Correlation between previous clerkship experience and obstetrical skills importance perceptions by rural doctors in the Southern Ecuador
| Clerkship experience | Skills importance | Spearman’s correlation | ||||
|---|---|---|---|---|---|---|
| Median | Range* | Median | Range† | Rs | p Value | |
| Obstetrical skills | ||||||
| Taking blood pressure | 5 | 1 (4–5) | 5 | 1 (4–5) | −0.016 | 0.880 |
| Taking blood simple | 5 | 2 (3–5) | 5 | 3 (2–5) | 0.188 | 0.080 |
| Cardiotocography interpretation | 5 | 2 (3–5) | 5 | 1 (4–5) | 0.630‡ | 0.000 |
| Perform speculum examination during pregnancy | 4 | 4 (1–5) | 5 | 2 (3–5) | 0.211‡ | 0.048 |
| Pregnancy ultrasound scans | 4 | 3 (2–5) | 5 | 3 (2–5) | 0.066 | 0.540 |
| Delivery skills | ||||||
| Pudendal anesthesia | 2 | 4 (1–5) | 4 | 3 (2–5) | 0.553‡ | 0.000 |
| Perform normal delivery | 5 | 2 (3–5) | 5 | 1 (4–5) | −0.020 | 0.852 |
| Episiotomy and repair | 5 | 1 (3–5) | 5 | 1 (4–5) | −0.308‡ | 0.004 |
| Evaluation of cervical dilation during active labour | 5 | 3 (1–5) | 5 | 1 (4–5) | 0.284‡ | 0.007 |
| Partogram interpretation | 5 | 2 (3–5) | 5 | 2 (3–5) | −0.041 | 0.708 |
| Obstetrical complications skills | ||||||
| Neonatal resuscitation | 4 | 3 (2–5) | 5 | 2 (3–5) | 0.270‡ | 0.011 |
| Foley catheterisation | 5 | 3 (2–5) | 4 | 3 (2–5) | 0.527‡ | 0.000 |
| Periferic line | 5 | 3 (2–5) | 5 | 3 (2–5) | 0.366‡ | 0.000 |
| Umbilical line | 2 | 2 (1–3) | 4 | 2 (3–5) | −0.338‡ | 0.001 |
| Manual placental removal | 3 | 4 (1–5) | 5 | 2 (3–5) | 0.822‡ | 0.000 |
| Postpartum haemorrhage management | 5 | 2 (3–5) | 5 | 2 (3–5) | 0.931‡ | 0.000 |
| Forceps-assisted vaginal delivery | 3 | 3 (1–4) | 3 | 4 (1–5) | 0.084 | 0.441 |
| Vacuum-assisted vaginal delivery | 2 | 2 (1–5) | 3 | 3 (2–5) | 0.252‡ | 0.018 |
| Emergency C-section | 4 | 4 (1–5) | 4 | 3 (2–5) | −0.016 | 0.882 |
| External cephalic versión | 2 | 4 (1–5) | 4 | 2 (3–5) | −0.109 | 0.313 |
| Repair of obstetric perineal lacerations | 4 | 2 (3–5) | 5 | 2 (3–5) | −0.108 | 0.315 |
*1=not seen, not performed; 2=demonstrated, but not performed; 3=performed once; 4=performed 3 times; 5=performed + 10 times.
†1=strongly disagree; 2=disagree; 3=Neither agree nor disagree; 4=agree; 5=strongly agree.
‡Correlation is significant.