A Novel Cesarean Section Simulation Model for Transition to Residency Surgical Training

Introduction: Cesarean sections are one of the first major surgeries an Obstetrics and Gynecology (OB/GYN) resident performs after they transition from medical school to residency training. Prior to surgery on a patient, it is essential that trainees have exposure to practice-based learning and simulation. We propose a low-fidelity, high-impact abdomen model which aligns with the ACOG Cesarean Section Evaluation Form created by the CREOG Surgical Skills Task Force in order to improve trainee understanding and comfortability with this important major surgery. Methods: Our model allows OB/GYN residents the opportunity to visualize anatomy, walk through the steps of a cesarean section, and practice calling for necessary instruments. The cesarean model includes visual and tactile representations of the skin, subcutaneous tissue, rectus muscle, anterior and posterior fascial layers, peritoneum, uterine serosa and the uterus itself. This model is easy to use, teach with, produce, and replicate. Each model costs less than $5 to produce and is made of recyclable materials. The model is intended to be implemented during OB/GYN intern orientation or bootcamp. Results: Our cesarean section model allows new residents the opportunity to acquire technical skills, obtain cognitive familiarity with the surgery, and gain confidence in the operating room prior to their first major abdominal surgery. Conclusions: An innovative, low-fidelity, high-impact cesarean section model, to be used in conjunction with the ACOG Cesarean Section Evaluation Form, enhances intern orientation during the transition from medical school to OB/GYN residency.