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September 2008 · Vol. 20, No. 09

How simulation can train, and refresh, physicians for critical OB events

Perinatal teams can practice handling emergencies without endangering patients or risking litigation. Hospitals and insurers are taking notice.


Fast Track

Childbirth simulators cover the range of costs, features, and capabilities. That flexibility means a program can be tailored to the needs of any audience.

Simulation is very good at illuminating systems problems and inadequate staff responses to critical OB events

IN THIS ARTICLE

Robert  Gherman,  MD;

Dr. Gherman is Adjunct Assistant Professor of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, Bethesda, Md., and Director of the Division of Maternal-Fetal Medicine, Prince George’s Hospital Center, Cheverly, Md.

Andrew  Satin,  MD;

Dr. Satin is Professor and Vice Chair, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, and Chair, Department of Obstetrics and Gynecology, Johns Hopkins Bayview Medical Center, Baltimore, Md.

Roxane  Gardner,  MD, MPH

Dr. Gardner is Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, and a faculty member in the Department of Obstetrics and Gynecology, Brigham and Women’s Hospital, Boston, Mass., and the Center for Medical Simulation, Cambridge, Mass.

The authors report no financial relationships relevant to this article.

Many senior obstetricians—you may be among them—have vivid recall of performing their first vaginal delivery as an intern or junior resident, guided by a seasoned obstetric nurse or senior resident. “See one, do one, teach one,” an unwritten motto at large teaching hospitals, aptly characterized the learning environment for many older physicians.

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