Multidisciplinary Simulation Course in Obstetrics (MuSiC)
Updates on the use of Simulation Based Medical Education within this Speciality
In the last Confidential Enquiry...
the vast majority of direct maternal deaths were considered to have involved an element of substandard care; with teamwork, communication and interpersonal skills failures as areas of particular concern. These weaknesses may result in increased mortality and also significant morbidity and economic losses, with malpractice claims in obstetrics and gynaecology representing half of the UK NHS litigation bill over the last ten years.
To be a competent doctor or midwife you need to know your strengths and weaknesses and those of your team, and to have practiced them in a safe learning environment. From your first day on the Delivery Suite, you may encounter clinical skills drills, practicing the technical and non- technical skill needed in the management of common emergencies such as shoulder dystocia, post partum haemorrhage, eclampsia and cord prolapse. We can also use simulation to rehearse difficult conversations at work, such as bereavement counselling or dealing with conflict.
Trainee obstetricians will be expected to perform operative vaginal on a mannikin as part of your core competences and more senior trainees should all also be able to set up and run skills drills and debriefs themselves. In gynaecology, laparoscopic box trainers are widely available across the region and some units have scan trainers available as well for you to practice your skills on before dealing with real women. Enjoy!
Dr Suzy Jackson
Consultant in Obstetrics & Gynaecology
O&G North East Simulation Lead