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Evaluation of the Improvement in Self-Assessed Kno ...
Evaluation of the Improvement in Self-Assessed Knowledge and Skills of OBGYN Residents After Implementation of Urogynecology Cadaver and Simulation Labs: A Prospective Cohort Study - Arianna Fresquez, MD, MPH
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This study aimed to assess the impact of simulation-based and cadaveric training labs on the knowledge and self-assessed proficiency of OBGYN residents in urogynecologic surgery. A modified American College of Surgeons (ACS) survey was used to collect data from OBGYN residents at two different residency programs. The intervention group attended the simulation and cadaver labs, while the control group did not. The residents completed the survey before and after the intervention. The survey covered five domains: professionalism, level of independence/graduated responsibility, psychomotor ability, clinical evaluation and management, and academia. <br /><br />The results showed that residents at the intervention site demonstrated a significant improvement in their perceived proficiency in counseling prolapse patients, discussing treatment options, and knowing when surgery is indicated in the domain of clinical evaluation and management. In the domain of psychomotor skills, residents at the intervention site also felt more proficient in dissection of tissue planes and various urogynecology surgeries. <br /><br />The study highlights that while residents perceive themselves as professional and capable of evaluating and caring for patients, further training is necessary to enhance their independence, psychomotor skills, and clinical evaluation and management abilities. This is particularly crucial in urogynecologic surgery, considering the increasing demand for these procedures due to the aging population. <br /><br />References included in the study emphasize the need for graduating OBGYN residents to gain surgical skills, specifically in urogynecology, to achieve the expected level of independence.
Keywords
simulation-based training
cadaveric training
OBGYN residents
urogynecologic surgery
knowledge
self-assessed proficiency
American College of Surgeons
survey
intervention group
control group
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