Abstract

Abstract - The Problem
The findings of the Ockenden report identified a poor working environment and communication skills
between healthcare practitioners working in maternity services, which contributed to adverse obstetric
outcomes. It also highlighted a culture of ‘us and them’, a cultural divide that can influence
communication, collaboration and ultimately, patient safety. The aim was to investigate the effect of an
interprofessional learning (IPL) session between medical and midwifery students on their
communication skills and relationships with each other including simulated patients.
Abstract - The Approach
Mixed methods. Two studies, the first, an online survey was completed by 4th year medical students and
1st year midwifery students. We examined student perceptions of communication skills and
interprofessional relationships. The second, in-depth, semi-structured interviews with students, staff
and simulated patients involved in the sessions. Their attitudes, perceptions, views and experiences of
the IPL session were analysed thematically.
Abstract - The Findings
58 medical students and 24 midwifery students completed the survey. Nearly all students better
understood what was expected of their, and of other, professional roles and felt valued by the team.
There was a perceived improvement in communication skills and interprofessional relationships. Of the
27 interviewees, all reflected the value of the session, with some students finding the session
challenging, although students became more comfortable and confident throughout. The themes of
professional responsibility, communication, decision making, support and confidence came to the fore.
Some practical concerns detailing scheduling and student numbers were identified.
Abstract - The Implications
Following the Ockenden report and several other high-profile obstetric failures, this work is timely.
Medic-midwifery student IPL using simulated scenarios demonstrated the benefit of learning crucial
interprofessional and patient communication skills. Students also better understood professional
responsibilities, decision making and mutual respect in emergency scenarios. It gave students, the rare
insight of simulated patients being able to give feedback augmenting with their own experiences and
impressing upon students the value of taking their concerns into account. Improvements in working
relationships and communication, facilitated by undergraduate simulations in obstetric care is likely to
contribute to better obstetric outcomes. Undergraduate providers should consider incorporating medic-
midwifery IPL into their programmes.