Purpose: We have created an
interactive model of a cervix that shows a variety of possible colposcopy
findings to be used for patient and medical student education.
Background: Many
interventions have been studied as attempts to both improve understanding and
reduce anxiety surrounding colposcopy. There are no reports of 3D-printing
used to describe cervical dysplasia.
Methods: The
model was created by Cassandra Jones, BA. The model is an enlarged
representation of a cervix divided into four quadrants, each representing a
different type of cervical abnormality. Patients undergoing colposcopy were
randomized into two groups. One group received counseling using the model as a
visual aid, and the other received usual counseling.
Results: 55 surveys
were completed. Demographics did not differ between the two groups.
On paired T-test, both groups showed significant improvement in knowledge
after counseling, with average pre-counseling scores of 3.38 +/- 1.8 and
post-colposcopy scores of 4.93 +/- 1.6 with model (p = 0.0003); and average
pre-counseling scores of 3.85 +/- 1.9 and post-colposcopy scores of 4.96 +/-
1.7 without model (p = 0.0009). Likewise, understanding scores improved
significantly in both groups, with average pre-counseling scores of 10.28 +/-
3.7 and post-colposcopy scores of 13.24 +/- 3.2 with model (p = 0.0002); and
average pre-counseling scores of 11.12 +/- 3.6 and post-colposcopy scores of
13.62 +/- 3.4 without model (p = < 0.0001). Anxiety significantly decreased
with use of the model, with pre-counseling scores of 4644 +/- 14.4 and
post-colposcopy scores of 40.12 +/- 15.0 (p = 0.0009). Anxiety scores also
decreased after counseling without use of the model from pre-counseling scores
of 42.05 +/- 13.9 to post-colposcopy scores of 36.03 +/- 12.5, though this
decrease was not statistically significant (p = 0.087).
Discussions: Both patients and
providers unanimously reported finding the model helpful in explaining and
understanding cervical dysplasia. Further directions include use of model to
increase compliance with cervical cacner screening and as adjunct for medical
student education.
Topics: CREOG & APGO Annual Meeting, 2019, Resident, Patient Care, Interpersonal & Communication Skills, UME, Simulation, Advocacy, Gynecologic Oncology, Infectious Disease, General Ob-Gyn,
Alicia Schaffer,
MD, Indiana
University School of Medicine; Devin
Jones, MD;
Cassandra Jones,
BS; Nicole
Scott, MD,
