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According to ACOG, 42% of obstetricians have experienced a liability claim, many of which can be attributed to issues in proficiency and team communication—and could be avoided with targeted and timely training, education and analytics.

GNOSIS for Obstetrics is one of the most prolific education and analytics platforms now engaging up to 15% of all OB clinicians in the U.S. This comprehensive program, is transforming how clinicians learn and how healthcare facilities use actionable data to improve quality and patient safety in the high-risk areas of obstetrics including:

  1. Fetal Assessment and Monitoring
  2. Shoulder Dystocia
  3. Obstetrical Hemorrhage
  4. Hypertensive Disorders in Pregnancy

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Designed for clinical teams

With GNOSIS, hospital leaders gain unprecedented clinical proficiency data in order to reduce risk—while clinicians master learning in critical risk areas to achieve their highest potential.

Clinical teams:

  • Physicians
  • Nurses
  • Residents
  • Midwives
GNOSIS for OB is one of the most prolific education and analytics platforms now engaging up to 15% of all OB clinicians in the U.S.

Course 1: Fetal Assessment and Monitoring

Focus: A tracing-centered approach to teach advanced concepts of fetal assessment and monitoring. Topics include anatomy and physiology, pattern identification, NICHD nomenclature, FHR components, patterns, interventions, pattern management, etc.

Learning Outcomes:

  • Knowledge of electronic fetal monitoring and its nomenclature and interpretation
  • Evaluation and Management of Category II EFM tracing
  • Evaluation and Management of Category III EFM tracing
  • Assess knowledge of appropriate risk management practices

To further demonstrate competency, The Perinatal Quality Foundation (PQF) encourages you to complete the PQF Credentialing Examination for Fetal Heart Monitoring. This assessment focuses on the role of electronic fetal monitoring in the management of obstetrical cases. You will be asked to apply your judgment in the management of clinical cases and to demonstrate your knowledge of current guidelines. This credentialing examination is open to physicians, nurses, and others involved in management of labor and delivery patients.

Total Course Length - 8.0 hours (content: 7.25 hours, assessment: 45 minutes)

Course 2: Shoulder Dystocia

Focus: A team-based model optimized for high-risk environments where collaboration is imperative. Content covers how to manage various aspects of shoulder dystocia (SD) with illustrations and explanations of the maneuvers used to resolve this obstetric emergency.
  • Appropriate documentation for a SD event
  • Identify common maneuvers used for delivery management
  • Understand and explain the importance of training and teamwork
  • Identify potential outcomes of SD
  • Identify recognized risk factors for SD
  • Define and describe the mechanics of SD
Total Course Length - 2.25 hours (content: 1.75 hours, assessment: 30 minutes)

Course 3: Obstetrical Hemorrhage

Focus: An overview of tools, guidelines, and approaches for managing obstetrical hemorrhage (OH). Content covers how to recognize abnormal bleeding, quantify blood loss, and identify common risk factors, plus how to understand early interventions.

Learning Outcomes:

  • Understand the role of maternal physiology in OH
  • Demonstrate knowledge and skill in blood loss determination
  • Recognize how to assess risk, prevent, and prepare for an OH event
  • Demonstrate knowledge of blood component options & resuscitation and transfusion guidelines
  • Recognize when to utilize medical options to manage OH
  • Understand when and how to utilize pre-surgical interventions
Total Course Length - 5.0 hours (content: 4.25 hours, assessment: 45 minutes)

Course 4: Hypertensive Disorders in Pregnancy

Focus: A comprehensive update of 2013 CMQCC and ACOG evidence-based guidelines around the diagnosis and management of hypertensive disorders in pregnancy (HDP). Content covers classification & nomenclature; diagnostic criteria; and management guidelines.

Learning Outcomes:

  • Recognize ACOG updated nomenclature and diagnostic criteria guidelines
  • Understand which patients are at risk for HDP
  • Apply risk awareness and progressive nature of disease towards early recognition and mitigation of disease
  • Understand and apply the correct diagnostic criteria for HDP
  • Apply best practices for blood pressure measurement and management in pregnancy
  • Correctly interpret data to diagnose complex or atypical patient presentations
  • Understand and apply practice guidelines in management of patients with HDP
  • Recognize which patients can be expectantly managed versus those that should be delivered immediately
Total Course Length - 2.25 hours (content: 1.5 hours, assessment: 45 minutes)

Now Available! 12 Clinical Pearls

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Clinical Pearls, a new supplemental learning format within GNOSIS for Obstetrics (OB), the nation’s leading assessment-driven personalized learning platform. Designed to cover the most up-to-date, evidence-based best practices, Clinical Pearls provide clinicians with case-based learning modules that strengthen clinical proficiency and reduce risk.

Clinical Pearls provide immediate education to learners who performed in the lowest quartile on GNOSIS assessment-driven courses. The content has also been designed for all proficiency levels as life-long learning opportunities, which expand upon a specific “pearl of wisdom” in a high-risk clinical practice area. These modules offer all learners a ~30-minute experience that strengthens fundamental understanding of clinical concepts as they present themselves in real-life case-scenarios.

The Clinical Pearls are:

1) The NICHD Language of Fetal Heart Rate Monitoring
2)  The Importance of Clinical Context in Managing the Category II Fetal Heart Tracings
3)  Intrapartum FHR Pattern Evolution
4)  Category III Fetal Heart Rate Tracings
5)  Shoulder Dystocia: Primary Maneuvers
6)  Shoulder Dystocia: Secondary Maneuvers
7)  Chronic Hypertension and Superimposed Preeclampsia
8)  Obstetrical Hemorrhage: Recognizing Risk, Prevention Strategies, and Preparation
9)  Managing Obstetrical Hemorrhage Due to Uterine Atony
10) Shoulder Dystocia: Teamwork and Training
11) Atypical Presentation of Preeclampsia
12) Managing Risk in Shoulder Dystocia and Appropriate Documentation



ACCME Accreditation. Advanced Practice Strategies, Inc. (APS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. APS designates this enduring material for a maximum of AMA PRA Category 1 Credit(s)TM as cited above. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ANCC Accreditation. This activity is provided by Advanced Practice Strategies (APS).  APS is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Provider approved by the California Board of Registered Nursing, Provider # CEP-16168 for Contact Hours as cited above. Participants who complete this activity in its entirety will be awarded contact hour(s) as cited above.