Evaluation of the Satisfaction and Confidence of Medical Students, Residents, and Obstetricians in Teaching and Practicing Manual Placental Removal
Article Sidebar
Main Article Content
Abstract
The aim of this study is to assess the obstetrics and gynecology residents’ and obstetricians’ satisfaction with the use of manual placental removal manikins and their self-confidence in performing this procedure among medical students and residents. We have developed silicone rubber manikins consisting of the postpartum uterus, placenta, and cord to practice manual placenta removal. All medical students, obstetrics and gynecology residents, and obstetricians were invited to participate in October 2022 and in April 2023. A total of 112 participants were voluntarily admitted to participate, including 62 fifth-year medical students, 30 residents, and 20 obstetricians, with response rates of 100%, 85.7%, and 83.3%, respectively. The mean±S.D. scores for ease of use and overall satisfaction were 7.6±1.9 and 8.1±1.4, respectively, and did not differ significantly among medical students, residents, and obstetricians. The overall realism score was 7.2±1.6 and did not differ significantly among residents and obstetricians. The mean self-confidence scores in procedural skill performance after practicing with the manikins were significantly higher than before practicing (7.8±1.5 and 3.4±2.7, respectively). The reliability of Cronbach’s alpha for the questionnaire values for all participants was 0.88. The manikins for practicing manual placental removal were satisfactory among residents and obstetricians and could enhance the self-confidence of medical students and residents in performing this procedure.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The contents and data in published articles in the Journal of Education and Innovative Learning are considered the ideas and responsibility of the author(s). The Editorial team does not necessarily agree with any ideas or hold mutual responsibility of them. Plagiarism is not permitted, even for academic purposes. However, proper citation must be given whenever referencing the articles.
References
Cunningham, F. G., Leveno, K. J., Dashe, J. S., Hoffman, B. L., Spong, C. Y., & Casey, B. M. (Eds.). (2022). Williams obstetrics (26th ed.). McGraw-Hill Education.
Endler, M., Grünewald, C., & Saltvedt, S. (2012). Epidemiology of retained placenta: Oxytocin as an independent risk factor. Obstetrics & Gynecology, 119(4), 801-809. https://doi.org/10.1097/AOG.0b013e31824acb3b
Favilli, A., Tosto, V., Ceccobelli, M., Parazzini, F., Franchi, M., Bini, V., & Gerli, S. (2021). Risk factors for non-adherent retained placenta after vaginal delivery: A systematic review. BMC Pregnancy and Childbirth, 21(1), 268. https://doi.org/10.1186/s12884-021-03721-9
Fujita, K., Ushida, T., Imai, K., Nakano-Kobayashi, T., Iitani, Y., Matsuo, S., Yoshida, S., Yamashita, M., Kajiyama, H., & Kotani, T. (2021). Manual removal of the placenta and postpartum hemorrhage: A multicenter retrospective study. Journal of Obstetrics and Gynaecology Research, 47(11), 3867-3874. https://doi.org/10.1111/jog.15004
Greenbaum, S., Wainstock, T., Dukler, D., Leron, E., & Erez, O. (2017). Underlying mechanisms of retained placenta: Evidence from a population based cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology, 216, 12-17. https://doi.org/10.1016/j.ejogrb.2017.06.035
Huitt, W. (2011). Bloom et al.'s taxonomy of the cognitive domain. Educational Psychology Interactive. Valdosta State University. https://www.edpsycinteractive.org/topics/cognition/bloom.pdf
Kongwattanakul, K., Rojanapithayakorn, N., Laopaiboon, M., & Lumbiganon, P. (2020). Anaesthesia/analgesia for manual removal of retained placenta. Cochrane Database of Systematic Reviews, 6, CD013013. https://doi.org/10.1002/14651858.CD013013.pub2
Le, K. D. R. (2023). Principles of effective simulation-based teaching sessions in medical education: A narrative review. Cureus, 15(11), e49159. https://doi.org/10.7759/cureus.49159
McGaghie, W. C., & Harris, I. B. (2018). Learning theory foundations of simulation-based mastery learning. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare, 13(3S Suppl 1), S15-S20. https://doi.org/10.1097/sih.0000000000000279
Medical Council of Thailand. (2020, March 25). The ministry of public health 12/2555 on medical competency assessment criteria for national license 2012 (No. 2). https://www.tmc.or.th/pdf/MCACNL2012-2-2563.pdf [in Thai]
Miller, G. E. (1990). The assessment of clinical skills/competence/performance. Academic Medicine: Journal of the Association of American Medical Colleges, 65(9 Suppl), S63-67. https://doi.org/10.1097/00001888-199009000-00045
Perlman, N. C., & Carusi, D. A. (2019). Retained placenta after vaginal delivery: risk factors and management. International Journal of Women's Health, 11, 527-534. https://doi.org/10.2147/ijwh.s218933
Royal Thai College of Obstetricians and Gynaecologists. (2022). The Royal Thai College of Obstetricians and Gynaecologists: Qualifications framework for professional practice in medicine. RTCOG. [in Thai]
Sumawong, V. (2002). Pregnancy and childbirth guide. Faculty of Medicine, Ramathibodi Hospital, Mahidol University. https://www.slideshare.net/slideshow/warawuth/46127674 [in Thai]
Syamsuri, D. D., Tjokroprawiro, B. A., Kurniawati, E. M., Utomo, B., & Kuswanto, D. (2022). Simulation-based training using a novel Surabaya hysterectomy mannequin following video demonstration to improve abdominal hysterectomy skills of obstetrics and gynecology residents during the COVID-19 pandemic in Indonesia: a pre- and post-intervention study. Journal of Educational Evaluation for Health Professions, 19, 11. https://doi.org/10.3352/jeehp.2022.19.11
Wahyuningtyas, R., Kurniawati, E. M., Utomo, B., Hardianto, G., Paraton, H., Hastono, T., & Kuswanto, D. (2022). Obstetrics and gynecology residents’ satisfaction and self-confidence after an anal sphincter injury simulation-based workshop in Indonesia: a pre- and post-intervention comparison study. Journal of Educational Evaluation for Health Professions, 19, 4. https://doi.org/10.3352/jeehp.2022.19.4
Weeks, A. D. (2008). The retained placenta. Best Practice & Research: Clinical Obstetrics & Gynaecology, 22(6), 1103-1117. https://doi.org/10.1016/j.bpobgyn.2008.07.005
