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Cesarean Section Surgical Competency Operating Room Evaluation (CS-SCORE) Use Has a Learning Curve [14B]

Jain, Sangeeta, MD; LaCoursiere, Daphne Y., MD; Koutrouvelis, Gayle O., MD; Wen, Tony, MD; Pacheco, Luis D., MD; Saade, George, MD

Obstetrics & Gynecology: May 2016 - Volume 127 - Issue - p 22S
doi: 10.1097/01.AOG.0000483334.43402.5d
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INTRODUCTION: Supervising resident interns during surgery and teaching can be variable. Not all feedback is taken in a positive manner by the recipient. We adopted the Cesarean section surgical competency operating room evaluation (CS-SCORE) from the O-SCORE in literature. The control group was those interns who learnt the cesarean delivery (CD) procedure by traditional methods. The video group watched a video of CD being performed along with the traditional methods. Our objective was to determine whether using a video of CD as an alternative teaching method and the CS-SCORE as an evaluation tool will help intern performance.

METHODS: An evidenced based video of a primary CD was made. The 2013–2014 interns comprised the control. The 2014–2015 interns were the video group. The CS-SCORE was completed by the faculty present at surgery. The video group was compared to the control. The CS-SCORE included preop preparation of patient, each step of the surgery and immediate post op care. Each of these was compared using Mann-Whitney test and student t test. P value<.05 was significant.

RESULTS: Eight interns from UTMB and 6 from UCSD were included in each group. 112 CS-SCORE were completed for control group and 87 for video group. Survey indicated that video improved understanding and learning in a low stress environment. Comparing CS-SCORE forms revealed better performance of the controls for most of the CD steps than the video group.

CONCLUSION: CS-SCORE form may be a useful tool for feedback but has a learning curve for those providing the feedback.

University of Texas Medical Branch, Galveston, TX

Financial Disclosure: The authors did not report any potential conflicts of interest.

© 2016 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.