title: A comparison of novice and experienced physicians performing hysteroscopic sterilization: an analysis of an FDA-mandated trial.
abstract: OBJECTIVE
  To assess the placement rates for experienced users versus newly trained physicians using the new ESS 305 delivery catheter for the Essure microinsert hysteroscopic sterilization system.
  
  
  METHODS
  Multicenter prospective cohort study.
  
  
  METHODS
  Seventy-six sites throughout the U.S. comprising community hospitals, teaching institutions, surgery centers, and office-based practices.
  
  
  METHODS
  A total of 578 women seeking hysteroscopic sterilization.
  
  
  METHODS
  Hysteroscopic sterilization with the ESS 305 device by either experienced or novice physicians.
  
  
  METHODS
  Successful bilateral placement of the Essure 305 device.
  
  
  RESULTS
  A total of 625 patients were recruited with 578 eligible cases performed by 37 newly trained and 39 experienced physicians: 562/578 (97.2%) overall had successful placement, with 98% successful placement rate versus 96.1% for experienced versus novice physicians, respectively. Mean procedural time was 9 minutes (±7 SD), with experienced physicians completing it on average quicker at 7.9 minutes (±5.8 SD) and novices completing it in 10.7 minutes (±8.3 SD). There was no significant association between successful placement with patient characteristics such as body mass index, surgical history, parity, or prior vaginal deliveries observed.
  
  
  CONCLUSIONS
  The Essure procedure can be performed quickly and safely with high bilateral placement rates regardless of physician experience or patient characteristics.
authors.affiliation: Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Levie
authors.forename: Scott G
authors.initials: SG
authors.lastname: Chudnoff
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards*; D018795:Device Approval; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000592:standards*; D017063:Outcome Assessment, Health Care; D010820:Physicians / Q000592:standards*; D010824:Physicians' Offices / Q000706:statistics & numerical data; D011446:Prospective Studies; D013245:Sterilization, Reproductive / Q000592:standards*; D014481:United States; D014486:United States Food and Drug Administration