Date of Award

January 2016

Document Type

Thesis

Degree Name

Medical Doctor (MD)

Department

Medicine

First Advisor

Joshua Johnson

Abstract

Simulation has emerged as a highly effective tool in medical education and medical emergency preparation. The goals of this work were to (1) assess the implementation of a simulation program to enhance the diagnosis and management of obstetric and neonatal complications among nurses in Karnataka, India to improve overall quality of care in institutional births; and (2) develop guidelines for future simulation-based programs in keeping with updated best practices from the field of medical education. Observation of the ‘Skills and Drills’ postpartum hemorrhage emergency simulation in Koppal district took place on 13 January 2015. Comparison of project methodology to best practices in the current literature on simulation-based medical education using standardized patients was undertaken and an assessment of the Skills and Drills project was compiled, with recommendations for improvements to the program to better align its methodology with current best practices. The final report centers on a series of twenty-two recommendations modifying the implementation of the program across sixteen subject areas. These recommendations are intended to increase the effectiveness of the Skills and Drills protocol in teaching project participants the necessary knowledge, skills, and attitudes needed to ultimately improve the diagnosis and management of obstetric and neonatal complications among nurses in the northern districts of Karnataka state.

Comments

This thesis is restricted to Yale network users only. This thesis is permanently embargoed from public release.

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