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Using videos in a smartphone app logbook to aid obstetricians and gynaecologists with reflection following critical events
  1. Thomas G Gray1,2,
  2. Weiguang Li3,
  3. Tom Farrell2,4
  1. 1Department of Obstetrics and Gynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
  2. 2Faculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, UK
  3. 3York Teaching Hospital NHS Foundation Trust, York, UK
  4. 4Department of Obstetrics and Gynaecology, Sidra Medicine, Doha, Qatar
  1. Correspondence to Dr Thomas G Gray, Department of Obstetrics and Gynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UK; thomas.gray{at}doctors.org.uk

Abstract

Introduction Reflection is essential for continuous professional development. Many opportunities to reflect during training in obstetrics and gynaecology are not utilised. A Smartphone App (Healthcare Supervision Logbook), allows doctors training in obstetrics and gynaecology to view videos to aid reflection. The App incorporates a comprehensive logbook of practical skills. A self-facilitated reflective process, prompted by offering the viewing of a video when logging an event such as a shoulder dystocia, has been integrated into the logbook. The objective of this study was to evaluate how this function aids reflection.

Methods Forty doctors training in obstetrics and gynaecology undertook a shoulder dystocia drill as part of a mock examination. After completing the drill, participants scored their performance on a proforma, before watching a video of simulated standard management for shoulder dystocia on a Smartphone. Participants then re-scored themselves before completing a survey. This assessed their agreement with three statements on a five-point Likert scale.

Results 50% of participants marked themselves lower after watching the video. 100% agreed or strongly agreed that watching the video helped them reflect on the shoulder dystocia drill. 80% agreed or strongly agreed that they would feel more prepared to deal with shoulder dystocia as a result of using the video to reflect. 93% agreed or strongly agreed that they would be willing to use a Smartphone App with videos to aid reflection following critical events. Student’s t test showed that viewing the standardised video clip on the App resulted in a significant down-marking (P<0.0005).

Conclusions Many emergency scenarios in obstetrics and gynaecology unfold quickly and are rapidly resolved, doctors-in-training need to use opportunities for self-directed reflection. Using the video self-reflection function integrated into Healthcare Supervision Logbook Smartphone App could help to prompt this process, which could be utilised in other specialities and disciplines.

  • reflection
  • smartphone
  • apps
  • obstetrics
  • gynaecology

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Footnotes

  • Contributors TGG: project development, study design, data collection, manuscript writing. WL: statistical analysis, manuscript editing. TAF: Project conception, study design, manuscript editing.

    All authors reviewed and approved a final version of the manuscript before submission and are accountable for the accuracy and integrity of the work submitted.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Ethics approval Registered as service evaluation with Sheffield Teaching Hospitals NHS Foundation Trust, UK.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Author note This is correct

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