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The Labor Games: A Simulation-Based Workshop Teaching Obstetrical Skills to Medical Students [2B]

INTRODUCTION: Medical students' participation in simulation-based training during the obstetrics and gynecology (OBGYN) clerkship has been shown to increase self-confidence, enhance clinic skills, and promote participation. “The Labor Games” is a simulation laboratory designed to teach basic obstetrical skills in a non-threatening yet competitive environment. METHODS: 97 medical students were enrolled during their OBGYN clerkship over one year. “The Labor Games” consisted of seven resident-run stations, each with an obstetrical task. Points were awarded at each station, the student with the highest score won. The environment set by the residents was intended to be friendly, with interstudent competition in order to promote participation. Self-perceived proficiency level and general preparedness for the clerkship were evaluated through pre and post games assessments. RESULTS: Post test results showed statistically significant (P value less than 0.001) increases in competence performing all tested skills including; reading fetal heart tracings, suturing, knot tying, measuring cervical dilation, amniotomy, estimation of fetal weight, and blood loss estimation. 96.7% enjoyed the games, and greater than 97% of all participants reported increased knowledge and learning valuable skills. Students also reported feeling more prepared for the OBGYN rotation (2.6 vs 3.3, P value less than 0.001). CONCLUSION: “The Labor Games” were successful in improving medical students' self-confidence, and self-perceived skill level on obstetrical tasks. Students felt prepared for the OBGYN clerkship after participation. To our knowledge, this is the only study to create a stimulation-based lab that is identified as effective by medical students in teaching skill, knowledge, and preparedness for the OBGYN clerkship.