Department of Gynecology and Obstetrics, Versailles Hospital, Le Chesnay, France.
Department of Gynecology and Obstetrics, Kremlin-Bicêtre University Hospital, Le Kremlin-Bicêtre, France.
Surg Endosc. 2017 Dec;31(12):5389-5398. doi: 10.1007/s00464-017-5620-z. Epub 2017 Jun 20.
Hysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and economic obstacles. Virtual reality simulation may hold promise as a hysteroscopy training tool. No validated curriculum specific in hysteroscopy exists. The aim of this study was to develop a hysteroscopy curriculum, using the Delphi method to identify skill requirements.
Based on a literature review using the key words "curriculum," "simulation," and "hysteroscopy," we identified five technical and non-technical areas in which skills were required. Twenty hysteroscopy experts from different French hospital departments participated in Delphi rounds to select items in these five areas. The rounds were to be continued until 80-100% agreement was obtained for at least 60% of items. A curriculum was built based on the selected items and was evaluated in residents.
From November 2014 to April 2015, 18 of 20 invited experts participated in three Delphi rounds. Of the 51 items selected during the first round, only 25 (49%) had 80-100% agreement during the second round, and a third round was therefore conducted. During this last round, 80-100% agreement was achieved for 31 (61%) items, which were used to create the curriculum. All 14 residents tested felt that a simulator training session was acceptable and helped them to improve their skills.
We describe a simulation-based hysteroscopy curriculum focusing on skill requirements identified by a Delphi procedure. Its development allows standardization of training programs offered to residents.
宫腔镜检查经常进行，适应证广泛，但学习难度较大。在真实患者身上进行实践培训面临着伦理、法律和经济方面的障碍。虚拟现实模拟可能是一种有前途的宫腔镜培训工具。目前还没有专门针对宫腔镜的经过验证的课程。本研究的目的是使用 Delphi 方法制定宫腔镜课程，以确定技能要求。
我们通过使用关键词“课程”、“模拟”和“宫腔镜”进行文献回顾，确定了需要技能的五个技术和非技术领域。来自法国不同医院科室的 20 名宫腔镜专家参与了 Delphi 轮次，以选择这五个领域的项目。这些轮次将继续进行，直到至少 60%的项目获得 80-100%的共识。根据选定的项目构建了一个课程，并在住院医师中进行了评估。
从 2014 年 11 月到 2015 年 4 月，20 名受邀专家中的 18 名参加了三轮 Delphi 轮次。在第一轮中选择的 51 个项目中，只有 25 个（49%）在第二轮中获得了 80-100%的共识，因此进行了第三轮。在最后一轮中，有 31 个（61%）项目获得了 80-100%的共识，这些项目被用于创建课程。所有接受测试的 14 名住院医师都认为模拟器培训课程是可以接受的，并且帮助他们提高了技能。
我们描述了一种基于模拟的宫腔镜课程，重点是通过 Delphi 程序确定的技能要求。它的发展允许为住院医师提供的培训计划标准化。
