Improving Residents' Comfort with Salpingectomy at Cesarean Delivery Through Surgical Simulation
Jessica B Disilvestro1, Benjamin Brown2, Cara A Mathews3
1Gynecologic Oncology Fellow, Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI.
Introduction:
To study obstetric and gynecologic (OBGYN) resident comfort with performing a salpingectomy at cesarean delivery after a simulation workshop utilizing a low-cost, easy-to-construct model.
Methods:
OBGYN residents were taught how to counsel a patient on a salpingectomy and perform the steps of the procedure utilizing our simulation model. We performed a pre- and post- survey.
Results:
Thirty-two OBGYN residents completed the pre-questionnaire (response rate 100%) and 30 completed the post-questionnaire (response rate 94%). After the simulation, OBGYN residents felt more comfortable completing a bilateral salpingectomy at cesarean delivery (pre: 50.0% vs. post: 84.4%, p=0.001) and counseling a patient on the procedure (pre: 59.4% vs. post: 90.6%, p=0.006). After the simulation, 96.7% of residents felt the simulation workshop was useful to clinical practice.
Conclusion:
We developed an easy-to-construct bilateral salpingectomy at cesarean delivery model to practice preoperative counseling and surgical techniques. The direct impact on surgical competency and outcomes requires further study.
