Implementing the transvaginal ultrasound simulation training (TRUSST) programme for obstetric registrars

Area of Science:

• Medical Education
• Obstetrics and Gynecology
• Medical Simulation

Background:

• Transvaginal ultrasound (TVUS) is vital for early pregnancy assessment but training opportunities are limited due to its intimate nature.
• Simulation-based training offers a viable solution to bridge this educational gap for healthcare professionals.

Purpose of the Study:

• To evaluate the effectiveness of a simulation program designed to enhance transvaginal ultrasound skills among obstetric registrars.
• To measure improvements in confidence and objective assessment scores post-simulation training.

Main Methods:

• A simulation program (TRUSST) incorporating virtual reality simulators and communication skills training was implemented for obstetric registrars.
• Trainee confidence was assessed pre- and post-training using self-reported levels.
• Objective skills were evaluated using the Objective Structured Assessment of Ultrasound Skills (OSAUS) and modified RANZCOG assessments.

Main Results:

• Fifteen registrars completed the program, noting low numbers of prior live TVUS experience.
• Participants reported a significant increase in confidence, with mean scores rising from 1.6/5 to 3/5.
• Objective assessment scores (OSAUS and RANZCOG) improved significantly, particularly in systematic approach and documentation.

Conclusions:

• Simulation-based training effectively enhances both confidence and practical ability in performing transvaginal ultrasounds.
• The TRUSST curriculum demonstrated particular success in improving systematic scanning techniques and documentation skills among obstetric registrars.