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Hysteroscopic surgery: Perspectives on skills training
Helen van Dongen1, Wendela Kolkman, Frank Willem Jansen
1Department of Gynaecology, Leiden University Medical Centre, Leiden, The Netherlands.
Journal of Minimally Invasive Gynecology
|March 11, 2006
Summary
Gynecologic residents and practicing gynecologists in The Netherlands successfully perform basic hysteroscopy procedures taught during training. However, advanced hysteroscopic surgery exposure is limited, hindering proficiency despite high interest.
Area of Science:
- Gynecologic Surgery
- Medical Education
- Hysteroscopy
Background:
- Hysteroscopy is a key procedure in gynecology.
- Assessing training exposure and practice integration is crucial for skill development.
Purpose of the Study:
- To evaluate current exposure to hysteroscopy during gynecologic residency and in daily practice in The Netherlands.
- To identify factors influencing hysteroscopic training and skill acquisition.
Main Methods:
- A survey was distributed to postgraduate year 5 and 6 residents and gynecologists who completed residency between 1998-2003 in The Netherlands.
- The survey assessed hysteroscopy performance, self-perceived competency, and training influences.
Main Results:
- High response rates (88% residents, 83% gynecologists) were achieved.
- While basic hysteroscopy procedures are performed, advanced procedures are limited (0%-52%) due to insufficient primary surgeon experience.
- 49% of respondents believe hiring an advanced endoscopic gynecologist is key to achieving advanced surgical skills post-residency.
Conclusions:
- Basic hysteroscopy implementation is successful, but advanced procedure integration into practice remains a challenge.
- Residents and gynecologists express interest in advanced hysteroscopic surgery.
- Enhanced resident proficiency in advanced hysteroscopy requires more opportunities to perform procedures and improved skills among surgical educators.