Hospitalist Education and Readiness in Obstetric Simulation (HEROS)

Needs Statement

This skills and simulation-based OBGYN Emergency Training Course is designed to reinforce critical clinical skills and improve performance in obstetrical and gynecologic emergencies commonly encountered by OBGYN hospitalists and generalists.

Many OBGYN clinicians feel unprepared to respond effectively to emergencies that occur on both a frequent and infrequent basis. This evidence-based course reinforces clinical knowledge, critical skills and emergency response performance through simulation-based reviews, hands-on training, and guided debriefing.

The course addresses these deficiencies through a structured, evidence-based curriculum grounded in obstetrical emergency guidelines and simulation-based activities. Core content includes the recognition and management of pregnancies of unknown location, hypertensive crisis and eclampsia, postpartum hemorrhage, and maternal code. The course also emphasizes skills development in ultrasound recognition of ectopic pregnancy, shoulder dystocia management, and breech delivery, with a focus on current techniques and best practices. The goal of this course is to enhance clinicians’ ability to recognize and manage critical obstetrical and gynecologic emergencies by addressing existing knowledge gaps and strengthening essential clinical skills.

Educational Objectives

At the conclusion of the conference, participants should be able to:

• Recognize the increasing incidence of cesarean scar pregnancy and apply evidence-based diagnostic principles, including ultrasound assessment, to evaluate pregnancies of unknown location and suspected ectopic pregnancy.
• Apply current management strategies for hypertensive crisis and eclampsia in obstetric patients, including timely recognition, stabilization, treatment, and escalation of care.
• Demonstrate evidence-based approaches to postpartum hemorrhage management, including rapid assessment, treatment prioritization, escalation of care, and team communication.
• Recognize, learn, and manage maternal code scenarios using evidence-based resuscitation principles, role clarity, closed-loop communication, and coordinated team-based response.
• Perform critical obstetric emergency skills, including shoulder dystocia maneuvers, vaginal breech delivery techniques, breech extraction, and approaches to deep pelvic arrest, with emphasis on newer techniques and evolving best practices
• Integrate simulation-based practice and guided briefings to improve clinical decision-making, procedural confidence, team communications, and emergency response performance.

Target Audience

Competencies

• Employ Evidence-Based Practice
• Interprofessional Communication
• Medical Knowledge
• Patient Care and Procedural Skills
• Practice-Based Learning and Improvement
• Professionalism
• Provide Patient-Centered Care
• Roles/Responsibilities
• Systems-Based Practice
• Teams and Teamwork
• Values/Ethics for Interprofessional Practice
• Work in Interdisciplinary Teams

Activity Evaluation

Evaluation by questionnaire will address program content, presentation, and possible bias.

Educational Methods

• Lectures
• Simulation

Accreditation/Credit Designation

Physician
Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Baylor College of Medicine designates this live activity for a maximum of 8.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Policy

Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.

In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.

In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.

BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.

All of the relevant financial relationships listed for these individuals have been mitigated.