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Improving Colposcopy Education Through Images: A preliminary assessment of an image-based mobile app for colposcopic education
Purpose: Colposcopy is an indispensable part of cervical cancer
screening and prevention. However, in most training programs, there is little
by way of a formalized curriculum.
Background: We created an image-based teaching tool and
hypothesized that this tool, in a mobile app format, would increase resident
comfort with colposcopic procedures and quantitatively increase their ability
to correlate colposcopic images with impressions.
Methods: This was a randomized controlled trial conducted
amongst Northwestern ObGyn residents during March of 2021. 38 residents
participated and were randomized to either an app user or an independent study
control group. Both groups were surveyed before and after their training and
completed a post-intervention cognitive exam. The power analysis calculation
hypothesized that the intervention group would be significantly more
comfortable with colposcopy (75% vs. 30%).
Results: Of the 46 targeted residents, 38 residents agreed to
participate and 26 completed all elements of the study. On the image exam, app
users performed slightly better when compared to the independent study group
[mean score:14.9 (SD = 2.15) vs.14.0 (SD = 3.27), P = 0.39]. App users also
were more likely to be confident in providing an overall colposcopic impression
compared to the independent study group [73% vs. 30%, P = 0.111]. 100% of the
participants in the app user group said that they would recommend the tool to
other residents and residency programs.
Discussions: Image based teaching tools, such as the ICE-TI app,
facilitate convenience learning and are valued by learners. They can be a
useful adjunct to standardized colposcopy curricula.
CREOG & APGO Annual Meeting, 2022, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, Practice-Based Learning & Improvement, GME, CME, Assessment, Virtual Patient, Simulation, Independent Study, Gynecologic Oncology, General Ob-Gyn,