title: Placement of a Word catheter: a resident training model.
abstract: OBJECTIVE
  The present study developed and evaluated a practical teaching model and training protocol for Word catheter placement in the treatment of a Bartholin gland cyst.
  
  
  METHODS
  Residents were asked to treat a model of the female perineum, fashioned from harvested porcine tissue, with a simulated Bartholin cyst via Word catheter placement and drainage. Each resident was evaluated for procedural competence. They were retested after the viewing of a continuous 59-second video demonstrating catheter placement.
  
  
  RESULTS
  The model's resemblance to female genitalia was confirmed by 68% of residents. Correct diagnosis and treatment of a Bartholin gland cyst was made by 61%. The mean pretraining score was 5.5 +/- 1.46, while the post-training average was 8.2 +/- 1.20, indicating an approximate 58% increase in resident proficiency (P < .05).
  
  
  CONCLUSIONS
  A model of the female perineum fashioned from harvested porcine tissue is a suitable instructional aid in the recognition and treatment of a Bartholin cyst. Proficiency in Word catheter placement is improved through the use of the model and instructional video.
authors.affiliation: Department of Obstetrics and Gynecology, The Brooklyn Hospital Center, NY, USA.
authors.forename: Jane W
authors.initials: JW
authors.lastname: Owen
authors.forename: Joseph
authors.initials: J
authors.lastname: Koza
authors.forename: Towhid
authors.initials: T
authors.lastname: Shiblee
authors.forename: Robert R
authors.initials: RR
authors.lastname: Robertazzi
authors.forename: Michael F
authors.initials: MF
authors.lastname: Cabbad
authors.forename: Carl K
authors.initials: CK
authors.lastname: Hsu
mesh_terms: D000818:Animals; D001472:Bartholin's Glands; D002404:Catheterization; D002983:Clinical Competence; D003560:Cysts / Q000628:therapy*; D004195:Disease Models, Animal; D004322:Drainage; D005260:Female; D006176:Gynecology / Q000193:education*; D007396:Internship and Residency; D013552:Swine; D013663:Teaching; D014845:Vulvar Diseases / Q000175:diagnosis / Q000628:therapy*