E-Posters-Cystoscopy Simulation Training for Obstetrics/Gynecology Residents

Cystoscopy Simulation Training for Obstetrics/Gynecology Residents - Pedro Antonio Maldonado, MD

Pdf Summary

A study conducted at the Paul L. Foster School of Medicine in Texas aimed to assess the effectiveness of a cystoscopy simulation training program for obstetrics and gynecology (OB/GYN) residents. The study recruited 16 residents who underwent a 6-week training curriculum using both low- and high-fidelity simulation models. The objective of the study was to measure subjective and objective improvements in residents' skills before and after the simulation training.<br /><br />The results showed that residents reported feeling significantly more comfortable, confident, and proficient after the simulation training. Objective scores also improved significantly in multiple areas, including multiple choice quiz scores, cystoscope assembly time, bladder survey score, and global rating scores. However, high-fidelity model task time increased.<br /><br />On a subjective level, residents preferred the water balloon model compared to the virtual reality simulator. The study concluded that the structured cystoscopy simulation training course combining low- and high-fidelity models led to significant improvements in residents' subjective and objective measures of skill.<br /><br />Cystoscopy is a procedure used to detect lower urinary tract injuries during pelvic surgery. The practice of universal cystoscopy at the time of hysterectomy remains controversial, but studies have shown increased detection rates of intraoperative injuries and decreased postoperative urologic complications with its use. Therefore, the study emphasized the importance of including cystoscopy simulation training as a core component in the training curriculum for OB/GYN residents.<br /><br />In conclusion, the study demonstrated the effectiveness of a cystoscopy simulation training program in improving residents' skills and confidence. The results support the inclusion of cystoscopy simulation training in the training curriculum for OB/GYN residents, considering the potential risks of lower urinary tract injuries associated with pelvic surgery.

Keywords

cystoscopy simulation training

OB/GYN residents

Paul L. Foster School of Medicine

Texas

effectiveness

low-fidelity simulation models

high-fidelity simulation models

subjective improvements

objective improvements

water balloon model