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Rapid Cycle Deliberate Practice Versus Traditional Simulation to Improve Resident Performance in Forceps Deliveries

      Abstract

      This study aimed to assess the effectiveness of rapid cycle deliberate practice (RCDP) in improving obstetrics and gynaecology residents’ performance and skill retention in forceps-assisted vaginal deliveries. Thirty-three residents were randomly assigned to RCDP or traditional debriefing. Performance was evaluated using an objective structured assessment of technical skills (OSATS) tool. There were no significant differences in immediate performance scores between groups (P = 0.082). At 4–6 months, both groups demonstrated improved performance scores (traditional, P = 0.001; RCDP, P = 0.001). Seventy-six percent of residents in the RCDP group indicated “real-time” feedback was advantageous. Three residents suggested this method was less beneficial at a senior level.

      Résumé

      Cette étude visait à évaluer l’efficacité des pratiques d’acquisition rapide par simulation (PARS, ou rapid-cycle deliberate practice en anglais) dans l’amélioration du rendement et le maintien des compétences chez les résidents en obstétrique et gynécologie concernant l’accouchement vaginal assisté par forceps. Trente-trois résidents ont été répartis aléatoirement aux PARS ou à la rétroaction traditionnelle. Le rendement a été évalué à l’aide d’un outil d’évaluation objective et structurée des compétences techniques. Aucune différence significative n’a été observée entre les groupes par rapport aux scores de rendement immédiat (p = 0,082). À 4 à 6 mois, les 2 groupes ont obtenu des scores de rendement améliorés (rétroaction traditionnelle : p = 0,001; PARS : p = 0,001). Soixante-seize pour cent des résidents du groupe PARS ont indiqué que la rétroaction « en temps réel » était avantageuse. Trois résidents ont mentionné que cette méthode serait moins bénéfique chez les résidents expérimentés.

      Keywords

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