Obstetrical scenario | 1 “Most comfortable” | 2 | 3 | 4 “Neutral” | 5 | 6 | 7 “Least comfortable” |
|---|
A | 2 (22%) | 1 (11%) | 0 (0%) | 2 (22%) | 2 (22%) | 1 (11%) | 1 (11%) |
B | 1 (11%) | 3 (33%) | 3 (33%) | 1 (11%) | 1 (11%) | 0 (0%) | 0 (0%) |
C | 2 (22%) | 0 (0%) | 1 (11%) | 4 (44%) | 2 (22%) | 0 (0%) | 0 (0%) |
D | 3 (33%) | 1 (11%) | 4 (44%) | 0 (0%) | 0 (0%) | 1 (11%) | 0 (0%) |
E | 0 (0%) | 0 (0%) | 1 (11%) | 2 (22%) | 2 (22%) | 0 (0%) | 4 (44%) |
F | 0 (0%) | 5 (55%) | 0 (0%) | 0 (0%) | 1 (11%) | 3 (33%) | 0 (0%) |
G | 0 (0%) | 0 (0%) | 0 (0%) | 0 (0%) | 1 (11%) | 4 (44%) | 4 (44%) |
- Table Legend: This table demonstrates the frequency of second-year residents who described if there were comfortable with counseling patients with complicated obstetrical issues according to specified scenarios. Nine residents ranked the scenarios on a Likert scale from “1” for “most comfortable” to “7” for “least comfortable”. Frequencies of responses are expressed as the raw number and the percentage in parenthesis. The scenarios were as follows:
- A. Counseling a woman at 18 weeks on all her management options who has experienced preterm premature rupture of membranes (PPROM)
- B. Management options for a woman at 28 weeks who has experienced preterm premature rupture of membranes (PPROM)
- C. Counseling a G1P0 at 20 weeks with a cervical length of 17 millimeters
- D. Discussing the risks and benefits of a repeat cesarean delivery versus trial of labor after cesarean delivery
- E. Counseling a woman at 26 weeks with a heavy bleeding episode on management options after you have diagnosed her with a complete placenta previa
- F. A nulliparous diabetic patient presents to your clinic at 36 weeks for a prenatal visit. Her fetus is breech. She desires an ECV. You go through the chart and see that her ultrasound yesterday indicates an EFW of 4400 g.
- G. A woman has an ultrasound highly suspicious for a placenta accreta. She desires to keep her uterus.
