Development and Validation of Simulation Training for Vaginal Hysterectomy

Abstract

Study ObjectiveTo develop and validate an educational intervention based on vaginal hysterectomy (VH) simulation. DesignProspective cohort study (Canadian Task Force classification II-2). SettingSurgical skills simulation center. PatientsThirty residents in Obstetrics and Gynecology (11 PGY-2, 11 PGY-3, and 8 PGY-4). InterventionVH educational intervention that included a lecture, a video, and surgical skill simulation using a new inexpensive model. Measurements and Main ResultsThe primary outcome was written test scores before and after the educational intervention, and the secondary outcome was self-rated confidence in performing VH. Baseline written scores were similar for all 3 training levels; however, baseline confidence scores were higher for PGY-3 and PGY-4 residents than for PGY-2 residents (p < .01). After the workshop, written test scores improved significantly for all trainees (median [range] improvement, 4 [3.5–5.0] points; p < .01). Mean (SD) improvement in confidence scores for PGY-4, PGY-3, and PGY-2 residents was 0 (0.5), 0.5 (0.8), and 1 (1.3), respectively, with improvement in confidence scores reaching significance only for PGY-2 residents (p < .02). All trainees expressed high satisfaction with the workshop. ConclusionAn educational intervention based on VH simulation is feasible and improves knowledge and confidence in junior residents with limited exposure to VH.