Resident and program director confidence in resident preparedness for operative vaginal deliveries in Obstetrics and Gynecology Training Programs in the United States

Operative vaginal delivery is used to expedite a safe vaginal delivery in the second stage of labor and is considered an essential part of residency training in obstetrics and gynecology. To assess the self-reported readiness of obstetrics and gynecology residents in the United States to perform vac...

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Bibliographic Details
Published in:American journal of obstetrics & gynecology MFM 2022-01, Vol.4 (1), p.100505-100505, Article 100505
Main Authors: Doulaveris, Georgios, George, Karen E., Gressel, Gregory M., Banks, Erika
Format: Article
Language:English
Subjects:
Clinical Competence
Delivery, Obstetric
Female
forceps
Gynecology
Humans
Internship and Residency
Obstetrics - education
obstetrics and gynecology
operative vaginal delivery
Pregnancy
residency
United States
vacuum
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Summary:Operative vaginal delivery is used to expedite a safe vaginal delivery in the second stage of labor and is considered an essential part of residency training in obstetrics and gynecology. To assess the self-reported readiness of obstetrics and gynecology residents in the United States to perform vacuum-assisted vaginal delivery and forceps-assisted vaginal delivery compared with the perceptions of program directors. The Council on Resident Education in Obstetrics and Gynecology surveyed the residents in all US training programs about their readiness to perform forceps-assisted and vacuum-assisted deliveries. The program directors were simultaneously surveyed about the readiness of their cohort to perform operative deliveries with and without attending oversight. The primary outcome of the survey was the residents’ self-reported confidence in their ability to autonomously and independently perform operative deliveries. Α total of 5084 out of 5514 (92.9%) resident physicians and 241 out of the 292 (83%) residency program directors completed the survey. Eighty-seven percent (95% confidence interval, 84.9–88.9) of the graduating residents reported feeling that they could autonomously perform a vacuum-assisted vaginal delivery, compared with 49.5% (95% confidence interval, 46.6–52.4) for forceps-assisted vaginal delivery (P
ISSN:2589-9333
2589-9333
DOI:10.1016/j.ajogmf.2021.100505