Abstract:
Introduction: Important for the Ukraine was the creation of the new reformative governmental
undergraduate and postgraduate medical education program. In Odessa State Medical University
today it’s the main innovative guideline for the physician modern practical training especially in
obstetrics and gynecology.
Objective: To determine the efficiency of the innovative methods in the obstetricians-gynecologists
postgraduate education.
Materials and methods: The learning outcomes and assessment of 320 postgraduates of OB/GYN
have been studied with the help of imitational virtual platforms for the obstetricians-gynecologists, birth
simulators, virtual operation room and virtual labor room. Physicians’ average age was 39,4 ± 0,7
years; their average work experience - 12,6 ± 0,9 years. They underwent seminar (10%) and practical
(90%) classes for the normal and pathological labor, obstetrical operations, urgent cases and
emergencies in obstetrics with several different assessment protocols, including initial and final
testing, anonymous self-assessment for their practical skills, structured check-lists with intermediate
and final steps for each practical skill (from 12 to 18 points), team work with changing roles using
video-monitoring and debriefing by case-study check-lists (29 positions; from 2 to 5 points for each).
Results: According to the results of the final tests it was found that low initial assessment of
complicated childbirth and obstetric surgery themes significantly increased one and a half times (р
<0,001). After completion of the course the theoretical training was improved by one and a half times
(р <0,05). Indicators of the output of the theoretical test of postgraduates with work experience of at
least five years, compared with the postgraduates, the experience of more than fifteen years, were 1.3
times lower (р < 0,001). On the course completion the theoretical performance testing has increased
one and a half times, and skills have increased twice. Initial assessment of the vacuum extraction
newborn operation significantly increased almost twice (р <0,001). Teamwork evaluation at the end of
the course has increased more than twice (р <0,001).
