{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:09:27Z","timestamp":1791425367082,"version":"4.3.3"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Education and Curricular Development"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study aims to evaluate a near-peer-led, low-fidelity spontaneous vaginal delivery (SVD) simulation on Obstetrics and Gynecology (OB\/Gyn) clerkship medical students\u2019 knowledge, self-perceived confidence, and experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pre-post intervention study was performed. Senior undergraduate medical students (MS4s) served as near-peer teachers and presented an SVD lecture and simulation session using a low-fidelity manikin to clerkship students on the first day of the Ob\/Gyn clerkship. Demographics, knowledge, confidence, and experience were assessed via anonymous surveys at three points: pre-simulation, post-simulation, and post-clerkship. Students who completed the rotation in the preceding 1 year (prior to simulation implementation) served as controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>259 clerkship students completed pre- and post-simulation surveys with 71 also completing post-clerkship surveys. 54 students served as controls. Post-simulation knowledge scores were significantly greater than pre-simulation and controls (76.9% vs. 54.5%, p&lt; 0.01; 76.9% vs. 53.3%, p &lt; .01). Knowledge increased, though not significantly, from post-simulation to post-clerkship (76.9% vs. 84.1%, p=0.07). Ob\/Gyn clerkship student confidence significantly increased for all components of the vaginal delivery immediately following simulation (p &lt;.01). Following the clerkship, students were more confident delivering and examining the placenta than immediately following the simulation (3.6 vs. 3.4, p=0.03; 3.6 vs. 3.3, p=0.04, respectively). Participation in delivery of placentas and infants did not significantly differ between students who completed the simulation and controls (3(3) vs. 3(3), p=0.32; 1(2) vs. 2(4), p=0.32, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A 90-minute SVD simulation session at the start of the Ob\/Gyn clerkship led by near-peers is feasible and significantly increases clerkship students\u2019 knowledge and confidence to participate in an SVD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23821205261459895","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T22:12:33Z","timestamp":1780956753000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Near-Peer-Led Spontaneous Vaginal Delivery Simulation Improves Clerkship Students\u2019 Knowledge and Confidence"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7769-4227","authenticated-orcid":false,"given":"Claire M.","family":"Schenken","sequence":"first","affiliation":[{"name":"University of Texas Health Science Center San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisha","family":"Kalyanpur","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center San Antonio"},{"name":"University of Texas Southwestern"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malavika","family":"Perinchery","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center San Antonio"},{"name":"University of Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline L.","family":"Moreno","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Stansbury","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Medrano-Valle","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Page-Ramsey","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin L.","family":"Nelson","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/tct.12458"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31822ad988"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.03.024"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2013.02.003"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.05.003"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/01421590701583824"},{"key":"e_1_3_7_8_2","volume-title":"APGO Medical Student Educational Objectives","author":"AoPoGa O","year":"2019","unstructured":"AoPoGa O. 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