Dilation and Evacuation Simulation Model for Learners and Providers Who Offer Abortion Care

Area of Science:

• Medical Education
• Surgical Simulation
• Reproductive Health

Background:

• Second-trimester abortions, primarily performed via Dilation and Evacuation (D&E), require specialized provider skills.
• Training barriers include limited residency programs, legal restrictions, and religious affiliations.
• Access to hands-on D&E training is crucial for physician competency.

Purpose of the Study:

• To evaluate a novel, cost-effective D&E simulation model for training.
• To assess the impact of the simulation on trainee comfort and perceived ability to perform D&Es.
• To determine the model's realism and effectiveness in enhancing knowledge of abortion care.

Main Methods:

• A D&E simulation model was constructed using readily available materials (juice containers, Cornish hens).
• Thirty-five medical students and OB/GYN residents participated in a hands-on simulation following a lecture.
• Participants completed pre- and post-simulation surveys assessing comfort, knowledge, and likelihood of performing D&Es.

Main Results:

• Comfort levels in performing D&Es significantly increased from 32% to 55% (p < .001).
• Comfort in recognizing postabortion complications rose from 46% to 63% (p < .01).
• Participants found the simulation realistic (92%), knowledge-enhancing (100%), and skill-improving (96%).

Conclusions:

• The affordable and simple D&E simulation model is easily replicable for second-trimester abortion training.
• This realistic tool enhances physician education and competency, especially for those with restricted clinical training.
• The simulation serves as a valuable adjunct for improving D&E procedural skills and patient care.