Home > Abstract Details > Innovative, Reproducible Simulation Model for Teaching Abdominal Hysterectomy

« Back to Search

Innovative, Reproducible Simulation Model for Teaching Abdominal Hysterectomy

Purpose: Evaluate the impact of abdominal hysterectomy (TAH) simulation model and curriculum on resident confidence, knowledge, and ability.


Background: Work hour restrictions, treatment advances and increased utilization of minimally invasive surgery has led to completion of fewer TAHs by Ob/Gyn residents. Simulation-based training can augment operative experience.


Methods: At the start of their oncology rotation, residents participated in a new TAH curriculum. Curriculum included instruction on surgical instruments and performing a TAH using a low-fidelity, reproducible simulation model. Pre-, post-, and end-of-rotation surveys were completed evaluating confidence, knowledge, satisfaction, and educational impact.


Results: Production of TAH simulation models for 1 year of curriculum required 2.5 hours of time at a cost of $3.25 per model. In the first 6 months, 100% of residents (n=12) felt that the simulation was “very” or “extremely effective” and 73% reported the overall quality of the simulation was “excellent.” Overall confidence improved with mean composite confidence scores of 12.25, 14.55, and 15.9, pre-sim, post-sim, and end-of-rotation respectively (p=0.0451). Experienced residents ( >5 prior hysterectomies) had higher confidence scores than inexperienced residents; however, improvements in confidence were not impacted by level of experience (p=0.3442). The majority of residents reported a high educational impact of the simulation, with 91% of residents reporting a score of 4 or 5 (5-point Likert scale) for the simulation’s impact on knowledge and visualization of the surgical steps.


Discussions: This low cost, reproducible TAH simulation curriculum can be an effective adjunct in surgical education to improve residents’ confidence and knowledge in performing abdominal hysterectomies.

Topics: CREOG & APGO Annual Meeting, 2023, Resident, Faculty, Residency Director, Medical Knowledge, Practice-Based Learning & Improvement, GME, Simulation,

General Information

Resident,Faculty,Residency Director,
Medical Knowledge,Practice-Based Learning & Improvement,
Clinical Focus

Author Information

Meredith Newton, MD; University of North Carolina at Chapel Hill; AnnaMarie Connolly, MD; Leslie Clark, MD

Additional Materials

Related Abstracts

Association of Professors of Gynecology and Obstetrics

2130 Priest Bridge Drive, Suite 7, Crofton, MD 21114


APGO logo

Follow Us

Association of Professors of
Gynecology and Obstetrics (APGO)