Simulation training improves resident performance in operative hysteroscopic resection techniques

被引:29
作者
Burchard, Elizabeth R. [1 ]
Lockrow, Ernest G. [1 ]
Zahn, Christopher M. [1 ]
Dunlow, Susan G. [1 ]
Satin, Andrew J. [1 ]
机构
[1] Uniformed Serv Univ Hlth Sci, Dept Obstet & Gynecol, Bethesda, MD 20814 USA
关键词
hysteroscopy; resection; simulation training;
D O I
10.1016/j.ajog.2007.07.023
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: The purpose of this study was to determine whether a simulated training scenario improved resident performance in operative hysteroscopic resection. STUDY DESIGN: An interventional cohort study evaluated the ability of a hysteroscopic simulation model to improve resident performance in hysteroscopy. Residents were evaluated on operative hysteroscopy before training and at 1 and 6 months after training. Two physician graders, who were blinded to training status, evaluated the residents' performances. Statistical analyses included the chi(2) and the t test, as appropriate. RESULTS: Hysteroscopic simulation training was associated with a reduction in operative times (11.8 minutes vs 7.4 minutes; P < .001) and resection times (4.3 minutes vs 2.4 minutes; P < .007) 1 month after training. At 6 months, total operative times were greater compared with those measured at 1 month, but resection times differed minimally. The total number of questions regarding hysteroscopic knowledge that were answered correctly increased from 15 to 26 (P < .001). CONCLUSION: Training that used a simulation hysteroscopic model improved resident performance.
引用
收藏
页码:542.e1 / 542.e4
页数:4
相关论文
共 10 条
[1]  
*CTR MED SIM, LAB DEL CRIS RES MAN
[2]   Simulation training and resident performance of singleton vaginal breech delivery [J].
Deering, S ;
Brown, J ;
Hodor, J ;
Satin, AJ .
OBSTETRICS AND GYNECOLOGY, 2006, 107 (01) :86-89
[3]   Improving resident competency in the management of shoulder dystocia with simulation training [J].
Deering, S ;
Poggi, S ;
Macedonia, C ;
Gherman, R ;
Satin, AJ .
OBSTETRICS AND GYNECOLOGY, 2004, 103 (06) :1224-1228
[4]   Surgical skills assessment: A blinded examination of obstetrics and gynecology residents [J].
Goff, BA ;
Nielsen, PE ;
Lentz, GM ;
Chow, GE ;
Chalmers, RW ;
Fenner, D ;
Mandel, LS .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 186 (04) :613-617
[5]   Learning curves and impact of previous operative experience on performance on a virtual reality simulator to test laparoscopic surgical skills [J].
Grantcharov, TP ;
Bardram, L ;
Funch-Jensen, P ;
Rosenberg, J .
AMERICAN JOURNAL OF SURGERY, 2003, 185 (02) :146-149
[6]   Development and validation of a comprehensive program of education and assessment of the basic Fundamentals of Laparoscopic Surgery [J].
Peters, JH ;
Fried, GM ;
Swanstrom, LL ;
Soper, NJ ;
Sillin, LF ;
Schirmer, B ;
Hoffman, K .
SURGERY, 2004, 135 (01) :21-27
[7]   Training the gynecologic surgeon [J].
Rogers, RM ;
Julian, TM .
OBSTETRICS AND GYNECOLOGY, 2005, 105 (01) :197-200
[8]   Virtual reality training improves operating room performance - Results of a randomized, double-blinded study [J].
Seymour, NE ;
Gallagher, AG ;
Roman, SA ;
O'Brien, MK ;
Bansal, VK ;
Andersen, DK ;
Satava, RM .
ANNALS OF SURGERY, 2002, 236 (04) :458-464
[9]   William Stewart Halsted: Father of American modern surgery [J].
Toledo-Pereyra, LH .
JOURNAL OF INVESTIGATIVE SURGERY, 2002, 15 (02) :59-60
[10]   A new curriculum for hysteroscopy training as demonstrated by an objective structured assessment of technical skills (OSATS) [J].
VanBlaricom, AL ;
Goff, BA ;
Chinn, M ;
Icasiano, MM ;
Nielsen, P ;
Mandel, L .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2005, 193 (05) :1856-1865