[Optimizing training in limited obstetric ultrasound for midwives through a combination of e-learning and simulation].
R Zimmermann, E Mousty, P Mares, V Letouzey, S Huberlant
Author Information
R Zimmermann: Département de gynécologie obstétrique, centre hospitalier Alès, 30100 Alès, France.
E Mousty: Département de gynécologie obstétrique, centre hospitalo-universitaire Caremeau, 30029 Nîmes, France.
P Mares: Département de gynécologie obstétrique, centre hospitalo-universitaire Caremeau, 30029 Nîmes, France; École de maïeutique, université de Montpellier, site de Nîmes, 30000 Nîmes, France.
V Letouzey: Département de gynécologie obstétrique, centre hospitalo-universitaire Caremeau, 30029 Nîmes, France.
S Huberlant: Département de gynécologie obstétrique, centre hospitalo-universitaire Caremeau, 30029 Nîmes, France. Electronic address: stephanie.huberlant@chu-nimes.fr.
OBJECTIVE: To evaluate a training program in limited obstetric ultrasound, combining e-learning and simulation. METHODS: This a descriptive cohort study in Single-center study conducted in a French university hospital. Thirty-three practicing midwives who had not received basic training in ultrasonography had unlimited access to an e-learning platform offering interactive theoretical instruction modules. Then, they attended a one-day simulator-based obstetric ultrasound workshop. A theoretical competency test was taken before the e-learning component (T1), then before (T2) and after (T3) the simulation workshop. Their competency in specific practical tasks was assessed before and after the workshop. A learner satisfaction questionnaire was completed after the program. RESULTS: The mean score obtained in the theoretical competency test was 46.6% (range 8.3-83.3%) at T1, 87.2% (66.6-100%) at time T2, and 91.6% (66.6-100%) at T3. Significant improvements were observed between times T1 and T2 (P<0.001) or T3 (P<0.001), as well as in the performance of certain practical tasks, such as placental location (P=0.02) and visualization of the cervix (P=0.03). The mean number of logins to the e-learning platform during the program was 11.2 per participant (6-24). Most participants were satisfied with the training and reported an improvement in their daily practice. CONCLUSION: Training in limited obstetric ultrasound, combining e-learning to acquire theoretical knowledge and a hands-on simulation workshop, appears to meet the needs of practicing midwives. Most participants were satisfied with the proposed teaching and the rapid acquisition of ultrasound skills applicable to their clinical practice.
