Introduction MOST is a one day high-fidelity multi-professional simulation course which was developed in 2013. Candidates include obstetricians and midwives of all levels. Faculty members include obstetricians, midwives, anaesthetists and simulation trainers. The course was designed to address human factor training needs. Candidates work in small teams in several scenarios. Each is followed by a multi-professional debrief, focussing on non-technical skills.
Methods Candidates completed pre- and post- course evaluation on the day of the course. Eight months following the course candidates were asked to complete an anonymous online questionnaire in order to determine their views. Questions focussed on two main areas. Firstly, candidates were asked to reflect on their experiences of the course itself. Secondly, candidates were asked to reflect on whether they had made changes to their practice and to provide specific examples.
Results Replies were received from both midwives and obstetricians at all levels of seniority. Most respondents had attended other multi-professional courses but not high-fidelity simulation or human factors training. Candidates appreciated staying in-role and the immediate, multi-professional feedback they received. They enjoyed the high level of realism. All candidates felt they had gained knowledge and the great majority had changed the way they communicated and worked in teams. Some candidates had made specific procedural changes in their departments as a result of attending MOST. Criticisms mainly involved wanting more experience.
Conclusion Candidates used skills gained on the course to change systems and procedures on the labour ward. This should translate into better outcomes for patients.
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