TY - JOUR
T1 - Multi-institutional Validation of a Vaginal Hysterectomy Simulation Model for Resident Training
AU - Zoorob, Dani
AU - Frenn, Recia
AU - Moffitt, Melissa
AU - Kansagor, Adam
AU - Cross, Stephanie
AU - Aguirre, Francisco
AU - Edelson, Mitchell I.
AU - Kenny, Bronwyn
AU - Banks, Erika
N1 - Funding Information:
The authors would like to thank and acknowledge the Association of Professors of Gynecology and Obstetrics Surgical Scholars Faculty, especially Nancy Gaba, MD, Chair, Department of Obstetrics and Gynecology, George Washington University, Washington, DC; Arthur Ollendorff, MD, Designated Institutional Officer/Director of Medical Education, Department of Obstetrics and Gynecology, Mission Health, Ashville, NC; and Fidel Vallea, MD, Chair, Department of Obstetrics and Gynecology, Virginia Tech Carilion School of Medicine, Roanoke, VA, for their support of this project; as well as John Dalrymple, MD, Associate Dean for Medical Education Quality Improvement, Harvard Medical School, Boston, MA, for his editorial help and support.
Funding Information:
The authors would like to thank and acknowledge the Association of Professors of Gynecology and Obstetrics Surgical Scholars Faculty, especially Nancy Gaba, MD, Chair, Department of Obstetrics and Gynecology, George Washington University, Washington, DC; Arthur Ollendorff, MD, Designated Institutional Officer/Director of Medical Education, Department of Obstetrics and Gynecology, Mission Health, Ashville, NC; and Fidel Vallea, MD, Chair, Department of Obstetrics and Gynecology, Virginia Tech Carilion School of Medicine, Roanoke, VA, for their support of this project; as well as John Dalrymple, MD, Associate Dean for Medical Education Quality Improvement, Harvard Medical School, Boston, MA, for his editorial help and support. During the process of working on this project, financial support was provided by an Association of Professors of Gynecology and Obstetrics Medical Education Endowment Fund grant.
Publisher Copyright:
© 2020 AAGL
PY - 2021/8
Y1 - 2021/8
N2 - Study Objective: The purpose of the research was to both develop a vaginal hysterectomy model with surgically pertinent anatomic landmarks and assess its validity for simulation training. Design: A low-cost, reproducible vaginal hysterectomy model with relevant anatomic landmarks for key surgical steps. Setting: Nine academic and community-based obstetrics and gynecology residency programs. Participants: One hundred sixty-nine obstetrics and gynecology residents. Interventions: A vaginal hysterectomy model with surgically pertinent anatomic landmarks was developed and tested for construct validity. Measurements and Main Results: Of the 184 available residents, 169 (91%) participated in this study and performed a vaginal hysterectomy procedure on the described model. The validated objective 7-item global rating scale (GRS) and the 13-item task-specific checklist (TSC) were used as tools to assess performance. The median TSC and GRS scores correlated with year of training, prior experience, and trainee confidence. In addition, the TSC scores also correlated with the GRS scores (p <.001) with regard to performance and resident year of training. Receiver Operator Curves for identification of the residents meeting national residency accreditation minimum numbers for vaginal hysterectomy using the GRS and TSC scores had an area under the curve of 0.89 and 0.83, respectively. Conclusion: This reduced-cost vaginal hysterectomy model offers high construct validity and pertinence for simulation.
AB - Study Objective: The purpose of the research was to both develop a vaginal hysterectomy model with surgically pertinent anatomic landmarks and assess its validity for simulation training. Design: A low-cost, reproducible vaginal hysterectomy model with relevant anatomic landmarks for key surgical steps. Setting: Nine academic and community-based obstetrics and gynecology residency programs. Participants: One hundred sixty-nine obstetrics and gynecology residents. Interventions: A vaginal hysterectomy model with surgically pertinent anatomic landmarks was developed and tested for construct validity. Measurements and Main Results: Of the 184 available residents, 169 (91%) participated in this study and performed a vaginal hysterectomy procedure on the described model. The validated objective 7-item global rating scale (GRS) and the 13-item task-specific checklist (TSC) were used as tools to assess performance. The median TSC and GRS scores correlated with year of training, prior experience, and trainee confidence. In addition, the TSC scores also correlated with the GRS scores (p <.001) with regard to performance and resident year of training. Receiver Operator Curves for identification of the residents meeting national residency accreditation minimum numbers for vaginal hysterectomy using the GRS and TSC scores had an area under the curve of 0.89 and 0.83, respectively. Conclusion: This reduced-cost vaginal hysterectomy model offers high construct validity and pertinence for simulation.
KW - Model validation
KW - Resident education
KW - Simulation
KW - Surgical skills assessment
KW - Vaginal hysterectomy
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UR - http://www.scopus.com/inward/citedby.url?scp=85098682009&partnerID=8YFLogxK
U2 - 10.1016/j.jmig.2020.12.006
DO - 10.1016/j.jmig.2020.12.006
M3 - Article
C2 - 33310169
AN - SCOPUS:85098682009
SN - 1553-4650
VL - 28
SP - 1490-1496.e1
JO - Journal of the American Association of Gynecologic Laparoscopists
JF - Journal of the American Association of Gynecologic Laparoscopists
IS - 8
ER -