Loveless Meredith B, Finkenzeller Dayna, Ibrahim Sherrine, Satin Andrew J
University of Louisville School of Medicine, Louisville, Kentucky, USA.
J Pediatr Adolesc Gynecol. 2011 Jun;24(3):127-36. doi: 10.1016/j.jpag.2010.12.003. Epub 2011 Feb 5.
To assess the use of a pelvic simulation curriculum to teach obstetrics and gynecologic residents the pediatric gynecology examination and procedures.
Residents in obstetrics and gynecology participated in a simulation curriculum using a modified pelvic hemimodel to simulate a pediatric pelvis.
19 obstetrics and gynecology residents completed the study protocol.
Digitally recorded encounters with a standardized patient scenario using the simulator were utilized. After the initial encounter the trainees participated in a formal lecture and demonstration using the model. The trainees were then reassessed at least four weeks after the initial encounter; results were reviewed by a blinded evaluator. Scores were analyzed using the two-sided t-test and Wilcoxon signed-rank test.
Scores from before to after the simulation training.
A total of 19 residents completed the study protocol and demonstrated significant improvement in scores from before to after the simulation training. Scores improved from a pre-training mean of 6.1 to post-training mean of 16.7 (P = 0.0001). Improvement was seen at all levels of residency training. Specific skill sets included in the Council for Resident Education in Obstetrics and Gynecology (CREOG) Educational objectives (1) were improved including: pediatric gynecologic examination, collection of microbial cultures, vaginal lavage and vaginoscopy.
This teaching program using a simulation model was found to be an effective tool to improve resident knowledge and performance of the skills needed to accomplish the pediatric gynecology examination.
评估使用骨盆模拟课程向妇产科住院医师传授小儿妇科检查及操作。
妇产科住院医师参与了一项模拟课程，使用改良的骨盆半模型来模拟小儿骨盆。
19名妇产科住院医师完成了研究方案。
利用模拟器对标准化患者场景进行数字记录的会诊。在初次会诊后，学员们参加了使用该模型的正式讲座和演示。然后在初次会诊至少四周后对学员进行重新评估；结果由一位不知情的评估者进行审查。使用双侧t检验和Wilcoxon符号秩检验对分数进行分析。
模拟训练前后的分数。
共有19名住院医师完成了研究方案，且模拟训练前后的分数有显著提高。分数从训练前的平均6.1分提高到训练后的平均16.7分（P = 0.0001）。在住院医师培训的各个阶段都有提高。妇产科住院医师教育委员会（CREOG）教育目标（1）中包括的特定技能集得到了提高，包括：小儿妇科检查、微生物培养采集、阴道灌洗和阴道镜检查。
发现这种使用模拟模型的教学方案是提高住院医师在完成小儿妇科检查所需技能方面的知识和表现的有效工具。
