APGO

Study Objective: To create an interactive model to allow trainees to practice cystoscopy and gain a better understanding of bladder pathology.

Methods: Residents participated in a workshop aimed at improving cystoscopy technique using a bladder model made from household items. The model was created using 2 mixing bowls enclosed to create a sphere. Markings were linearly placed inside the model to demonstrate the trajectory path of the camera. Pathological findings were strategically placed throughout the model, created using common supplies including: transitional cell carcinoma (feathers), trabeculations (drawer lining), stitches (twist ties), squamous metaplasia (coarse salt), stones (pebbles), sediment (sugar cubes), a polyp (eraser), bilateral ureteral openings (drawn circles). Trainees individually performed cystoscopy under direct visualization using display monitors with care taken to ensure all surfaces were visualized. Instruction was provided by a urogynecologist throughout the simulation. Residents filled out questionnaires testing their knowledge prior to and after the simulation. They were also asked to rate their opinion regarding the effectiveness of the workshop.

Results: A total of 14 residents participated in the study. 100% of the residents reported that the study was effective in teaching cystoscopy. Scores on the multiple-choice questions improved from 72% (3.66 + 1.01) to 89% (4.46 + 0.62) (p <0.05).

Conclusions: The American College of Obstetrics and Gynecology recommends that the residency curriculum should include education in the instrumentation, technique, and evaluation of findings of cystoscopy. This affordable, interactive model is an effective form of teaching the required cystoscopy residency learning objectives. Key Words: simulation, cystoscopy