All physicians, nurses, and nurse midwives working on Labor and Delivery will be required to complete cervical exam simulation training. Data before and after institution of the training will be compared to determine if the training leads to less cervical exams during labor and increases consistency between examiners
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Number of repetitions needed to obtain competence
Timeframe: 3 month training period
Number of exams patients receive
Timeframe: Six months period before training
Number of exams patients receive
Timeframe: Six month post training