Vol 91, No 5 (2020)
Review paper
Published online: 2020-05-29

open access

Page views 1937
Article views/downloads 1382
Get Citation

Connect on Social Media

Connect on Social Media

Application of medical simulation in the education of medical students in the area of gynecology and obstetrics

Tomasz Klosiewicz12, Radoslaw Zalewski3, Joanna Faferek4, Agnieszka Zawiejska5
Pubmed: 32495935
Ginekol Pol 2020;91(5):281-286.


The education of new generations of doctors faces major challenges. The education system should ensure access to modern
and effective educational techniques. Medical simulation is a method that is developing very dynamically. Currently, every
medical university in Poland has access to the facilities of a Medical Simulation Centre. Many types of simulations can be
used. The variety of techniques is considerable. Starting from simple trainers, through advanced patient simulators to hybrid
simulation or virtual reality. Thanks to their use, it is possible to teach basic medical procedures in a safe way, without
compromising the patient’s intimacy. An additional advantage is the possibility to train in an interdisciplinary team. The
aim of this work was to present the possibility of using medical simulation as a method of effective and interesting teaching
of medical students in the field of gynaecology and obstetrics. The authors described different techniques and levels of
simulation sophistication. The basic tasks of the teacher were also described. The paper may be an interesting complement
to the knowledge of education for each physician involved in the work with students.

