Strengths and Limitations
Our study was conducted directly with our residents and the clinical
cases were derived from real situations in order to get as close as
possible to a current clinical practice. However neonatal outcome was
not communicated at the end of the first session so as not to influence
the responses of the residents, the knowledge of an unfavorable neonatal
outcome leading to a more pessimistic evaluation of the FHR (11,32).
This study has limitations. Only 6 cases were selected reflecting only
part of FHR abnormalities and obstetric context. In addition, during the
second session, the same clinical cases were evaluated. Finally, these
positive results are based on theoretical cases and it will be
interesting to evaluate their impact in current practice. We also choose
not to ask experts to classify fetal heart rate. Even if interpretation
of FHR was more homogenous after the formation, we cannot conclude on a
better practice.