121 - Utilization of Cadaver for Instruction of Cesarean Section for Medical Students

Poster Board Number: 121
There are separate poster presentation times for odd and even posters.
Odd poster #s – first hour
Even poster #s – second hour

Co-authors:

Maryam Ali - Medical Education - Florida International University Herbert Wertheim College of Medicine; Rebecca Martinez, MD - Associate Professor, Medical Education, Florida International University Herbert Wertheim College of Medicine; Rakesh Ravikumaran Nair, MD., MPH., MBA - Assistant Professor, Medical Education, Florida International University Herbert Wertheim College of Medicine

Abstract Body :
Introduction: Proficiency in performing cesarean delivery is expected among residents in obstetrics and gynecology. Although simulation training has been utilized, the utilization of cadavers for medical students to build proficiency has not been documented[1]. Objectives: Utilization of cadavers to improve understanding of steps in cesarean section (C-section) and relevant anatomical landmarks. Methods: Two fourth-year medical students performed a C-section facilitated by one faculty obstetrician. The donor was a 93-year-old G4P4 female with no relevant past surgical history. A Pfannenstiel incision was made and carried to the fascia. Entry into the peritoneal cavity revealed extensive hemoperitoneum. After removal, there was still difficulty identifying the uterus. It was concluded that the patient had a hysterectomy although it was not previously reported. The layers were then closed following the standard C-section procedure. Results: Both students expressed increased confidence in their proficiency in performing a Cesarean delivery and their ability to identify anatomical landmarks.Conclusion: Cadavers provide an accurate learning experience that allows students to master C-section techniques and minimize complications. With oversight to uphold dignity, cadaver practice produces physicians well-prepared to perform this life-saving procedure. This avoids preventable harm during childbirth. Achieving competence requires applying theory to realistic anatomy. Cadavers enable this without the immense risk of initial attempts on living patients. If appropriate consent controls emphasize donors’ humanity when alive, this initiative progresses access to safe C-sections globally. For clinicians expected to reliably perform complex deliveries on demand, rehearsing on cadavers leads to the skills and confidence to successfully intervene when the living need it most.Significance and Implications: Most countries lack access to safe surgeries and good surgeons. Practicing on cadavers can train more competent doctors to meet this critical need. Cadaver practice also lets students improve skills as cadavers have accurate body features that provide realistic preparation difficult to replicate with simulation technology. Additionally, dissecting cadavers also impacts students’ respect and care for patients. Therefore, cadaver training has value beyond building surgical skills. It shapes empathetic, humanistic physicians committed to people-centered care for all.