Rehearsal simulation for antenatal consults


  • Anita Cheng Western University
  • Doris Yuen Western University
  • Sayra Cristancho Western University



Background: Rehearsal simulations are patient-specific case-matched tasks performed immediately prior to the actual task, with the objective of improving performance.

Objective: How does rehearsal simulation for antenatal consults impact how residents learn to engage in difficult conversations with families?

Study Design: Residents in the NICU performed case-matched video recorded rehearsal simulations, followed by actual antenatal consults. The purpose of antenatal consults is to prepare parents expecting a complication with their baby before birth. Questionnaires assessed changes in resident confidence and self-assessment of communication skills. Residents were interviewed for qualitative data to explore the overall impact of rehearsal simulation on their learning and performance.

Results: Thirteen residents participated. Rehearsal simulation improved confidence with a more organized approach of medical content and better communication techniques, allowing for a shift of focus from a checklist approach to building rapport and displaying empathy.

Conclusions: While rehearsal simulation did not prepare residents for unexpected parent responses, trainees’ increased confidence with medical content organization and communication techniques created space for reflection-in-action and compassionate approaches.




How to Cite

Cheng A, Yuen D, Cristancho S. Rehearsal simulation for antenatal consults. Can. Med. Ed. J [Internet]. 2021 Jun. 30 [cited 2022 Aug. 11];12(3):105-12. Available from:



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