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Hands on Workshop of Vascular Control in Gynecologic Surgery

Purpose: To improve resident competency in vascular control in gynecologic surgery

Background: Vascular control in gynecologic surgery is a critical skill for the obstetrician-gynecologist. However, the acuity of these cases often makes it difficult for learner involvement. For this reason, simulation and workshops play an important role in developing these skills.

Methods: We conducted a 2-hour resident-led workshop for Obstetrics and Gynecology residents at a single institution. We began with a lecture on pertinent anatomy and techniques for internal iliac artery ligation. We then discussed types of vascular injury and categories of hemostatic agents. Next, we allowed residents to rotate through stations to improve comfort with management of vascular injury: first, residents used pipe cleaners to map the internal iliac artery in 3-dimensional space. Next, residents practiced suture ligation within a polyvinyl chloride tubing model to simulate the anatomic constraints of the pelvis. A post-workshop survey was administered to attendees to assess both knowledge retention and overall contribution to knowledge and practice using a Likert scale.

Results: Eleven residents completed the post-workshop survey. Visual (55%) and tactile (45%) learning were the most preferred learning styles. Nine out of eleven respondents (82%) agreed or strongly agreed that performing this activity in a group setting improved their learning. Ten of the eleven respondents (91%) agreed or strongly agreed that this model strengthened their anatomy knowledge and would recommend this model to others.

Discussions: A hands on workshop in vascular control for gynecologic surgery improved resident knowledge base and comfort with relevant anatomy and surgical technique.

Topics: CREOG & APGO Annual Meeting, 2022, Student, Resident, Faculty, Clerkship Director, Osteopathic Faculty, Residency Director, Medical Knowledge, GME, UME, Simulation, General Ob-Gyn,