title: Enhancing postgraduate training in pediatric and adolescent gynecology: evaluation of an advanced pelvic simulation session.
abstract: OBJECTIVE
  To describe and evaluate a Canadian simulation session designed to teach pediatric and adolescent gynecology (PAG) history taking, examination and operative skills, and an approach to the child and adolescent.
  
  
  METHODS
  Obstetrics and gynecology residents in a single academic center participated in a PAG simulation session and rated their gain in knowledge on 6 aspects of PAG care.
  
  
  METHODS
  Academic half-day at the University of Ottawa Skills and Simulation Centre.
  
  
  METHODS
  Twenty-four Obstetrics/Gynecology residents at the University of Ottawa.
  
  
  METHODS
  Participants completed 4 stations teaching PAG-appropriate history taking, genital examination, Tanner staging, vaginal sampling and flushing, hymenectomy, vaginoscopy, laparoscopic adnexal detorsion, and approach to the child/adolescent. Advanced pelvic models were used for procedure specific stations. Participants completed an anonymous evaluation form at the end of the session.
  
  
  METHODS
  Self-perceived increase in knowledge and PAG specific skills after the simulation session.
  
  
  RESULTS
  Twenty-four residents completed the simulation session and post-session evaluation. All residents (100%) agreed that they had gained knowledge in PAG history taking, examination techniques, office procedures, operative skills, approach to child, and approach to the adolescent. Qualitative feedback stressed the excellence of instruction, interaction, immediate feedback, and hands-on experience. All residents (100%) stated the PAG simulation session should continue.
  
  
  CONCLUSIONS
  This advanced PAG simulation session increased resident self-perceived knowledge. Other obstetrics/gynecology training programs should consider implementing advanced PAG simulation sessions to increase resident knowledge and confidence in delivering care to the pediatric/adolescent patient.
authors.affiliation: Division of Gynecology, The Children's Hospital of Eastern Ontario, Ottawa, Ontario; Department of Obstetrics and Gynecology, The University of Ottawa, Ottawa, Canada; The Ottawa Hospital Research Institute, Ottawa, Ontario. Electronic address: tdumont@cheo.on.ca.
authors.forename: Tania
authors.initials: T
authors.lastname: Dumont
authors.affiliation: Division of Gynecology, The Children's Hospital of Eastern Ontario, Ottawa, Ontario; Department of Obstetrics and Gynecology, The University of Ottawa, Ottawa, Canada; The Ottawa Hospital Research Institute, Ottawa, Ontario.
authors.forename: Julie
authors.initials: J
authors.lastname: Hakim
authors.affiliation: Division of Gynecology, The Children's Hospital of Eastern Ontario, Ottawa, Ontario; Department of Obstetrics and Gynecology, The University of Ottawa, Ottawa, Canada; The Ottawa Hospital Research Institute, Ottawa, Ontario.
authors.forename: Amanda
authors.initials: A
authors.lastname: Black
authors.affiliation: Division of Gynecology, The Children's Hospital of Eastern Ontario, Ottawa, Ontario; Department of Obstetrics and Gynecology, The University of Ottawa, Ottawa, Canada; The Ottawa Hospital Research Institute, Ottawa, Ontario.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Fleming
mesh_terms: D000293:Adolescent; D000295:Adolescent Medicine / Q000193:education; D001291:Attitude of Health Personnel; D002170:Canada; D002648:Child; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000193:education; D058869:Gynecological Examination; D006176:Gynecology / Q000193:education*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006924:Hymen / Q000601:surgery; D007396:Internship and Residency; D008487:Medical History Taking; D009774:Obstetrics / Q000193:education*; D010372:Pediatrics / Q000193:education*; D010817:Physician-Patient Relations; D000066908:Simulation Training
keywords: Adolescent; Curriculum; Gynecology; Pediatric; Post graduate medical education; Session; Simulation; Teaching