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An Innovative Simulation Curriculum to Train General Surgery Residents and Medical Students on Four Commonly
Joy A Greer1, April L McGill2, Donald R Delorey1
1Healthcare Simulation and Bioskills Training Center, Naval Medical Center, Portsmouth, VA 23708, USA.
Military Medicine
|November 16, 2020
Summary
This study developed a simulation curriculum to address obstetric and gynecologic (OBGYN) procedure gaps in general surgery residents. The simulation training significantly improved residents' knowledge and confidence in performing essential OBGYN procedures.
Area of Science:
- Medical Education
- Surgical Simulation
- Obstetrics and Gynecology
Background:
- Military general surgery residents often lack adequate exposure to obstetric and gynecologic (OBGYN) procedures.
- A training gap was identified by U.S. Navy surgeons, necessitating a specialized curriculum.
- Simulation leads at Naval Medical Center Portsmouth requested a solution to enhance OBGYN procedural skills.
Purpose of the Study:
- To develop and implement a recurring simulation curriculum for general surgery residents.
- To increase exposure and confidence in four key OBGYN procedures: spontaneous vaginal delivery (SVD), Bartholin's cyst incision and drainage with Word catheter placement, cesarean delivery, and total abdominal hysterectomy (TAH).
- To hypothesize that the simulation curriculum would enhance knowledge and confidence in these procedures.
Main Methods:
- A pre- and post-test design was employed to evaluate the curriculum's efficacy.
- An annual 4-hour curriculum included lectures and four simulation skills stations (SVD, Bartholin's, cesarean delivery, TAH).
- Experienced OBGYN faculty proctored stations; knowledge and confidence were self-rated on a 5-point Likert scale, analyzed using the Wilcoxon rank sum test.
Main Results:
- 34 trainees participated over 2 years, reporting baseline knowledge and confidence gaps in OBGYN procedures.
- Significant improvements in self-rated knowledge and confidence were observed for all four simulated procedures (P < .001).
- High learner satisfaction (4.74/5.0) was reported, with 82% responding to post-curricular surveys.
Conclusions:
- The simulation curriculum effectively enhanced general surgery trainees' knowledge and confidence in essential OBGYN procedures.
- The program demonstrated high learner satisfaction and sustainability.
- This curriculum serves as a valuable adjunctive training for non-OBGYN physicians in military settings requiring OBGYN care.
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