title: Improving resident competence and knowledge regarding tension-free vaginal tape procedure:  an educational module.
abstract: OBJECTIVE
  The purpose of this study was to determine the effectiveness of a teaching module using simulation for the tension-free vaginal tape (TVT) procedure on procedural knowledge and skill.
  
  
  METHODS
  Twenty-five gynecology residents participated in a teaching module about the TVT procedure and urinary incontinence, which included a simulated insertion on a training model. Questionnaires using 10-point scales for self-rated competence and knowledge and a written examination were administered before and after the module. A simulated TVT insertion was evaluated at an examination at 7 weeks and at 7 months.
  
  
  RESULTS
  A significant median improvement of 44% on the written examination and at least one point on each of the self-rated competence and knowledge scales were observed after the teaching module. Residents performed the insertion well at both examinations (89% and 90%), regardless of surgical experience. More than 94% agreed the module was useful and improved their understanding of the procedure.
  
  
  CONCLUSIONS
  A short teaching module and simulation session can effectively teach residents and improve their perceived competence with the TVT procedure.
authors.affiliation: Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Canada.
authors.forename: Jeanelle N
authors.initials: JN
authors.lastname: Sabourin
authors.forename: Jane A
authors.initials: JA
authors.lastname: Schulz
authors.forename: Catherine G
authors.initials: CG
authors.lastname: Flood
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards; D004521:Educational Measurement; D005260:Female; D006176:Gynecology / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D019919:Prosthesis Implantation / Q000193:education*; D053825:Suburethral Slings; D013663:Teaching / Q000379:methods