Development and Validation of Simulation Training for Vaginal Hysterectomy

Greer, Joy A.; Segal, Saya; Salva, Catherine R.; Arya, Lily A.

doi:10.1016/j.jmig.2013.06.006

Cited by 32 publications

(24 citation statements)

References 26 publications

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“…Meanwhile, studies assessing the transferability of laparoscopic and endoscopic simulators to real-time performance have proved to be useful of simulatorbased training (14,15,18,19). A VH simulator has been shown to have beneficial effects in learning routine VH (20,21). Although Greer et al (21) have shown that structured multiplecomponent VH education is valid, the impact of VH simulation on surgical competence could be unproven.…”

Section: Discussionmentioning

confidence: 99%

“…A VH simulator has been shown to have beneficial effects in learning routine VH (20,21). Although Greer et al (21) have shown that structured multiplecomponent VH education is valid, the impact of VH simulation on surgical competence could be unproven. A pilot study concluded that residents' surgical skills and knowledge were better after simulator education for TAH; no clinical outcomes exist to reach a conclusion about the effectiveness of simulator education (22).…”

Section: Discussionmentioning

confidence: 99%

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The impact of a simulation-based training lab on outcomes of hysterectomy

Asoğlu¹,

Achjian²,

Akbilgiç³

et al. 2016

J Turkish German Gynecol Assoc

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Results:The average estimated blood loss before and after simulation-based training was significantly different in TAH and RAH groups (317±170 mL versus 257±146 mL, p=0.003 and 154±107 mL versus 102±88 mL, p=0.004, respectively), but no difference was found for TLH and VH. The mean of length of hospital stay was significantly different before and after simulation-based training for each technique: 3.7±2.3 versus 2.9±2.2 days for TAH, 2.0±1.2 versus 1.3±0.9 days for VH, 2.4±1.3 versus 1.9±2.5 days for TLH, and 2.0±1.3 versus 1.4±1.7 days for RAH (p<0.01). Conclusion:Based on our data, simulator-based training may play an integrative role in developing the residents' surgical skills and thus improving the surgical outcomes of hysterectomy. (J Turk Ger Gynecol Assoc 2016; 17: 60-4)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The impact of a simulation-based training lab on outcomes of hysterectomy

Asoğlu¹,

Achjian²,

Akbilgiç³

et al. 2016

J Turkish German Gynecol Assoc

View full text Add to dashboard Cite

show abstract

“…[78910] Furthermore, simulation models for hysteroscopy and laparoscopy are widely used in the education of senior residents. The simulation model also makes class information more vivid and visible and profoundly enhances understanding, thus improving clinical practice skills and enhancing skills on all types of examinations.…”

Section: Advantages Of Medical Simulation Modelsmentioning

confidence: 99%

A Curriculum Using Simulation Models to Teach Gynecology and Obstetrics to Trainees

Ren

Sun

Zhu

et al. 2017

Chinese Medical Journal

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“…5 Other simple models exist in family medicine, emergency medicine, and urology. [6][7][8][9][10][11] No low-fidelity model has been formally described or evaluated in the literature for second-trimester D&E training. A D&E procedure differs significantly from uterine aspiration because it involves mechanical skills beyond sensing uterine texture and a greater understanding of the contours of the uterus and fetal parts.…”

Section: Introductionmentioning

confidence: 99%

Comparison of 3 Dilation and Evacuation Technical Skills Models

Baldwin¹,

Chor²,

Chen³

et al. 2013

Journal of Graduate Medical Education

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Editor's Note: The online version of this article contains a table comparing the 3 dilation and evacuation models and photographs of the models. IntroductionSimulation is becoming the cornerstone for teaching clinical technical skills.1,2 Although a number of obstetric and gynecologic training models exist, none has been described in the literature for second-trimester surgical abortion or dilation and evacuation (D&E). Because complications associated with D&E have been directly related to provider skill level, 3 preclinical training with an appropriate model may improve patient safety, decrease trainer and trainee anxiety, and reduce the number of cases needed to achieve competency.Models can be expensive and may not be available in low-resource settings where the provision of safe abortion services can be life-saving. An easily and inexpensively produced model for use in low-and high-resource settings would be a valuable tool. One low-fidelity model that has been widely adopted for first-trimester uterine aspiration training is the papaya model, 4 which was shown to improve confidence and knowledge base during a medical student workshop.5 Other simple models exist in family medicine, emergency medicine, and urology. [6][7][8][9][10][11] No low-fidelity model has been formally described or evaluated in the literature for second-trimester D&E training. A D&E procedure differs significantly from uterine aspiration because it involves mechanical skills beyond sensing uterine texture and a greater understanding of the contours of the uterus and fetal parts.At the time of this study, 3 standard, low-fidelity D&E models existed. All have been used with trainees, yet the models have not been formally evaluated by experts in the field. We surveyed experienced D&E providers to assess how realistic these models were in simulating a D&E procedure.12 Our goal was to create an ideal composite model, with the most realistic components from each model. Methods Setting and ParticipantsWe administered a cross-sectional survey to secondtrimester US-based abortion providers at 2 national AbstractBackground Simulation training may improve patient safety, decrease trainer and trainee anxiety, and reduce the number of cases needed for competency. Complications associated with dilation and evacuation (D&E) have been directly related to provider skill level, yet no low-fidelity model has been formally described or evaluated in the literature for second-trimester D&E training.

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Development and Validation of Simulation Training for Vaginal Hysterectomy

Cited by 32 publications

References 26 publications

The impact of a simulation-based training lab on outcomes of hysterectomy

The impact of a simulation-based training lab on outcomes of hysterectomy

A Curriculum Using Simulation Models to Teach Gynecology and Obstetrics to Trainees

Comparison of 3 Dilation and Evacuation Technical Skills Models

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