A Low-Cost, High-Fidelity Simulator for Transabdominal Chorionic Villus Sampling
Megan G Lord1, Matthew A Esposito1, Alexis C Gimovsky1
1Division of Maternal Fetal Medicine, Women & Infants Hospital of Rhode Island, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Fetal Diagnosis and Therapy
|December 11, 2023
Summary
A new, low-cost simulator for trans-abdominal chorionic villus sampling (TA-CVS) has been developed. This reusable model provides realistic training for clinicians, improving skills for first-trimester genetic diagnosis.
Area of Science:
- Medical Simulation
- Maternal-Fetal Medicine
- Medical Education
Background:
- Chorionic villus sampling (CVS) is crucial for first-trimester genetic diagnosis.
- Limited clinical cases hinder training for new clinicians in CVS techniques.
- Existing simulation models are costly, require specialized materials, and are not reusable.
Purpose of the Study:
- To develop and evaluate a low-cost, reusable simulator for trans-abdominal CVS (TA-CVS) training.
- To assess the fidelity and utility of the simulator for maternal-fetal medicine fellows.
Main Methods:
- Construction of a TA-CVS simulator using inexpensive, readily available materials.
- Evaluation of the simulator by attending physicians for visual and tactile accuracy.
- Integration of the simulator into the fellowship curriculum for hands-on training.
Main Results:
- The simulator is constructed for under $10 and can be refrigerated for repeated use.
- Attending physicians found the model to be an accurate visual and tactile simulation.
- Two fellows achieved competency on the simulator and began supervised clinical CVS procedures.
- The simulator has been reused for 3 months with dozens of procedures without degradation.
Conclusions:
- A low-cost, easily constructed, and durable high-fidelity simulator for TA-CVS has been developed.
- The simulator serves as a valuable tool for repeated practice, enhancing clinical skills.
- This model facilitates effective training for maternal-fetal medicine fellows in CVS techniques.


