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

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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.


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.


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.


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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