Efficacy of a novel educational curriculum using a simulation laboratory on resident performance of hysteroscopic sterilization.
OBJECTIVE
To assess whether a novel educational curriculum using a simulation teaching laboratory improves resident knowledge, comfort with, and surgical performance of hysteroscopic sterilization.


METHODS
An educational prospective, pretest/posttest study.


METHODS
The Montefiore Institute of Minimally Invasive Surgery Laboratory. PATIENT(S)/SUBJECT(S): Thirty-four OB/GYN residents in an academic medical center.


METHODS
Hysteroscopic sterilization simulation laboratory and a brief didactic lecture.


METHODS
Differences in scores on validated skill assessment tools: Task specific checklist, Global Rating Scale (GRS), pass fail assessment, and a multiple-choice examination to evaluate knowledge and attitude.


RESULTS
In the entire cohort improvements were observed on all evaluation tools after the simulation laboratory, with 31% points (SD+/-11.5, 95% confidence interval [CI] 27.3-35.3) higher score on the written evaluation; 63% points (SD+/-15.7, 95% CI 57.8-68.8) higher score on the task specific checklist; and 54% points (SD+/-13.6, 95% CI 48.8-58.3) higher score on the GRS. Higher PGY status was correlated with better pretest performance, but was not statistically significant in posttest scores. Residents reported an improvement in comfort performing the procedure after the laboratory.


CONCLUSIONS
Simulation laboratory teaching significantly improved resident knowledge, comfort level, and technical skill performance of hysteroscopic sterilization.
Chudnoff
Scott G
SG
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York. Electronic address: schudnof@montefiore.org.
Liu
Connie S
CS
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York.
Levie
Mark D
MD
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York.
Bernstein
Peter
P
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York.
Banks
Erika H
EH
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York.
D002983:Clinical Competence; D003198:Computer Simulation; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods* / Q000458:organization & administration; D017598:Efficiency, Organizational; D004650:Employee Performance Appraisal / Q000379:methods*; D005260:Female; D006176:Gynecology / Q000193:education / Q000295:instrumentation / Q000379:methods / Q000458:organization & administration; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D007396:Internship and Residency; D007755:Laboratories, Hospital; D012107:Research Design; D013245:Sterilization, Reproductive / Q000193:education* / Q000295:instrumentation / Q000379:methods