Original Article
Journal of Perinatology (2007) 27, 343–346; doi:10.1038/sj.jp.7211734; published online 29 March 2007
Vacuum and forceps training in residency: experience and self-reported competency
J Powell1, N Gilo1, M Foote1, K Gil1,2 and J P Lavin1,2
- 1Department of Obstetrics and Gynecology, Akron General Medical Center, Akron, OH, USA
- 2Northeastern Ohio Universities College of Medicine, Rootstown, OH, USA
Correspondence: Dr JP Lavin, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Akron General Medical Center, 400 Wabash Ave, Akron, OH 44307, USA. E-mail: akstork@yahoo.com
Received 14 November 2006; Revised 10 January 2007; Accepted 14 February 2007; Published online 29 March 2007.
Abstract
Objective:
Determine chief residents' experience with vacuum and forceps deliveries and self-perceived competencies with the procedures.
Study Design:
Study 1: A written questionnaire was mailed to all fourth year residents in US RRC approved Ob/Gyn programs. Study 2: The study was replicated using a web-based survey the following year. Data were analyzed with 
2 and Wilcoxon Signed Rank tests using SPSS.
Results:
Surveys were received from 238 residents (20%) in Study 1 and 269 residents in Study 2 (23%, representing 50% of all residency programs). In both studies, residents reported performing significantly less forceps than vacuum deliveries. Virtually all residents wanted to learn to perform both deliveries, indicated attendings were willing to teach both, and felt competent to perform vacuum deliveries (Study 1, 94.5%; Study 2, 98.5%); only half felt competent to perform forceps deliveries (Study 1, 57.6%; Study 2, 55.0%). The majority of residents who felt competent to perform forceps deliveries reported that they would predominately use forceps or both methods of deliveries in their practice (Study 1, 75.8%; Study 2, 64.6%). The majority of residents who reported that they did not feel competent to perform forceps deliveries reported that they would predominately use vacuum deliveries in their practice (Study 1, 86.1%; Study 2, 84.2%).
Conclusion:
Current training results in a substantial portion of residents graduating who do not feel competent to perform forceps deliveries. Perceived competency affected future operative delivery plans.
Keywords:
vaginal operative delivery, resident education, vacuum and forceps training
MORE ARTICLES LIKE THIS
These links to content published by NPG are automatically generated
RESEARCH
Regulation of hypoxic gene expression in yeast
Kidney International Original Article
Vacuum and forceps training in residency: experience and self-reported competency
Journal of Perinatology Original Article
Thromboxane and prostacyclin differentially regulate murine extracellular matrix gene expression
Kidney International Original Article
