title: Deliberate practice improves obstetrics and gynecology residents' hysteroscopy skills.
abstract: BACKGROUND
  Development of surgical skills is an integral component of residency education in obstetrics and gynecology.
  
  
  OBJECTIVE
  We report data from a supervised, deliberate, dry lab practice in hysteroscopy for junior obstetrics-gynecology residents, undertaken to evaluate whether simulation training improved hysteroscopy performance to a skill level similar to that of senior residents.
  
  
  METHODS
  A prospective, comparative, multicenter trial compared Objective Structured Assessment Of Technical Skills (OSATS) performance of 2 groups: 19 postgraduate year (PGY)-1 and PGY-2 and 18 PGY-3 and PGY-4 Ob-Gyn residents. PGY-1 and PGY-2 participants underwent 4 sessions of brief, deliberate, focused training in hysteroscope assembly and operative hysteroscopic polypectomy using uterine models. Subsequently, all participants completed a simulated hysteroscopic polypectomy OSATS, and procedure times and structured assessment scores were compared among groups.
  
  
  RESULTS
  PGY-1 and PGY-2 residents who had completed OSATS training performed at or above the level of untrained PGY-3 and PGY-4 residents. Junior residents had better assembly times and scores, resection scores, and global skills scores (P < .05). Resection times did not differ between groups but differed among institutions.
  
  
  CONCLUSIONS
  Brief, hands-on training sessions, which were task-specific and repetitive facilitated short-term gains in learning operative hysteroscopy and increased the dry lab skill level of junior residents compared to that of senior residents. This curriculum was effectively implemented at 3 institutions and generated comparable results, suggesting generalizability.
authors.forename: Beth W
authors.initials: BW
authors.lastname: Rackow
authors.forename: M Jonathon
authors.initials: MJ
authors.lastname: Solnik
authors.forename: Frank F
authors.initials: FF
authors.lastname: Tu
authors.forename: Sangeeta
authors.initials: S
authors.lastname: Senapati
authors.forename: Kristen E
authors.initials: KE
authors.lastname: Pozolo
authors.forename: Hongyan
authors.initials: H
authors.lastname: Du