Building a Hysteroscopic Simulation Model

Abstract

<h3>Study Objective</h3> Demonstrate the construction and implementation of a low-fidelity simulation model for hysteroscopy training to Obstetrics and Gynecology (OB/Gyn) residents. <h3>Design</h3> OB/Gyn residency training program. <h3>Setting</h3> Community-based hospital program. <h3>Patients or Participants</h3> PGY1 through PGY4 OB/Gyne residents from a community-based program. <h3>Interventions</h3> A hysteroscopic simulation model was constructed using low-cost, reusable, and readily accessible materials and supplies. This hysteroscopic model is used to assess residents' identification of a normal cervical canal, junction of the cervical canal and lower uterine segment, and both fallopian tube ostia. The residents should also be able to identify normal intrauterine anatomy and pathology. Learners are taught basic instrument use with proper scope rotation to minimize uterine manipulation and torque. <h3>Measurements and Main Results</h3> The "bell pepper" model is typically used as part of basic hysteroscopy simulation. There are some deficiencies of that model with its inability to accurately simulate proper cervical entry and identify normal intrauterine anatomy. This hysteroscopic simulation model better demonstrates proper insertion technique with angled lens resulting in improved visualization of lateral structures without angling the scope. It also provides training of proper scope rotation using the light post as a guide. <h3>Conclusion</h3> Low fidelity simulation models can be easily implemented into an OB/Gyn residency curriculum to enhance residents' procedural knowledge and skill development. Building this hysteroscopic simulation model provides a useful, practical, and low-cost training tool for teaching basic hysteroscopy techniques.