A Novel Transvaginal Cervical Cerclage Model for Resident Training
Introduction Vaginal suturing can be challenging to teach and learn due to the surgical assistant's limited operative field visualization. Data on resident training and comfort with cerclage placement using models are limited. The aim of this activity was to assess learner satisfaction with pra...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2021-03-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11102 |
| _version_ | 1818887213549617152 |
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| author | Arlin Delgado Rachael Cleberg Alexis C. Gimovsky |
| author_facet | Arlin Delgado Rachael Cleberg Alexis C. Gimovsky |
| author_sort | Arlin Delgado |
| collection | DOAJ |
| description | Introduction Vaginal suturing can be challenging to teach and learn due to the surgical assistant's limited operative field visualization. Data on resident training and comfort with cerclage placement using models are limited. The aim of this activity was to assess learner satisfaction with practice using a novel model allowing for full visualization during transvaginal cervical cerclage placement. Methods OB/GYN residents participated in a 1-hour combined lecture and hands-on cerclage training simulation with the novel model. Pre- and postsession survey responses were assessed with descriptive statistics and paired t tests. Results Twenty residents with a median of 2 (SD = 1.6) years of residency experience participated. Ninety-five percent reported no prior cerclage simulation training; 60% reported placing cerclages in practice. Pre- and posttest analysis indicated a significant decrease in perceived need for further training (M = 4.05, SD = 1.07, vs. M = 3.45, SD = 0.86; p = .024) and an increase in comfort performing a cerclage placement (M = 2.55, SD = 1.16, vs. M = 3.85, SD = 0.79; p < .001). After the simulation, residents reported more comfort in cerclage placement with decreasing supervision (M = 2.05, SD = 1.02, vs. M = 2.30, SD = 1.01; p = .021); 90% reported that learning to place a cerclage was easy. Discussion Implementing a novel, low-cost model allowing full operative field visualization significantly improved reported comfort regarding cervical cerclage placement and resulted in high satisfaction amongst residents. Future research should evaluate the training's impact on clinical skills. |
| first_indexed | 2024-12-19T16:33:39Z |
| format | Article |
| id | doaj.art-fb0a511638804886aecd045d236916fa |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-19T16:33:39Z |
| publishDate | 2021-03-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-fb0a511638804886aecd045d236916fa2022-12-21T20:14:04ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652021-03-011710.15766/mep_2374-8265.11102A Novel Transvaginal Cervical Cerclage Model for Resident TrainingArlin Delgado0Rachael Cleberg1Alexis C. Gimovsky2Obstetrics and Gynecology Resident, Department of Obstetrics and Gynecology, University of South Florida Morsani College of MedicinePhysician, Capital Women's Care, Division 44Assistant Professor, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women & Infants Hospital, Warren Alpert Medical School of Brown UniversityIntroduction Vaginal suturing can be challenging to teach and learn due to the surgical assistant's limited operative field visualization. Data on resident training and comfort with cerclage placement using models are limited. The aim of this activity was to assess learner satisfaction with practice using a novel model allowing for full visualization during transvaginal cervical cerclage placement. Methods OB/GYN residents participated in a 1-hour combined lecture and hands-on cerclage training simulation with the novel model. Pre- and postsession survey responses were assessed with descriptive statistics and paired t tests. Results Twenty residents with a median of 2 (SD = 1.6) years of residency experience participated. Ninety-five percent reported no prior cerclage simulation training; 60% reported placing cerclages in practice. Pre- and posttest analysis indicated a significant decrease in perceived need for further training (M = 4.05, SD = 1.07, vs. M = 3.45, SD = 0.86; p = .024) and an increase in comfort performing a cerclage placement (M = 2.55, SD = 1.16, vs. M = 3.85, SD = 0.79; p < .001). After the simulation, residents reported more comfort in cerclage placement with decreasing supervision (M = 2.05, SD = 1.02, vs. M = 2.30, SD = 1.01; p = .021); 90% reported that learning to place a cerclage was easy. Discussion Implementing a novel, low-cost model allowing full operative field visualization significantly improved reported comfort regarding cervical cerclage placement and resulted in high satisfaction amongst residents. Future research should evaluate the training's impact on clinical skills.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11102Transvaginal Cervical CerclageResident TeachingOB/GYNMaternal-Fetal MedicinePerinatology |
| spellingShingle | Arlin Delgado Rachael Cleberg Alexis C. Gimovsky A Novel Transvaginal Cervical Cerclage Model for Resident Training MedEdPORTAL Transvaginal Cervical Cerclage Resident Teaching OB/GYN Maternal-Fetal Medicine Perinatology |
| title | A Novel Transvaginal Cervical Cerclage Model for Resident Training |
| title_full | A Novel Transvaginal Cervical Cerclage Model for Resident Training |
| title_fullStr | A Novel Transvaginal Cervical Cerclage Model for Resident Training |
| title_full_unstemmed | A Novel Transvaginal Cervical Cerclage Model for Resident Training |
| title_short | A Novel Transvaginal Cervical Cerclage Model for Resident Training |
| title_sort | novel transvaginal cervical cerclage model for resident training |
| topic | Transvaginal Cervical Cerclage Resident Teaching OB/GYN Maternal-Fetal Medicine Perinatology |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11102 |
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