Dataset Information

A Novel Abdominal Hysterectomy Simulator and Its Impact on Obstetrics and Gynecology Residents' Surgical Confidence.

ABSTRACT:

Introduction

The number of abdominal hysterectomies (AHs) performed by OB/GYN residents has decreased dramatically. Thus, there is a need for simulation training to complement operating room experience.

Methods

A low-fidelity AH simulator was constructed from craft-store supplies costing less than $40. OB/GYN residents in a single academic program completed the simulation between July and September of 2015. The 1-hour simulation experience included a pretest, a 5-minute presentation, the simulation, and a posttest. On the pre- and posttests, participants rated their confidence with the steps of AH as not at all, somewhat, or very confident.

Results

Eighty-six percent (32 of 37) of possible residents completed the session, with even representation from all levels of training (nine PGY 1, seven PGY 2, eight PGY 3, and eight 8 PGY 4 residents). Knowledge of the steps of the procedure and instrumentation improved for all levels of trainees (p < .001). One hundred percent (16 out of 16) of the PGY 1 and PGY 2 residents rated their confidence as increased afterwards, while only 25% (four out of 16) of the PGY 3 and PGY 4 residents did so. Ninety-four percent (30 out of 32) rated the session as very helpful on a scale of not at all, somewhat, or very helpful.

Discussion

A low-fidelity, low-cost simulator showed an increase in trainee confidence with AH, particularly in the first- and second-year trainees. Nearly all participants found the exercise helpful, suggesting that it may be beneficial to incorporate into OB/GYN training programs nationwide.

SUBMITTER: Stickrath E

PROVIDER: S-EPMC6338252 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature

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Publications

A Novel Abdominal Hysterectomy Simulator and Its Impact on Obstetrics and Gynecology Residents' Surgical Confidence.

Stickrath Elaine E Alston Meredith M

MedEdPORTAL : the journal of teaching and learning resources 20170929

<h4>Introduction</h4>The number of abdominal hysterectomies (AHs) performed by OB/GYN residents has decreased dramatically. Thus, there is a need for simulation training to complement operating room experience.<h4>Methods</h4>A low-fidelity AH simulator was constructed from craft-store supplies costing less than $40. OB/GYN residents in a single academic program completed the simulation between July and September of 2015. The 1-hour simulation experience included a pretest, a 5-minute presentati ...[more]

PMID: 30800837

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Project description:Background: The course "Psychosomatic Primary Care" has been part of the training curriculum of obstetrics and gynecology in Germany since 2003. The aim of the course is to train up physicians, whose prior training primarily focussed on somatic care, to enable them to offer care also taking into account biopsychosocial aspects. Taking the guidelines for psychotherapy as a template, the aim of psychosomatic primary care is to recognize the etiological links between psychological and somatic factors which contribute to diseases. The necessity for a compulsory course as part of training in gynecology was recently critically discussed. Major points discussed included the question whether the current forms of teaching, consisting of courses, are outdated and whether the required skills should be part of regular daily training. Method: A 3-part online questionnaire consisting of 30 items was developed and sent to 2431 residents in the period from September to December 2012 through the online mailing list of the DGGG. Results: The 540 residents who responded to the questionnaire were predominantly female (83.3 %) with an average age of 30 years; 50.3 % were in their 1st to their 4th year of training. Over the longer term, the majority of respondents (56.1 %) hoped to continue working in a hospital and regularly (84.6 %) attended teaching courses voluntarily. 70.9 % of them had already attended the course "Psychosomatic Primary Care". Of the group who had completed the course, 29.4 % were satisfied with the offer. The main criticism directed against the course was its scope which 24.1 % considered completely inadequate. 24.5 % considered the course to be an important part of training, while 16.5 % would have preferred that the course be abolished. 18 % of respondents reported that psychosomatic medicine did not feature regularly in their daily clinical routine. Perspective: Because of the huge gap between what is currently offered and the experiences reported by the respondents, the Young Forum of the DGGG and the DGPFG have expanded the program of courses offered by the DGPFG, which will offer practice-oriented courses to future gynecologists across Germany in cooperation with the DAGG. The first courses are held in Heidelberg and Erlangen in 2014.

Dataset Information

A Novel Abdominal Hysterectomy Simulator and Its Impact on Obstetrics and Gynecology Residents' Surgical Confidence.

Introduction

Methods

Results

Discussion

Publications

A Novel Abdominal Hysterectomy Simulator and Its Impact on Obstetrics and Gynecology Residents' Surgical Confidence.

Similar Datasets

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