PURPOSE:
Evaluating students in clinical settings must be as objective and relevant as possible. This abstract provides an insight into how full-scale simulation allows teachers to evaluate the student’s competences in the delivery room. The midwives responsible for midwifery clinical education in the Capitol Region of Denmark identified a need to create a method that were able to evaluate the student’s competences in a realistic setting. Evaluation was changed from formal examination based on traditional scholastic competences by testing knowledge of “care, empathy, presence and communication”. The knowledge-based evaluation does not include the underlying - often unconscious - dynamics, emotions and resistances within social situations.

DISCUSSION:
Through research, field visits and educational activities, a framework that monitors the students’ clinical competences was developed. This method focuses on communication skills, social involvement, showing empathy, interacting with parents, and performance of midwifery- and obstetric care for a pregnant/birthing/postnatal person. The goal was to be able to monitor and evaluate the student’s ability for these competences in “near real life” situations and thereby change from an evaluation that allows the students to explain how they perform these tasks to instead be able to see and hear them do the tasks. Full-scale simulation was evaluated and found to be the most useful method.

EVIDENCE WHERE RELEVANT:
This is experence based work

KEY MESSAGE:
Full-scale simulation is a significant improvement of the education and evaluation of midwifery student’s clinical competences at Hvidovre Hospital. The students are trained in full-scale simulation as an important learning method throughout their clinical practice and can thereby be in scenarios they would otherwise rarely meet in the clinical setting. I will present the method developed, the framework and some of the cases the students meet and the objectives the students are evaluated on. I will explain how the scenarios were successfully implemented, and I will show pictures from students training sessions. Education faculty development 2