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A Structured, Hybrid Cystoscopy Simulation Curriculum for Obstetrics/Gynecology Residents.

Linh Do1, Kainat Pasha, Sheralyn Sanchez

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Gynecology residents showed improved cystoscopy skills after a 6-week simulation course. This training enhanced both subjective confidence and objective performance in the procedure.

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Gynecologic Surgery

Background:

  • Cystoscopy is a crucial skill for gynecologic surgeons.
  • Standardized training methods are needed to improve proficiency.
  • Simulation offers a safe environment for skill acquisition.

Purpose of the Study:

  • To evaluate the effectiveness of a comprehensive simulation curriculum on gynecology residents' cystoscopy skills.
  • To compare subjective and objective skill assessments before and after the simulation course.

Main Methods:

  • A 6-week cystoscopy simulation course was implemented for 16 obstetrics/gynecology residents.
  • Training included didactic sessions and weekly practice with water balloon models and virtual reality simulators.
  • Skills were assessed pre- and post-curriculum using self-assessments, written quizzes, and objective structured assessments.

Main Results:

  • Residents reported significant subjective improvements in comfort, confidence, and proficiency.
  • Objective measures showed significant improvements in written quiz scores (49% to 78%), efficiency, bladder survey scores (56% to 86%), and global ratings.
  • The water balloon model was preferred over the virtual reality simulator (75% vs 25%).

Conclusions:

  • A 6-week simulation course significantly enhanced both subjective and objective cystoscopy skills in gynecology residents.
  • Simulation training, utilizing both low- and high-fidelity models, is valuable for resident education.
  • Cystoscopy simulation should be an integral component of resident training, regardless of current practice controversies.