Impact of Implementing Curriculum for Resident Education in Surgical Technique (CREST): A Train-the-Trainer Simulation Course

Abstract

Study Objective To evaluate the impact of a platform of educational resources on the surgical curriculum in Ob-Gyn residency programs. Design A website was created to house simulation resources modeling basic laparoscopic skills in preparation for the Fundamentals of Laparoscopic Skills (FLS) assessment. A hands-on, simulation-based seminar was developed to demonstrate training and performance of surgical skills while educating participants on optimizing access and use of these resources. Setting Seminars conducted at 7 regional ACOG meetings and 3 national meetings of AAGL, the Council for Resident Education in Obstetrics and Gynecology (CREOG), and the Association of Professors of Gynecology and Obstetrics (APGO). Patients or Participants 190 ObGyn residents and 125 residency program directors (PDs) or assistant PDs completed the seminars. Interventions Expectations were assessed before and after training groups of participants. Expert surgeon-trainers coached small groups in laparoscopic surgical tactics, demonstrating the use of text- and video-based resources as well as hands-on experience with skills simulations using commercially available instruments and materials. Participants rotated around six laparoscopy box trainer-stations, practicing each skill set while receiving expert feedback. Measurements and Main Results Participants completed pre- and post-intervention surveys (n=32 and 73, respectively), and were asked to review materials on the website. Before training, needs expressed included desire to learn tips and tricks to train residents (85%), acquire curriculum development skills (74%), and gain exposure to a simulated test environment (65%). Post-intervention, 86% of respondents reported their expectations were met. The average participant rating was 4.3 on a scale of 1 (not at all helpful) to 5 (very helpful). Monitoring of Post-intervention website visits, video review, and resource downloads data suggest continued interest and program sustainability. Conclusion With a reliable needs assessment prior to implementation, appropriate organization, and expert trainers, a well-planned surgical curriculum program can deliver sustainable impact.