Authors (including presenting author) :
Leung CYJ(1), Leung PH(1)
Affiliation :
(1)Department of Obstetrics & Gynaecology, Princess Margaret Hospital
Keyword 1: :
Simulation-based training
Keyword 3: :
Clinical competency
Introduction :
Simulation-based training (SBT) provides a safe, controlled environment for healthcare professionals to develop clinical skills, teamwork, communication and decision-making without risk to clients. At Princess Margaret Hospital, a structured high-fidelity simulation training has been implemented for student midwives and junior midwives. It emphasizes fundamental obstetric skills, such as conducting normal spontaneous vaginal delivery as well as management of obstetric emergencies including assisted breech delivery & shoulder dystocia, aiming to build clinical competency in a supportive setting.
Objectives :
(1) To enhance competence in performing normal spontaneous vaginal delivery and managing selected obstetric emergencies. (2) To improve teamwork and communication skills among participants (3) To enhance clinical competency through structured simulation-based training and debriefing.
Methodology :
With support from the Quality & Safety (Q&S) team, three 1.5 hours high-fidelity simulation-based training sessions were organized from Jun to Dec 2025. Using the Gaumard Victoria S2200 childbirth simulator, training included: - Scenario on fundamental obstetric skill (conducting normal spontaneous vaginal delivery) with debriefing.
- Scenario on obstetric emergency (assisted breech delivery) with debriefing.
- Obstetric MR (mixed-reality holographic visualization via VR glasses) practice for shoulder dystocia management. A total of 16 participants (student midwives and junior midwives) attended the training. Post-simulation training evaluation was conducted via Google Form to assess overall course satisfaction, instructors’ performance and debriefing effectiveness.
Result & Outcome :
Results:
All 16 participants completed the post-training evaluation. Feedback was highly positive across all domains:
•Overall course assessment: mean 4.81/5 for leaning objectives achieved, scenario realism, and perceived benefit to future clinical decision-making; 4.75/5 for the simulation-based training facilitate learning and the skill learnt is useful and relevant to work. Overall satisfaction was rated 4.81/5. All participants rated the level of difficulty as “Appropriate” (16/16).
•Instructors’ performance: 4.56/5 for both “helpful and provide useful feedback” and “knowledge of the subject.”
•Debriefing session: with a mean score of 4.44/5 for usefulness.
•Qualitative comments were enthusiastic, describing the course as “十分好，好實用” (very good and highly practical), “Fun,” and “Very fun.” Participants suggested increasing the number of sessions and times for future training. Conclusions:
The high-fidelity simulation-based training, was well-received and perceived as highly effective in enhancing clinical competency, confidence, and preparedness among student midwives and junior midwives. Regular training is recommended to support ongoing professional development and improve obstetric care quality and safety.
