title: A simulation program for teaching obstetrics and gynecology residents the pediatric gynecology examination and procedures.
abstract: OBJECTIVE
  To assess the use of a pelvic simulation curriculum to teach obstetrics and gynecologic residents the pediatric gynecology examination and procedures.
  
  
  METHODS
  Residents in obstetrics and gynecology participated in a simulation curriculum using a modified pelvic hemimodel to simulate a pediatric pelvis.
  
  
  METHODS
  19 obstetrics and gynecology residents completed the study protocol.
  
  
  METHODS
  Digitally recorded encounters with a standardized patient scenario using the simulator were utilized. After the initial encounter the trainees participated in a formal lecture and demonstration using the model. The trainees were then reassessed at least four weeks after the initial encounter; results were reviewed by a blinded evaluator. Scores were analyzed using the two-sided t-test and Wilcoxon signed-rank test.
  
  
  METHODS
  Scores from before to after the simulation training.
  
  
  RESULTS
  A total of 19 residents completed the study protocol and demonstrated significant improvement in scores from before to after the simulation training. Scores improved from a pre-training mean of 6.1 to post-training mean of 16.7 (P = 0.0001). Improvement was seen at all levels of residency training. Specific skill sets included in the Council for Resident Education in Obstetrics and Gynecology (CREOG) Educational objectives (1) were improved including: pediatric gynecologic examination, collection of microbial cultures, vaginal lavage and vaginoscopy.
  
  
  CONCLUSIONS
  This teaching program using a simulation model was found to be an effective tool to improve resident knowledge and performance of the skills needed to accomplish the pediatric gynecology examination.
authors.affiliation: University of Louisville School of Medicine, Louisville, Kentucky, USA. m0love02@louisville.edu
authors.forename: Meredith B
authors.initials: MB
authors.lastname: Loveless
authors.forename: Dayna
authors.initials: D
authors.lastname: Finkenzeller
authors.forename: Sherrine
authors.initials: S
authors.lastname: Ibrahim
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Satin
mesh_terms: D058869:Gynecological Examination / Q000379:methods*; D006176:Gynecology / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000379:methods; D008953:Models, Anatomic; D009774:Obstetrics / Q000193:education; D016544:Patient Simulation; D010372:Pediatrics / Q000193:education*