Capacity building in obstetric ultrasound: Impact of simulation based clinical teaching on resident training at a health facility in India

• Published in: International journal of gynecology and obstetrics 2024-12
• Main Authors: Chawla, Latika, Kumar, Rajan, Rajaram, Shalini, Rao, Shalinee, Dubey, Kanak, Bahadur, Anupama, Gaurav, Amrita, Khoiwal, Kavita, Mundra, Rajlaxmi, Kumari, Om, Gill, Poonam, Chaturvedi, Jaya
• Format: Article
• Language: English
• ISSN: 1879-3479; 1879-3479
• DOI: 10.1002/ijgo.16076

Current postgraduate curriculum in India lacks practical training in ultrasound for residents in obstetrics and gynecology. The objective of this study was to develop and assess impact of a capacity building program utilizing clinical teaching and simulation to enhance knowledge and skills of residents at a healthcare facility in India. A training program comprising of 14 modules on basic obstetric ultrasounds was created over 3 months. These modules, validated by fetal medicine experts, underwent a pilot study for face validity. A total of 18 newly enrolled junior residents without prior ultrasound experience were recruited. A two-day workshop included interactive module sessions and 6 h and 30 min of hands-on training using an obstetric simulator. Pre- and post-tests consisting of 50 multiple-choice questions (MCQs) assessed knowledge. Follow-up assessments were carried out at 1 and 3 months. Skill assessment at the third month was conducted using an objective structured practical examination (OSPE), alongside image submission by residents. There was significant improvement in marks over time, with a mean pretest score of 24 ± 2.7 out of 50 marks, post-test score of 36.81 ± 2.86 and stable scores (34.6 ± 3.21, 34.4 ± 2.96) during follow-up reviews. OSPE scores at third month averaged at 21.47 ± 2.3 (maximum marks 30); image assessment scores averaged at 83 ± 8.62 (maximum marks 100). Participant feedback indicated a positive response to all program aspects (practicality, content and structured training). Confidence levels in performing clinical ultrasound improved significantly after attending the module (P