Low-Fidelity Vaginal Hysterectomy Simulator Increases Resident Attitudes Towards Performing TVH

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Abstract

BACKGROUND:

Vaginal hysterectomy is recommended by the American College of Obstetricians and Gynecologists as the gold standard for route of hysterectomy. At our institution, only 28% of hysterectomies are being performed vaginally, while 28% are laparoscopic and 32% are abdominal.

METHODS:

Residents participated in a vaginal hysterectomy surgical skills lab reviewing criteria for a good surgical candidates and using a low fidelity simulator. A pre and post survey was given to participating residents asking about knowledge, attitudes and training of vaginal hysterectomy.

RESULTS:

Twenty residents participated in this project. The pre and post survey asked questions with response choices ranging on a 5 point Likert scale. Sixty-five percent of the residents were R1 (6–30%) and R2 (7–35%) and 35% were R3 (5–25%) and R4 (2–10%.) The residents had a statistically significant improvement in their attitudes of being able to select a good surgical candidate P≤.001 different responses.

DISCUSSION:

Implementation of this new low-fidelity vaginal hysterectomy simulator and brief didactic session was an effective way to increase resident knowledge and positive attitudes of vaginal hysterectomy.

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