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. 2011 Jun;24(3):127-36.
doi: 10.1016/j.jpag.2010.12.003. Epub 2011 Feb 5.

A simulation program for teaching obstetrics and gynecology residents the pediatric gynecology examination and procedures

Meredith B Loveless  1 , Dayna Finkenzeller, Sherrine Ibrahim, Andrew J Satin
Affiliations

A simulation program for teaching obstetrics and gynecology residents the pediatric gynecology examination and procedures

Meredith B Loveless et al. J Pediatr Adolesc Gynecol. 2011 Jun.

Abstract

Study objective: To assess the use of a pelvic simulation curriculum to teach obstetrics and gynecologic residents the pediatric gynecology examination and procedures.

Design: Residents in obstetrics and gynecology participated in a simulation curriculum using a modified pelvic hemimodel to simulate a pediatric pelvis.

Participants: 19 obstetrics and gynecology residents completed the study protocol.

Interventions: Digitally recorded encounters with a standardized patient scenario using the simulator were utilized. After the initial encounter the trainees participated in a formal lecture and demonstration using the model. The trainees were then reassessed at least four weeks after the initial encounter; results were reviewed by a blinded evaluator. Scores were analyzed using the two-sided t-test and Wilcoxon signed-rank test.

Main outcome measures: Scores from before to after the simulation training.

Results: A total of 19 residents completed the study protocol and demonstrated significant improvement in scores from before to after the simulation training. Scores improved from a pre-training mean of 6.1 to post-training mean of 16.7 (P = 0.0001). Improvement was seen at all levels of residency training. Specific skill sets included in the Council for Resident Education in Obstetrics and Gynecology (CREOG) Educational objectives (1) were improved including: pediatric gynecologic examination, collection of microbial cultures, vaginal lavage and vaginoscopy.

Conclusions: This teaching program using a simulation model was found to be an effective tool to improve resident knowledge and performance of the skills needed to accomplish the pediatric gynecology examination.

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