title: Development and validation of simulation training for vaginal hysterectomy.
abstract: OBJECTIVE
  To develop and validate an educational intervention based on vaginal hysterectomy (VH) simulation.
  
  
  METHODS
  Prospective cohort study (Canadian Task Force classification II-2).
  
  
  METHODS
  Surgical skills simulation center.
  
  
  METHODS
  Thirty residents in Obstetrics and Gynecology (11 PGY-2, 11 PGY-3, and 8 PGY-4).
  
  
  METHODS
  VH educational intervention that included a lecture, a video, and surgical skill simulation using a new inexpensive model.
  
  
  RESULTS
  The primary outcome was written test scores before and after the educational intervention, and the secondary outcome was self-rated confidence in performing VH. Baseline written scores were similar for all 3 training levels; however, baseline confidence scores were higher for PGY-3 and PGY-4 residents than for PGY-2 residents (p < .01). After the workshop, written test scores improved significantly for all trainees (median [range] improvement, 4 [3.5-5.0] points; p < .01). Mean (SD) improvement in confidence scores for PGY-4, PGY-3, and PGY-2 residents was 0 (0.5), 0.5 (0.8), and 1 (1.3), respectively, with improvement in confidence scores reaching significance only for PGY-2 residents (p < .02). All trainees expressed high satisfaction with the workshop.
  
  
  CONCLUSIONS
  An educational intervention based on VH simulation is feasible and improves knowledge and confidence in junior residents with limited exposure to VH.
authors.affiliation: Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Division of Urogynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Electronic address: joy_knopp@yahoo.com.
authors.forename: Joy A
authors.initials: JA
authors.lastname: Greer
authors.affiliation: Departments of Obstetrics and Gynecology, and Surgery, University of Medicine and Dentistry of New Jersey, New Brunswick.
authors.forename: Saya
authors.initials: S
authors.lastname: Segal
authors.affiliation: Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
authors.forename: Catherine R
authors.initials: CR
authors.lastname: Salva
authors.affiliation: Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Division of Urogynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
authors.forename: Lily A
authors.initials: LA
authors.lastname: Arya
mesh_terms: D002983:Clinical Competence; D005260:Female; D006176:Gynecology / Q000193:education*; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000193:education*; D007396:Internship and Residency; D011446:Prospective Studies
keywords: Education; Model; Resident; Simulation; Vaginal hysterectomy