Department of Obstetrics and Gynecology, Dr. Soetomo General Academic Hospital, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia.
Department of Public Health-Preventive Medicine, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia.
J Educ Eval Health Prof. 2022;19:11. doi: 10.3352/jeehp.2022.19.11. Epub 2022 May 17.
During the coronavirus disease 2019 (COVID-19) pandemic, the number of abdominal hysterectomy procedures decreased in Indonesia. The existing commercial abdominal hysterectomy simulation model is expensive and difficult to reuse. This study compared residents' abdominal hysterectomy skills after simulation-based training using the Surabaya hysterectomy mannequin following a video demonstration.
We randomized 3rd- and 4th-year obstetrics and gynecology residents to a video-based group (group 1), a simulation-based group (group 2), and a combination group (group 3). Abdominal hysterectomy skills were compared between before and after the educational intervention. The pre- and post-tests were scored by blinded experts using the validated Objective Structured Assessment of Technical Skills (OSATS) and Global Rating Scale (GRS).
A total of 33 residents were included in the pre- and post-tests. The OSATS and GRS mean differences after the intervention were higher in group 3 than in groups 1 and 2 (OSATS: 4.64 [95% CI, 2.90-6.37] vs. 2.55 [95% CI, 2.19-2.90] vs. 3.82 [95% CI, 2.41-5.22], P=0.047; GRS: 10.00 [95% CI, 7.01-12.99] vs. 5.18 [95% CI, 3.99-6.38] vs. 7.18 [95% CI, 6.11-8.26], P=0.006). The 3rd-year residents in group 3 had greater mean differences in OSATS and GRS scores than the 4th-year residents (OSATS: 5.67 [95% CI, 2.88-8.46]; GRS: 12.83 [95% CI, 8.61-17.05] vs. OSATS: 3.40 [95% CI, 0.83-5.97]; GRS: 5.67 [95% CI, 2.80-8.54]).
Simulation-based training using the Surabaya hysterectomy mannequin following video demonstration can be a bridge to learning about abdominal hysterectomy for residents who had less surgical experience during the COVID-19 pandemic.
在 2019 年冠状病毒病（COVID-19）大流行期间，印度尼西亚的腹式子宫切除术数量有所减少。现有的商业腹式子宫切除术模拟模型既昂贵又难以重复使用。本研究比较了使用 Surabaya 子宫切除术模型进行基于视频演示的模拟训练后，住院医师的腹式子宫切除术技能。
我们将 3 年级和 4 年级的妇产科住院医师随机分为视频组（第 1 组）、模拟组（第 2 组）和联合组（第 3 组）。在教育干预前后比较了腹式子宫切除术技能。使用经过验证的客观结构化手术技能评估（OSATS）和全球评分量表（GRS）对盲法专家进行的术前和术后测试进行评分。
共有 33 名住院医师参加了术前和术后测试。干预后，第 3 组的 OSATS 和 GRS 平均分高于第 1 组和第 2 组（OSATS：4.64 [95% CI，2.90-6.37] vs. 2.55 [95% CI，2.19-2.90] vs. 3.82 [95% CI，2.41-5.22]，P=0.047；GRS：10.00 [95% CI，7.01-12.99] vs. 5.18 [95% CI，3.99-6.38] vs. 7.18 [95% CI，6.11-8.26]，P=0.006）。第 3 组的 3 年级住院医师的 OSATS 和 GRS 评分平均差异大于 4 年级住院医师（OSATS：5.67 [95% CI，2.88-8.46]；GRS：12.83 [95% CI，8.61-17.05] vs. OSATS：3.40 [95% CI，0.83-5.97]；GRS：5.67 [95% CI，2.80-8.54]）。
使用 Surabaya 子宫切除术模型进行基于视频演示的模拟训练可以成为 COVID-19 大流行期间手术经验较少的住院医师学习腹式子宫切除术的桥梁。
