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Implementation of Laparoscopic Simulation Curriculum in Obstetrics and Gynecology Residency: A Pilot Study

Purpose: A pilot study to implement a laparoscopic curriculum for our residency program. 

Background: Multiple studies have shown the effectiveness of laparoscopic simulators in training residents technical skills needed to gain proficiency in the operating room. Unfortunately, many programs struggle to incorporate this routinely in their curriculum.

Methods: IRB approval was obtained. A survey was sent to different residency programs to assess other implemented laparoscopic curriculums. UF OB/GYN residents were enrolled in the curriculum (N=11), which included a pre/post-curriculum survey and baseline FLS scores. A cost-effective, portable laparoscopic trainer was designed and given to each resident. They were required to record 10-minute videos weekly for evaluation and individual feedback were given through text message.

Results: This showed that on average, there was a slight improvement in perceived proficiency by the residents after implementation of the curriculum. There is improvement in average time to completion of all three tasks, but it was not statistically significant. Initially, 3 out of 11 residents could perform intracorporeal knot-tying; all 11 residents could complete this task after the curriculum (p=0.0019).  Secondary outcomes showed that individual practice outside of the mandatory practice is positively correlated with improvement in 2 out of 3 tasks.

Discussions: This is a good stepping stone to help our program develop a laparoscopic curriculum especially with the new ABOG requirement of passing the FLS exam prior to taking the written board exam. Mandatory deliberate practice ensured that residents practiced laparoscopic skills weekly. This was made even more accessible by giving residents a home laparoscopic trainer.

Topics: Minimally Invasive Surgery, Simulation, GME, Practice-Based Learning & Improvement, Residency Director, Clerkship Director, Faculty, Resident, Student, 2019, CREOG & APGO Annual Meeting,

General Information


Keywords
Intended
Audience
Student,Resident,Faculty,Clerkship Director,Residency Director,
Competencies
Addressed
Practice-Based Learning & Improvement,
Educational
Continuum
GME,
Educational
Focus
Simulation,
Clinical Focus
Minimally Invasive Surgery,

Author Information

Pamela Palma, MD, University of Florida, Sacred Heart Hospital, Pensacola; Julie DeCesare, MD; Eddie Tu, PhD

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