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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. 1 Department of Obstetrics and Gynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
  2. 2 Faculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, UK
  3. 3 York Teaching Hospital NHS Foundation Trust, York, UK
  4. 4 Department 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}


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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  • 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.

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