Purpose: To
create an instructional app which includes medical knowledge, procedural steps
and assessments based on the ACOG curriculum for vaginal hysterectomy.
Background: Vaginal hysterectomy is the evidence based medicine route of choice when
feasible. Significant challenges exist
in teaching this procedure due to lack of simulation training, proper
assessment of specific techniques and timely instruction prior to performing
the procedure. There is also
considerable variation in how cases are tracked and assessments of technique
are done.
Methods: Key features/contents of the application include: 1) ACOG curriculum for vaginal hysterectomy,
2) a complete step by step live and simulated surgical video tutorial, 3) a
procedural step by step assessment (10 steps-- 0-10 score), 4) a global
surgical rating scale (7 metrics), and 5) a knowledge based assessment (4
metrics, 0-4 scale).
Results: The data captured on the app can be accessed via IPAD and iPhone mobile
devices and is verified by Apple. The
evaluations can be directly emailed to any database.
Discussions: A
comprehensive instructional surgery app coupled with real time assessment will
provide greater learning efficiency and will more effectively improve surgical
skills. This app has the potential to
standardize surgical evaluation in the operating room and provide a more
efficient method to track surgeon competency using ACOG guidelines. The assessment is currently employed by the
ACOG Simulation Consortium Working group during vaginal hysterectomy simulation
and is part of a surgical simulation course which certified by the ABOG for MOC
credits.
Topics: CREOG & APGO Annual Meeting, 2018, Resident, Faculty, Clerkship Director, Osteopathic Faculty, Residency Director, Residency Coordinator, Medical Knowledge, Systems-Based Practice & Improvement, Practice-Based Learning & Improvement, GME, Assessment, Simulation, Lecture, Minimally Invasive Surgery,
Doug Miyazaki, MD
