Cesarean Section Surgical Competency Operating Room Evaluation (CS-SCORE) Use Has a Learning Curve [14B]. (May 2016)

• Record Type: Journal Article
• Authors: Jain, Sangeeta; LaCoursiere, Daphne Y.; Koutrouvelis, Gayle O.; Wen, Tony; Pacheco, Luis D.; Saade, George
• Is Part Of: Obstetrics and gynecology. Volume 127(2016)Supplement 1
• Publication Date: 2016-05
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; 618
• DOI: 10.1097/01.AOG.0000483334.43402.5d
• Languages: English
• ISSNs: 0029-7844

Abstract

Abstract : 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.