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An Educational Workshop Increases the Likelihood of Selecting Vaginal Hysterectomy for Surgical Route
Purpose: To use an educational workshop to improve knowledge
base and increase likelihood of selecting vaginal hysterectomy as surgical
route for patients despite perceived barriers.
Background: Due to the declining trend of VH performed annually
combined with increased time in residency dedicated to learning alternative
approaches, there is concern that residents are not receiving adequate training
to competently perform VH.
Methods: This was an IRB approved study on a prospective
cohort of OBGYN residents at a large academic referral center. A workshop
was developed consisting of an expert lecture on VH by a FPMRS faculty, video
from a VH master course, and the use of a hands-on model for simulation of
Results: Sixteen residents completed the pre and
post-assessment surveys and were evenly distributed between the four
postgraduate years. Prior to the workshop, residents reported large uterine
size as a significant barrier to VH. The decision impact score for
large uterine size decreased from 4.19 prior to the workshop to 3.31 after the
workshop (p = 0.014), indicating that large uterine size was viewed as less of
a barrier to VH. Residents were more likely to select VH as the preferred route
after the workshop, answering a mean of 3 of 7 vignettes correctly on the
pre-assessment compared to 5 of 7 vignettes correctly on the post-assessment (p
= < 0.001).
Discussions: An educational workshop targeting perceived barriers
to VH increased the proportion of residents who would choose VH as the primary
route of surgery despite perceived barriers in this group of residents.
CREOG & APGO Annual Meeting, 2020, Student, Resident, Faculty, Residency Director, Patient Care, Medical Knowledge, Practice-Based Learning & Improvement, GME, Simulation, Lecture, General Ob-Gyn,