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Improving Outpatient LEEP in a Residency Program through Incorporation of a LEEP Simulator
Study Objectives: 1. To incorporate a LEEP simulator into an electrosurgery and LEEP education session for PGY1 residents 2. To improve the office LEEP performance of the PGY2 residents through incorporation of the LEEP simulator
Methods: At the University of Oklahoma, PGY1 Residents spend one afternoon near the end of the academic year in an educational session focused on electrosurgery and LEEP. Traditionally, this session has involved a lecture reviewing the technology, equipment, and technique for performing a LEEP procedure. In 2014 a LEEP simulator was created by the director of the Dysplasia clinic and incorporated into the half day teaching session. Residents were asked to demonstrate the correct way to set up the equipment, use the correct settings on the electrosurgical unit, and demonstrate a LEEP procedure on a bratwurst.
Results: Each of the PGY1 residents was able to demonstrate the appropriate safety procedures, including a time-out and apply the appropriate settings on the electrosurgical machine. Additionally, each resident was able to successfully perform a LEEP procedure on the simulated materials. Since the education, the PGY2 residents have improved their performance in the LEEP clinic as evaluated by the clinic faculty.
Conclusions: A low fidelity simulator is a valuable tool in the education of entry-level residents to be able to perform a safe procedure with an adequate specimen for pathologic interpretation. Our institution plans to continue to use the simulator and incorporate a pre-test and post-test and a more formal evaluation system.
CREOG & APGO Annual Meeting, 2015, Resident, Faculty, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, GME, Assessment, Simulation, Gynecologic Oncology, Minimally Invasive Surgery, General Ob-Gyn,