title: Are we ready to inject? Individualized LC-CUSUM training in ICSI.
abstract: OBJECTIVE
  The objective of this prospective, single center study was to develop a personalized training scheme for intracytoplasmic sperm injection (ICSI) through the use of learning curve-cumulative summation (LC-CUSUM), which allows to tailor training to the trainee performance, and to validate it against the performance of experienced embryologists.
  
  
  METHODS
  Five trainees microinjected latex microspheres (LM) into vitro matured oocytes. A microinjection was considered successful when the oocyte did not lyse in the 24 h following the injection.
  
  
  RESULTS
  Each trainee became proficient at ICSI after a variable number of injections, ranging from 35 to 80. Trainees that achieved proficiency went on to perform ICSI with human gametes in a clinical setting with proficiency comparable to that of experienced embryologists.
  
  
  CONCLUSIONS
  We show that LC-CUSUM based personalized ICSI training is feasible and allows trainees to be as proficient as trained embryologists when treating actual patients.
authors.affiliation: Clinica EUGIN, Travessera de les Corts 322, 08029, Barcelona, Spain.
authors.forename: Mercè
authors.initials: M
authors.lastname: Durban
authors.affiliation: Fundació EUGIN, Travessera de les Corts 314, 08029, Barcelona, Spain.
authors.forename: Désireé
authors.initials: D
authors.lastname: García
authors.affiliation: Clinica EUGIN, Travessera de les Corts 322, 08029, Barcelona, Spain.
authors.forename: Albert
authors.initials: A
authors.lastname: Obradors
authors.affiliation: Clinica EUGIN, Travessera de les Corts 322, 08029, Barcelona, Spain.
authors.forename: Valerie
authors.initials: V
authors.lastname: Vernaeve
authors.affiliation: Clinica EUGIN, Travessera de les Corts 322, 08029, Barcelona, Spain. rvassena@eugin.es.
authors.forename: Rita
authors.initials: R
authors.lastname: Vassena
mesh_terms: D004493:Education / Q000379:methods*; D006801:Humans; D059032:Learning Curve; D008845:Microinjections; D008863:Microspheres; D009865:Oocytes / Q000166:cytology; D011446:Prospective Studies; D020554:Sperm Injections, Intracytoplasmic / Q000379:methods*; D013663:Teaching
keywords: ICSI; LC-CUSUM; Learning curve; Training