SubSpecialties  |   March 2015
The Worst Day Ever on Labor and Delivery
Author Affiliations
  • Robert Gaiser, M.D., M.S.Ed.
    Society for Obstetric Anesthesia and Perinatology
Article Information
Obstetric Anesthesia / SubSpecialties
SubSpecialties   |   March 2015
The Worst Day Ever on Labor and Delivery
ASA Monitor 03 2015, Vol.79, 46-47.
ASA Monitor 03 2015, Vol.79, 46-47.
I just finished my worst day ever on labor and delivery. I was confronted with four critically ill parturients at various stages of delivery, all of whom required quick decisions as well as effective team leadership for an optimal outcome. I am happy to report that ultimately everyone did well that day as I left the labor floor exhausted. However, I must admit that this “bad” day did not occur in my hospital, but rather in a simulation center with an extremely realistic labor floor.
The Society for Obstetric Anesthesia and Perinatology (SOAP) has made the commitment to assist its members with Maintenance of Certification in Anesthesiology (MOCA®). While I could focus on the continuing medical education credits through its annual meeting and Sol Shnider Meeting (some credits for patient safety) or its Practice Performance Improvement Module concerning accidental dural puncture management, I would like to focus on its collaboration with Cooper Medical School of Rowan University and the WISER Simulation Institute at the University of Pittsburgh, both of which created specialty-specific simulations of an intense labor floor, with these simulations meeting the standards established by the American Board of Anesthesiology. Both centers worked with SOAP members to ensure the relevance to obstetric anesthesia and both succeeded.
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