Placement of a Word catheter: a resident training model.
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.
Owen
Jane W
JW
Department of Obstetrics and Gynecology, The Brooklyn Hospital Center, NY, USA.
Koza
Joseph
J
Shiblee
Towhid
T
Robertazzi
Robert R
RR
Cabbad
Michael F
MF
Hsu
Carl K
CK
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*