Abstract
<h3>Study Objective</h3> To demonstrate a communication tool and a corresponding training program for uterine manipulation during laparoscopic surgery. <h3>Design</h3> Descriptive demonstration of uterine manipulation training using a novel communication tool and simulator model <h3>Setting</h3> Two community-based surgical practices affiliated with academic medical centers. <h3>Patients or Participants</h3> Surgical technicians who serve as primary surgical assistants during laparoscopic hysterectomy. <h3>Interventions</h3> A communication tool was developed and previously presented in AUGS and AAGL. A new simulator model was developed as part of a new uterine manipulation training curriculum established for surgical technicians at our institutions. The training session includes a presentation highlighting critical pelvic anatomy and reviewing the cardinal movements of uterine manipulation. The presentation is followed by hands-on practice using the simulator model. Consent was obtained for all surgical footage utilized in this video explicitly for education purposes <h3>Measurements and Main Results</h3> Using surgical and simulator footage, the video demonstrates each component of the training program implemented at our institutions. The training program was well-received and will be converted to an on-line interactive module paired with simulator training. The simulator model was accepted to the ACOG Simulation Toolkit and is available for local use. <h3>Conclusion</h3> Communication between a surgeon and assistant can be challenging, especially for the novice assistant. Standardized methods for education, training, and communication with the vaginal assistant during laparoscopic hysterectomy are needed. Our strategy of developing a training program that includes a communication tool and simulation hands-on training was well-received and serves as an example for other programs to implement if helpful.
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