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A Novel Cervical Cerclage Model for Resident Training

Purpose: This study aimed to assess a novel cervical cerclage model for resident training.

Background: Vaginal suturing can be challenging to teach and to learn due to limited operative field visualization by the surgical assistant, but is a required skill for cervical cerclage placement. There is limited data on resident training and comfort with cerclage placement using models1,2.  

Methods: Residents in Obstetrics and Gynecology (OBGYN) at George Washington University were recruited to participate in a pre and post-test survey during a cerclage simulation training with a novel model. A cervical cerclage model was assembled using a 1 L water bottle, sutures and a “hair bun” maker. Continuous variables were compared using 2 tailed paired t tests.

Results: A total of 20 residents participated with a median of 2 ± 1.6 years of OBGYN residency. 95% of residents reported no prior cerclage simulation training; however, 60% reported previously placing cerclages in practice. Pre and post-test analysis showed a decrease in the perception of need for further training (4.05 ± 1.07 vs. 3.45 ± 0.86; p = 0.024) and resident reported more comfort performing the procedure with decreasing supervision (2.05 ±  1.02 vs. 2.3 ± 1.01; p = 0.021). 90% reported learning to place a cerclage was easy after the simulation, versus 45% beforehand.

Discussions: A novel cervical cerclage model in a training session significantly increased resident knowledge of and comfort regarding cerclage placement.  Future research should replicate this study, focusing on learner achievement of clinical competency and evaluate clinical outcomes.

Topics: CREOG & APGO Annual Meeting, 2019, Faculty, Clerkship Director, Residency Director, Patient Care, Medical Knowledge, GME, Simulation, Maternal-Fetal Medicine, General Ob-Gyn,

General Information

Faculty,Clerkship Director,Residency Director,
Patient Care,Medical Knowledge,
Clinical Focus
Maternal-Fetal Medicine,General Ob-Gyn,

Author Information

Arlin Delgado, BS, The George Washington University School of Medicine and Health Sciences; Rachael Cleberg, MD; Alexis Gimovsky, MD

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