Joy A Greer1, Saya Segal2, Catherine R Salva3, Lily A Arya4. 1. Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Division of Urogynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Electronic address: joy_knopp@yahoo.com. 2. Departments of Obstetrics and Gynecology, and Surgery, University of Medicine and Dentistry of New Jersey, New Brunswick. 3. Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. 4. Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Division of Urogynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Abstract
STUDY OBJECTIVE: To develop and validate an educational intervention based on vaginal hysterectomy (VH) simulation. DESIGN: Prospective cohort study (Canadian Task Force classification II-2). SETTING: Surgical skills simulation center. PATIENTS: Thirty residents in Obstetrics and Gynecology (11 PGY-2, 11 PGY-3, and 8 PGY-4). INTERVENTION: VH educational intervention that included a lecture, a video, and surgical skill simulation using a new inexpensive model. MEASUREMENTS AND MAIN RESULTS: The primary outcome was written test scores before and after the educational intervention, and the secondary outcome was self-rated confidence in performing VH. Baseline written scores were similar for all 3 training levels; however, baseline confidence scores were higher for PGY-3 and PGY-4 residents than for PGY-2 residents (p < .01). After the workshop, written test scores improved significantly for all trainees (median [range] improvement, 4 [3.5-5.0] points; p < .01). Mean (SD) improvement in confidence scores for PGY-4, PGY-3, and PGY-2 residents was 0 (0.5), 0.5 (0.8), and 1 (1.3), respectively, with improvement in confidence scores reaching significance only for PGY-2 residents (p < .02). All trainees expressed high satisfaction with the workshop. CONCLUSION: An educational intervention based on VH simulation is feasible and improves knowledge and confidence in junior residents with limited exposure to VH. Published by Elsevier Inc.
STUDY OBJECTIVE: To develop and validate an educational intervention based on vaginal hysterectomy (VH) simulation. DESIGN: Prospective cohort study (Canadian Task Force classification II-2). SETTING: Surgical skills simulation center. PATIENTS: Thirty residents in Obstetrics and Gynecology (11 PGY-2, 11 PGY-3, and 8 PGY-4). INTERVENTION: VH educational intervention that included a lecture, a video, and surgical skill simulation using a new inexpensive model. MEASUREMENTS AND MAIN RESULTS: The primary outcome was written test scores before and after the educational intervention, and the secondary outcome was self-rated confidence in performing VH. Baseline written scores were similar for all 3 training levels; however, baseline confidence scores were higher for PGY-3 and PGY-4 residents than for PGY-2 residents (p < .01). After the workshop, written test scores improved significantly for all trainees (median [range] improvement, 4 [3.5-5.0] points; p < .01). Mean (SD) improvement in confidence scores for PGY-4, PGY-3, and PGY-2 residents was 0 (0.5), 0.5 (0.8), and 1 (1.3), respectively, with improvement in confidence scores reaching significance only for PGY-2 residents (p < .02). All trainees expressed high satisfaction with the workshop. CONCLUSION: An educational intervention based on VH simulation is feasible and improves knowledge and confidence in junior residents with limited exposure to VH. Published by Elsevier Inc.
Authors: Douglas Miyazaki; Catherine A Matthews; Mujan Varasteh Kia; Amr Sherif El Haraki; Noah Miyazaki; Chi Chiung Grace Chen Journal: Int Urogynecol J Date: 2018-09-06 Impact factor: 2.894
Authors: Chi Chung Grace Chen; Ernest G Lockrow; Christopher C DeStephano; Mikio A Nihira; Catherine Matthews; Leslie Kammire; Lisa M Landrum; Bruce D Anderson; Douglas Miyazaki Journal: Obstet Gynecol Date: 2020-11 Impact factor: 7.623