Table 3. Scores of “Complete” for Each Rubric Item by Residency Level.
| Item | PGY 1 (N = 15): No. (%) | PGY 2 (N = 28): No. (%) | PGY 3 (N = 17): No. (%) |
|---|---|---|---|
| Discussion of clinical issue | 15 (100) | 24 (86) | 17 (100) |
| Discussion of prognosis | 9 (60) | 22 (79) | 12 (71) |
| Discussion of alternatives | |||
| TOLAC | 15 (100) | 27 (96) | 17 (100) |
| TOLAC + RCDa | 12 (80) | 18 (64) | 15 (88) |
| Scheduled ERCDb | 15 (100) | 28 (100) | 13 (76) |
| Discussion of fetal risks | |||
| TOLAC | 13 (87) | 24 (86) | 14 (82) |
| TOLAC + RCDa | 6 (40) | 8 (29) | 7 (41) |
| Scheduled ERCDb | 5 (33) | 6 (21) | 6 (35) |
| Discussion of maternal risks | |||
| TOLAC | 15 (100) | 28 (100) | 17 (100) |
| TOLAC + RCDa | 8 (53) | 10 (36) | 9 (53) |
| Scheduled ERCDb | 13 (87) | 19 (68) | 11 (65) |
| Discussion of fetal benefits | |||
| TOLAC | 3 (20) | 4 (14) | 2 (12) |
| TOLAC + RCDa | 0 (0) | 0 (0) | 0 (0) |
| Scheduled ERCDb | 1 (7) | 1 (4) | 0 (0) |
| Discussion of maternal benefits | |||
| TOLAC | 10 (67) | 10 (36) | 8 (47) |
| TOLAC + RCDa | 0 (0) | 0 (0) | 0 (0) |
| Scheduled ERCDb | 6 (40) | 8 (29) | 6 (35) |
| Discussion of patient's goals | 4 (27) | 6 (21) | 7 (41) |
| Discussion of uncertainties | 5 (33) | 5 (18) | 8 (47) |
| Discussion of patient's role in decision making | 11 (73) | 6 (21) | 8 (47) |
| Assessment of patient's understanding | 2 (13) | 7 (25) | 3 (18) |
| Discussion of patient's preference | 8 (53) | 4 (14) | 3 (18) |
Abbreviations: ERCD, elective repeat cesarean delivery; RCD, repeat cesarean delivery; TOLAC, trial of labor after cesarean.
aRCD was required after an unsuccessful TOLAC.
bCesarean delivery was opted for in lieu of TOLAC.