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Virtual FLS Instruction: A National Pilot on behalf of the ACOG Simulation Working Group
Purpose: To assess the need, feasibility and participant
experience of a virtual Fundamentals of Laparoscopic Surgery (FLS) training
program for obstetrics and gynecology (OB/GYN) residents.
Background: As of May 2020, graduating OB/GYN residents are
required to pass FLS for board certification. This mandate forced programs to
quickly develop curricula with little guidance and many programs still lack
formalized FLS training.
Expert laparoscopic surgeons
(coaches) and OB/GYN residents (trainees) were recruited through
email. Coaches and trainees registered for sessions through an online
scheduling app. Coach and trainee pairs were provided contact emails and
a videoconference link. Participants completed pre- and
Between February and April
2021, 40 residents and 15 coaches participated in ninety 30-minute
sessions. Residents had a 75% response rate to the pre-survey and a 33%
post-survey response rate. 80% of coaches completed a post-survey.
12 (40%) of the trainees were third years, 18 (60%) reported no
institutional FLS training and none had passed FLS. Following the pilot,
5 (38%) of trainees reported passing the exam. 50% of coaches did not
feel they were as effective instructing in the virtual platform. All
participants reported high satisfaction with the program, citing ease of scheduling,
networking and access to experts. Areas for improvement included better
set-up instructions, longer sessions and continuity between trainee/coach.
We describe the first
national pilot program in FLS training in OB/GYN. Virtual instruction and
curricula are promising modalities to offer residents exposure to training that
may be limited at their home institution.
CREOG & APGO Annual Meeting, 2022, Resident, Faculty, Residency Director, Residency Coordinator, Patient Care, Practice-Based Learning & Improvement, GME, Simulation, Minimally Invasive Surgery,