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Effect of Simulation Exercises on Medical Student Satisfaction and Performance in the Ob/Gyn Clerkship

Purpose: To evaluate the use of structured resident-led simulation exercises in improving medical student interest in Ob/Gyn as a specialty, satisfaction with their rotation experience, and improvement on NBME exam sores at the end of the rotation.


Background: Medical students persistently rank their obstetrics and gynecology (Ob/Gyn) clerkship experience below that of other surgical specialties, in addition to also raking the clerkship lowest for the ability of residents to provide effective teaching. Current research shows that clinical simulation during the Ob/Gyn clerkship leads to increased confidence and has been shown to increase medical students\' end of rotation oral and written examination scores.


Methods: Prospective cohort study from July 2016-June 2017 involving medical students enrolled at the McGovern Medical School- Memorial Hermann Hospital campus for their Ob/Gyn clerkship.  Rotations were randomized by alternating intervention with non-intervention,  the intervention consisted of weekly resident-led simulation exercises.  All students were given anonymous pre-rotation and post-rotation surveys that used a Liekart scale to analyze their opinions of their clerkship experience.  The surveys and NBME grades were then analyzed between the two groups.


Results: Overall population was 71, with 38 students in the control group and 33 in the intervention group with survey response rates of 94% and 97% respectively.  The responses of the pre and post-rotation surveys were then analyzed using the Wilcoxon ranked sum test comparing the median response.  Overall, the intervention group had a higher median score regarding preparedness in the clerkship (p .052) and scored better on the NBME (P .2679).  The intervention group had a lower median response to questions regarding importance of residents’ involvement in their clerkship, which was statistically significant (p .008). 


Discussions: Results indicate that resident-led simulation exercises may increase NBME scores and help students to feel more prepared within the clerkship.  However, this increase in performance and preparedness does not correlate with student satisfaction or in the student’s choice of obstetrics and gynecology as their future specialty of choice.

Topics: CREOG & APGO Annual Meeting, 2019, Resident, Faculty, Medical Knowledge, Practice-Based Learning & Improvement, GME, Simulation, Team-Based Learning,

General Information

Medical Knowledge,Practice-Based Learning & Improvement,
Simulation,Team-Based Learning,
Clinical Focus

Author Information

Chelsea Velasquez, MD, UT Houston Department of Obstetrics, Gynecology, and Reproductive Sciences; Elizabeth Clark, MD; Michael Adler, MD

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