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Using virtual-reality simulation to ensure basic competence in hysteroscopy.

Mona M Savran1, Anders Bo Nielsen2, Bente Baekholm Poulsen3

  • 1Department of Obstetrics and Gynecology, Copenhagen University Hospital Amager and Hvidovre, Kettegård Alle 30, 2650, Hvidovre, Capital Region of Denmark, Denmark. monasavran@gmail.com.

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|October 19, 2018
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Summary
This summary is machine-generated.

A new virtual-reality simulation test for hysteroscopy has been developed and validated. This training tool ensures basic technical skills competency before trainees perform the procedure on patients.

Keywords:
EducationGynaecologyHysteroscopySimulation trainingVirtual reality

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Area of Science:

  • Medical simulation
  • Surgical training
  • Gynecological procedures

Background:

  • Hysteroscopy is a complex gynecological procedure requiring specialized skills.
  • Current obstetrics and gynecology training lacks an evidence-based program to certify fundamental hysteroscopy skills before patient procedures.
  • There is a need for a standardized assessment to ensure basic competence in hysteroscopy.

Purpose of the Study:

  • To develop a simulation-based test for hysteroscopy.
  • To gather validity evidence for the developed simulation test.
  • To ensure basic technical competence in hysteroscopy through simulation.

Main Methods:

  • Utilized the HystMentor™ virtual-reality simulator.
  • Evaluated module feasibility and clinical relevance with six experts.
  • Conducted a pilot study and enrolled medical students, residents, and experienced gynecologists for testing.
  • Assessed outcomes using simulator metrics and explored validity evidence from five sources.

Main Results:

  • The simulation test demonstrated high inter-case reliability for most metrics (Cronbach's alpha ≥ 0.80).
  • Significant performance differences were observed between medical students, residents, and experienced gynecologists (p < 0.05).
  • Clinical experience positively correlated with simulator test scores (Pearson's r = 0.49, p < 0.001), with notable false positive and false negative rates.

Conclusions:

  • A validated virtual-reality simulation-based test for hysteroscopy has been successfully developed.
  • This test is designed for mastery learning, ensuring trainees achieve competency before supervised patient training.
  • The simulation test provides a reliable method to certify fundamental technical skills in hysteroscopy.