Abstract

Purpose: Brachytherapy is an integral component in treatment of gynecologic malignancies. Intracavitary brachytherapy has the highest rates of local control and survival in cervical cancer. Classical brachytherapy training requires 1-on-1 instruction during patient encounters. This training is resource intensive and variable based on the type/frequency of the procedures performed by the attending physician/facility. Consequently, exposure to brachytherapy varies among residency programs. Even with Accreditation Council for Graduate Medical Education mandated requirements, only about 50% of graduating residents express confidence to develop a brachytherapy practice with caseload as the greatest barrier. The use of simulation-based education has been shown to increase confidence, applicator placement quality, and decrease implant time and errors.

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