A Contraception Simulation Lab Developed for OB/GYN Residents in Catholic Hospitals

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Abstract

BACKGROUND:

OB/GYN residents in Catholic hospitals are limited in performing procedures involving contraception. This was identified as a deficiency in training, by a needs assessment given to residents at a Catholic residency program. Once the residents graduate they will be expected to offer and perform these procedures for their patients.

METHODS:

A contraception simulation program was developed. It included 4 stations: IUDs and Nexplanons (high fidelity models), hysteroscopic Essure (high-fidelity virtual reality model), laparoscopic tubal ligation (low fidelity box trainer), and abdominal postpartum tubal ligation (PPTL) (low fidelity box trainer) training. The program started with a pre-test consisting of 27 questions. The residents were divided into groups and rotated through each station. They discussed answers pertaining to the specific questions for that station. The procedure was demonstrated and residents were given time to practice. After rotating through all stations, a post-test was given and again 2 weeks later.

RESULTS:

The results were analyzed using a Wilcoxon signed-rank test. Both OB/GYN residents (12) and medical students (8) participated. The average pre-test score for the residents was 63%, medical students 50%. After reviewing questions and simulation practice, the average post-test score for the residents was 93%, medical students 87%. The average 2 weeks post-test score for the residents was 91%, medical students 82%.

DISCUSSION:

This curriculum resulted in developing skills, improved knowledge about the procedures and showed excellent short term retention.

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