Article available in PDF format

View PDF Download PDF file


  1. Emergency aid and medical rescue in 2016, Information note. General Statistical Office, 2017. https://stat.gov.pl/files/gfx/portalinformacyjny/pl/defaultaktualnosci/5513/14/1/1/pomoc_dorazna_i_ratownictwo_medyczne_w_2016_r.pdf (5.03.2019).
  2. American College of Obstetricians and Gynecologists, Task Force on Hypertension in Pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynecol. 2013; 122(5): 1122–1131.
  3. World Health Organization. The World Health Report 2005 — make every mother and child count. Geneva, 2005.
  4. Fan D, Wu S, Wang W, et al. Prevalence of placenta previa among deliveries in Mainland China: A PRISMA-compliant systematic review and meta-analysis. Medicine (Baltimore). 2016; 95(40): e5107.
  5. Gonda J, Kleszczynski J, Szarpak L, et al. Childbirth in the emergency medical services practice. Am J Emerg Med. 2016; 34(9): 1888.
  6. Zatoński W, Sulkowska U, Didkowska J. Kilka uwag o epidemiologii nowotworów w Polsce. Nowotwory. Journal of Oncology. 2015; 65(3): 179–196.
  7. Sheth SS, Fader AN, Tergas AI, et al. Virtual reality robotic surgical simulation: an analysis of gynecology trainees. J Surg Educ. 2014; 71(1): 125–132.
  8. Owen H, Pelosi MA. A historical examination of the Budin-Pinard phantom: what can contemporary obstetrics education learn from simulators of the past? Acad Med. 2013; 88(5): 652–656.
  9. Beal MD, Kinnear J, Anderson CR, et al. The Effectiveness of Medical Simulation in Teaching Medical Students Critical Care Medicine: A Systematic Review and Meta-Analysis. Simul Healthc. 2017; 12(2): 104–116.
  10. Russell E, Hall AK, Hagel C, et al. Simulation in Canadian postgraduate emergency medicine training - a national survey. CJEM. 2018; 20(1): 132–141.
  11. Elessawy M, Skrzipczyk M, Eckmann-Scholz C, et al. Integration and Validation of Hysteroscopy Simulation in the Surgical Training Curriculum. J Surg Educ. 2017; 74(1): 84–90.
  12. Crofts JF, Bartlett C, Ellis D, et al. Training for shoulder dystocia: a trial of simulation using low-fidelity and high-fidelity mannequins. Obstet Gynecol. 2006; 108(6): 1477–1485.
  13. Puślecki M, Ligowski M, Dąbrowski M, et al. The role of simulation to support donation after circulatory death with extracorporeal membrane oxygenation (DCD-ECMO). Perfusion. 2017; 32(8): 624–630.
  14. Bhoopatkar H, Wearn A, Vnuk A. Medical students' experience of performing female pelvic examinations: Opportunities and barriers. Aust N Z J Obstet Gynaecol. 2017; 57(5): 514–519.
  15. Armitage AJ, Cahill DJ. Medical students and intimate examinations: What affects whether a woman will consent? Med Teach. 2018; 40(12): 1281–1286.
  16. Dinh ViAm, Frederick J, Bartos R, et al. Effects of ultrasound implementation on physical examination learning and teaching during the first year of medical education. J Ultrasound Med. 2015; 34(1): 43–50.
  17. Nitsche JF, Shumard KM, Fino NF, et al. Effectiveness of Labor Cervical Examination Simulation in Medical Student Education. Obstet Gynecol. 2015; 126 Suppl 4: 13S–20S.
  18. Nassif J, Sleiman AK, Nassar AH, et al. Hybrid Simulation in Teaching Clinical Breast Examination to Medical Students. J Cancer Educ. 2019; 34(1): 194–200.
  19. Kohn LD, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Committee on Quality of Health Care in America, Institute of Medicine. 2000.
  20. Kumar A, Nestel D, East C, et al. Embedding assessment in a simulation skills training program for medical and midwifery students: A pre- and post-intervention evaluation. Aust N Z J Obstet Gynaecol. 2018; 58(1): 40–46.
  21. Störr A, König-Bachmann M, Schwarz C. [Simulation Training in Obstetrics: Survey of participants in a low-fidelity training]. Z Geburtshilfe Neonatol. 2017; 221(3): 137–144.
  22. Ruyak SL, Migliaccio L, Levi A, et al. Role development in midwifery education: A place for simulation. Midwifery. 2018; 59: 141–143.
  23. Truijens SEM, Banga FR, Fransen AF, et al. The Effect of Multiprofessional Simulation-Based Obstetric Team Training on Patient-Reported Quality of Care: A Pilot Study. Simul Healthc. 2015; 10(4): 210–216.
  24. Dadiz R, Weinschreider J, Schriefer J, et al. Interdisciplinary simulation-based training to improve delivery room communication. Simul Healthc. 2013; 8(5): 279–291.
  25. Draycott T, Sibanda T, Owen L, et al. Does training in obstetric emergencies improve neonatal outcome? BJOG. 2006; 113(2): 177–182.
  26. Mannella P, Antonelli R, Montt-Guevara M, et al. Simulation of childbirth improves clinical management capacity and self-confidence in medical students. BMJ Simulation and Technology Enhanced Learning. 2018; 4(4): 184–189.
  27. Nitsche JF, Butler TR, Shew AW, et al. Optimizing the amount of simulation training used to teach vaginal delivery skills to medical students. Int J Gynaecol Obstet. 2018; 140(1): 123–127.
  28. Kordi M, Erfanian F, Fakari FR, et al. The comparison the effect of training by means of simulation and oral method on midwives' skill in management of shoulder dystocia. J Educ Health Promot. 2017; 6: 50.
  29. Amod H, Brysiewicz P. Developing, implementing and evaluating a simulation learning package on post-partum haemorrhage for undergraduate midwifery students in KwaZulu-Natal*. Health SA Gesondheid. 2017; 22: 194–201.
  30. Mduma E, Ersdal H, Svensen E, et al. Frequent brief on-site simulation training and reduction in 24-h neonatal mortality--an educational intervention study. Resuscitation. 2015; 93: 1–7.
  31. Nelissen E, Ersdal H, Mduma E, et al. Clinical performance and patient outcome after simulation-based training in prevention and management of postpartum haemorrhage: an educational intervention study in a low-resource setting. BMC Pregnancy Childbirth. 2017; 17(1): 301.
  32. Egenberg S, Øian P, Eggebø TM, et al. Changes in self-efficacy, collective efficacy and patient outcome following interprofessional simulation training on postpartum haemorrhage. J Clin Nurs. 2017; 26(19-20): 3174–3187.
  33. Draycott TJ, Crofts JF, Ash JP, et al. Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol. 2008; 112(1): 14–20.
  34. van de Ven J, Fransen AF, Schuit E, et al. Does the effect of one-day simulation team training in obstetric emergencies decline within one year? A post-hoc analysis of a multicentre cluster randomised controlled trial. Eur J Obstet Gynecol Reprod Biol. 2017; 216: 79–84.
  35. Nelissen E, Ersdal H, Mduma E, et al. Helping Mothers Survive Bleeding After Birth: retention of knowledge, skills, and confidence nine months after obstetric simulation-based training. BMC Pregnancy Childbirth. 2015; 15: 190.
  36. Carolan-Olah M, Kruger G, Brown V, et al. Communicating out loud: Midwifery students' experiences of a simulation exercise for neonatal resuscitation. Nurse Educ Pract. 2018; 29: 8–14.