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
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共 10 条
  • [1] *CTR MED SIM, LAB DEL CRIS RES MAN
  • [2] Simulation training and resident performance of singleton vaginal breech delivery
    Deering, S
    Brown, J
    Hodor, J
    Satin, AJ
    [J]. OBSTETRICS AND GYNECOLOGY, 2006, 107 (01) : 86 - 89
  • [3] Improving resident competency in the management of shoulder dystocia with simulation training
    Deering, S
    Poggi, S
    Macedonia, C
    Gherman, R
    Satin, AJ
    [J]. OBSTETRICS AND GYNECOLOGY, 2004, 103 (06) : 1224 - 1228
  • [4] Surgical skills assessment: A blinded examination of obstetrics and gynecology residents
    Goff, BA
    Nielsen, PE
    Lentz, GM
    Chow, GE
    Chalmers, RW
    Fenner, D
    Mandel, LS
    [J]. 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
    Grantcharov, TP
    Bardram, L
    Funch-Jensen, P
    Rosenberg, J
    [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
    Peters, JH
    Fried, GM
    Swanstrom, LL
    Soper, NJ
    Sillin, LF
    Schirmer, B
    Hoffman, K
    [J]. SURGERY, 2004, 135 (01) : 21 - 27
  • [7] Training the gynecologic surgeon
    Rogers, RM
    Julian, TM
    [J]. OBSTETRICS AND GYNECOLOGY, 2005, 105 (01) : 197 - 200
  • [8] Virtual reality training improves operating room performance - Results of a randomized, double-blinded study
    Seymour, NE
    Gallagher, AG
    Roman, SA
    O'Brien, MK
    Bansal, VK
    Andersen, DK
    Satava, RM
    [J]. ANNALS OF SURGERY, 2002, 236 (04) : 458 - 464
  • [9] William Stewart Halsted: Father of American modern surgery
    Toledo-Pereyra, LH
    [J]. 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)
    VanBlaricom, AL
    Goff, BA
    Chinn, M
    Icasiano, MM
    Nielsen, P
    Mandel, L
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2005, 193 (05) : 1856 - 1865