Effectiveness of Simulation-Based Gynecologic Endoscopy Training: A Systematic Review Comparing Objective Technical...

Simulation-based training may accelerate the learning curve in a controlled environment, with potential benefits including improved technical performance, procedural efficiency, and patient safety. This systematic review evaluated the effectiveness of simulation-based training, using standardized assessment measures, in gynecologic endoscopy.

We conducted an electronic database search of PubMed, Scopus and ScienceDirect from inception to November 2024. The study was designed, conducted, and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Eligible studies provided data on participant characteristics, simulation modality, training duration, intervention, and standardized assessment measures for simulation-based gynecologic endoscopy training. Risk of bias was assessed using the Joanna Briggs Institute tool.

Nine studies involving 342 participants were included, comprising 206 trainees in intervention-control comparisons and 136 participants in proficiency-level comparisons. Simulation modalities included box trainers, virtual reality simulators, and high-fidelity models, with training durations ranging from 90 minutes to 12 months. Overall, simulation-based training and higher proficiency levels were associated with superior objective technical performance in gynecologic endoscopy.

This systematic review demonstrates that simulation-based training is associated with improved objective technical performance as measured by standardized assessment tools in gynecologic endoscopy.