All facets of medicine are difficult to teach, including childbirth care. I know some people will argue that childbirth is inherently different than all the pathology-based medicine we practice in the other areas of medicine, and I'm not going to argue the point, but learning about birth in all its complexity is very much like learning about, say, diabetes management in that you need to see a lot of cases and learn more than one approach to the topic in order to feel confident when the next patient walks into your exam room.
One day we were having an average-busy day on Labor & Delivery, with about three births and any number of women to triage, admit, or send home. All day long, a young first-time mother named Deysi had been laboring slowly along. She was being induced for cholestasis of pregnancy and had been tinkering along for several days and was finally in active labor. Hurricane Hardt insisted on Pitocin augmentation and aggressively managed the Pit herself, adjusting the IV pump rate herself and driving our L&D nurse crazy by doing so. Finally Deysi was completely dilated and, even though she wasn't feeling a strong urge to push, The Hurricane insisted I start her pushing with aggressive breath-holding, count-em-out coaching. I don't know why she was so determined to get Deysi delivered that afternoon, but I could tell we were all in for it--Deysi most of all--if we didn't look like we were doing everything we could, so I sat at Deysi's side and coached her as warm-heartedly as if I'd never met Hurricane Hardt.