Dumont Tania, Hakim Julie, Black Amanda, Fleming Nathalie
Division of Gynecology, The Children's Hospital of Eastern Ontario, Ottawa, Ontario; Department of Obstetrics and Gynecology, The University of Ottawa, Ottawa, Canada; The Ottawa Hospital Research Institute, Ottawa, Ontario.
Division of Gynecology, The Children's Hospital of Eastern Ontario, Ottawa, Ontario; Department of Obstetrics and Gynecology, The University of Ottawa, Ottawa, Canada; The Ottawa Hospital Research Institute, Ottawa, Ontario.
J Pediatr Adolesc Gynecol. 2014 Dec;27(6):360-70. doi: 10.1016/j.jpag.2014.01.105. Epub 2014 Sep 23.
To describe and evaluate a Canadian simulation session designed to teach pediatric and adolescent gynecology (PAG) history taking, examination and operative skills, and an approach to the child and adolescent.
Obstetrics and gynecology residents in a single academic center participated in a PAG simulation session and rated their gain in knowledge on 6 aspects of PAG care.
Academic half-day at the University of Ottawa Skills and Simulation Centre.
Twenty-four Obstetrics/Gynecology residents at the University of Ottawa.
Participants completed 4 stations teaching PAG-appropriate history taking, genital examination, Tanner staging, vaginal sampling and flushing, hymenectomy, vaginoscopy, laparoscopic adnexal detorsion, and approach to the child/adolescent. Advanced pelvic models were used for procedure specific stations. Participants completed an anonymous evaluation form at the end of the session.
Self-perceived increase in knowledge and PAG specific skills after the simulation session.
Twenty-four residents completed the simulation session and post-session evaluation. All residents (100%) agreed that they had gained knowledge in PAG history taking, examination techniques, office procedures, operative skills, approach to child, and approach to the adolescent. Qualitative feedback stressed the excellence of instruction, interaction, immediate feedback, and hands-on experience. All residents (100%) stated the PAG simulation session should continue.
This advanced PAG simulation session increased resident self-perceived knowledge. Other obstetrics/gynecology training programs should consider implementing advanced PAG simulation sessions to increase resident knowledge and confidence in delivering care to the pediatric/adolescent patient.
描述并评估一个加拿大模拟课程，该课程旨在教授儿科及青少年妇科（PAG）的病史采集、检查及手术技能，以及针对儿童和青少年的诊疗方法。
单一学术中心的妇产科住院医师参与了一次PAG模拟课程，并对他们在PAG护理6个方面知识的收获进行评分。
渥太华大学技能与模拟中心的学术半天课程。
渥太华大学的24名妇产科住院医师。
参与者完成了4个站点的学习，内容包括适合PAG的病史采集、生殖器检查、坦纳分期、阴道采样与冲洗、处女膜切开术、阴道镜检查、腹腔镜附件扭转复位术以及针对儿童/青少年的诊疗方法。针对特定操作的站点使用了先进的盆腔模型。参与者在课程结束时填写了一份匿名评估表。
模拟课程后自我感知的知识增加以及PAG特定技能。
24名住院医师完成了模拟课程及课后评估。所有住院医师（100%）都认为他们在PAG病史采集、检查技术、门诊操作、手术技能、对儿童的诊疗方法以及对青少年的诊疗方法方面获得了知识。定性反馈强调了教学、互动、即时反馈和实践经验的卓越性。所有住院医师（100%）表示PAG模拟课程应该继续。
这个高级PAG模拟课程增加了住院医师的自我感知知识。其他妇产科培训项目应考虑实施高级PAG模拟课程，以增加住院医师对儿科/青少年患者护理的知识和信心。
