title: Assessment of resident competency in the performance of sonohysterography: does the level of training impact the accuracy?
abstract: OBJECTIVE
  The objective of this study was to examine the true-positive rates by level of training of the operator and to determine whether the accuracy of the procedure differed by the level of education after formalized training.
  
  
  METHODS
  This was a retrospective analysis. The records of patients who underwent surgery for the indication of an abnormal saline sonohysterography were reviewed from January 2001 to April 2003 (n=73 patients). The nature of the saline sonohysterography abnormality, the intraoperative findings, and the level of training of the provider were recorded. Findings at saline sonohysterography were compared with findings at hysteroscopy or surgery. Statistical significance was determined by chi(2) test.
  
  
  RESULTS
  The overall true-positive rate was 86.3% (63/73 patients). The true-positive rates for nurse practitioners, second- and fourth-year residents, and fellows were 84%, 80%, 90%, and 89%, respectively. There was no significant difference among providers (P=.96).
  
  
  CONCLUSIONS
  The true-positive rates for saline hysterography were comparable among different provider levels.
authors.affiliation: Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC, USA.
authors.forename: Jason D
authors.initials: JD
authors.lastname: Parker
authors.forename: Ruben J
authors.initials: RJ
authors.lastname: Alvero
authors.forename: Julie
authors.initials: J
authors.lastname: Luterzo
authors.forename: James H
authors.initials: JH
authors.lastname: Segars
authors.forename: Alicia Y
authors.initials: AY
authors.lastname: Armstrong
mesh_terms: D002983:Clinical Competence; D004522:Educational Status; D005260:Female; D005831:Genital Diseases, Female / Q000000981:diagnostic imaging*; D006176:Gynecology / Q000193:education; D006801:Humans; D007047:Hysterosalpingography; D007396:Internship and Residency; D011237:Predictive Value of Tests; D012189:Retrospective Studies