 60 seconds has also significant perinatal morbidity and mortality. The success of treatment depends on skills training for management and the team’s cooperation. However, medical students often lack the opportunity to practice the shoulder dystocia with team. Therefore, I would like to teach the knowledge skills along with teamwork. This study aimed to study the effectiveness different role-playing shoulder dystocia management skills on simulation-based training in medical students.<br>
<b>Summary Of Work</b><br>
A prospective randomized controlled trial study was conducted in the 6<sup>th </sup>year of medical students who attended in department of obstetrics and gynecology. All participants were given pre-test  then were randomized in two groups. The control group studied the simulation-based training with only one role as a doctor. The experimental group studied the different roles such as doctor, nurse and healthcare assistant alternately. Both groups were supervised by experienced obstetricians. After training, participants were evaluated knowledge skills by Objective Structured Clinical Examination (OSCE) which included the global rating scale and satisfaction survey using an assessment forms.<br>
<b>Summary Of Results</b><br>
Thirty-six medical students were enrolled. There was no difference in baseline participants’ characteristics between groups. The mean of total OSCE (Objective Structured Clinical Examinations) scores in the different role-playing group were 48.48±5.19 compared to 41.53±6.08 in the control group, p&lt;0.05. Students in the different role-playing group felt more satisfied than the only one role-playing group (96% VS 80%).<br>
<b>Discussion And Conclusion</b><br>
A variety of learning methods have been introduced to help medical students learn knowledge skills. The important skills of shoulder dystocia are step-by-step practice and work together as a team.<br>
The different role-playing group on simulation-based training has higher total OSCE scores in global rating scale and satisfaction compared to only one role.<br>
<b>Take Home Messages</b><br>
Simulation-based training with different play role model increase the efficiency of skills, confidence performance and promote collaboration with other health care workers.<br>
<b>References</b>

 The Joint Commission. Preventing infant death and injury during delivery. Oak Brook, IL: The JointCommission,2004. https://www.jointcommission.org/sentinel_event_alert_issue_30_preventing_infant_death_and_injury_during_delivery/ (accessed 28 Jun 2017).
 Simulation in shoulder dystocia: does it change outcomes? Kim T, Vogel RI, Das K. BMJ Simul Technol Enhanc Learn. 2018 Mar 29;5(2):91-95. doi: 10.1136/bmjstel-2017-000280. eCollection 2019. PMID: 35519828.
 Randomised controlled study to assess skill retention at 6 vs 12 months after simulation training in shoulder dystocia. Lee MMH, Chan CN, Lau BYT, Ma TWL.  BMJ Simul Technol Enhanc Learn. 2017 Oct 3;3(4):142-148. doi: 10.1136/bmjstel-2017-000195. eCollection 2017. PMID: 35517831.
 Prevention of brachial plexus injury-12 years of shoulder dystocia training: an interrupted time-series study. Crofts JF, Lenguerrand E, Bentham GL, et al. BJOG 2016;123:111–8. doi: 10.1111/1471-0528.13302