Simulation training improves resident performance in operative hysteroscopic resection techniques

Am J Obstet Gynecol. 2007 Nov;197(5):542.e1-4. doi: 10.1016/j.ajog.2007.07.023.

Abstract

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 chi2 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.

MeSH terms

  • Adult
  • Clinical Competence*
  • Computer Simulation
  • Gynecology / education*
  • Humans
  • Hysteroscopy*
  • Internship and Residency
  • Models, Anatomic*
  • Models, Educational
  • Task Performance and Analysis
  • Video Recording