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Development and validation of simulation training for vaginal hysterectomy
Joy A Greer1, Saya Segal2, Catherine R Salva3
1Department 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.
Journal of Minimally Invasive Gynecology
|July 16, 2013
Summary
A new vaginal hysterectomy (VH) simulation training improved knowledge and confidence for junior residents. This feasible educational intervention enhanced surgical skills for trainees with limited VH experience.
Area of Science:
- Surgical Education
- Medical Simulation
- Gynecologic Surgery
Background:
- Vaginal hysterectomy (VH) is a key gynecologic procedure.
- Training in VH is crucial for resident competency.
- Simulation offers a safe environment for surgical skill development.
Purpose of the Study:
- To develop and validate an educational intervention for vaginal hysterectomy (VH) using simulation.
- To assess the impact of simulation-based training on resident knowledge and confidence.
Main Methods:
- A prospective cohort study involving 30 Obstetrics and Gynecology residents (PGY-2, PGY-3, PGY-4).
- An educational intervention comprising a lecture, video, and simulation using an inexpensive VH model.
- Assessment through pre- and post-intervention written tests and self-rated confidence scores.
Main Results:
- Written test scores significantly improved across all resident levels post-intervention (p < .01).
- Confidence scores improved significantly only for junior residents (PGY-2, p < .02).
- All participants reported high satisfaction with the simulation workshop.
Conclusions:
- Simulation-based VH educational intervention is feasible and effective.
- The intervention enhances knowledge and confidence, particularly in junior residents.
- Inexpensive simulation models can be valuable tools in surgical training.
