ePoster
Abstract Title | Hybrid simulation in emergency gynaecological teaching for undergraduate medical students - preparedness for work through synthesis of knowledge and s

Authors

  1. Dr Sarah Coleridge
  2. Dr Lisa Kirk

Theme

10II Simulator

INSTITUTION

University of Bristol / University Hospitals Bristol NHS Foundation Trust - Obstetrics and Gynaecolo

Background

Medical students are often taught specific clinical skills in isolation.  Those skills then need to be synthesized with their knowledge and applied to assess, admit and manage patients as a junior doctor.  

We composed a simulated emergency gynaecology clinic to aid students in consolidating the various skills they will need as junior doctors.  We assessed their confidence in performing the various skills before and after the simulated clinic.

Summary of Work
Summary of Results
Simulated Gynaecology Emergency Clinic Results
  Group (n=56) Females (n=34) Males (n=22)
Average Change in Self-reported confidence in undertaking skills

17.7%

18.6%

16.2%

 

Conclusion
Take-home Messages
References
Acknowledgement
Background
Summary of Work

Objectives: -

  1. To demonstrate effective immediate management of a woman presenting with sepsis
  2. To demonstrate ability to complete clinical skills required to obtain a set of observations
  3. To demonstrate ability to take an appropriate gynaecological history and examination
  4. To demonstrate ability to gain intravenous access
  5. To demonstrate ability to obtain blood via venepuncture, choose appropriate blood tests and label blood sample bottles, including blood cultures where appropriate
  6. To demonstrate ability to prescribe appropriate analgesia, anti emetics and antibiotics according to local protocols
  7. To demonstrate ability to prescribe appropriate fluids including choice of fluid and speed of delivery
  8. To demonstrate ability to prescribe blood products and show understanding of when blood products should be utilised
  9. To explain how to obtain a mid stream urine samples
  10. To perform a urine dipstick test on a urine sample and interpret the results correctly
  11. To perform a urinary pregnancy test and interpret results correctly
  12. To demonstrate ability to perform female urethral catheterisation and explain when it would be appropriate to perform this

Questionnaire

Gender                       F                        M

Pre or Post Session  

How confident do you feel performing the skills listed below: - (1 = Not Confident at all 5 = Extremely Confident)

Take a gynaecological history

1      2      3      4      5  

Perform an abdominal examination

1      2      3      4      5  

Perform speculum examination

1      2      3      4      5  

Perform bimanual examination

1      2      3      4      5  

Assess heart rate

1      2      3      4      5  

Take blood pressure

1      2      3      4      5  

Assess respiratory rate

1      2      3      4      5  

Explain how to produce a mid-stream urine sample

1      2      3      4      5  

Perform urinary pregnancy test

1      2      3      4      5  

Perform cannulation

1      2      3      4      5  

Take blood samples

1      2      3      4      5  

Take blood cultures

1      2      3      4      5  

Write simple analgesia on a drug chart

1      2      3      4      5  

Write a fluid prescription on a prescription chart

1      2      3      4      5  

Write an antibiotic prescription on a drug chart

1      2      3      4      5  

Write anti-emetics on a drug chart

1      2      3      4      5  

Perform a venous thromboembolism risk assessment
and complete the appropriate documentation

1      2      3      4      5  

Explain when you would consider performing catheterisation

1      2      3      4      5  

Summary of Results
Conclusion
Take-home Messages
References
Acknowledgement
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