Use of pelvic model-based simulation for sacrospinous ligament fixation education in novice learners: a single-blinded randomized controlled trial
Introduction and hypothesis We hypothesize that there will be improvement in a novice learners’ confidence and skill level with sacrospinous ligament fixation (SSLF) following a pelvic model-based simulation. Methods We performed a single-blinded randomized controlled trial with obstetrics and gynec...
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| Veröffentlicht in: | International Urogynecology Journal 2021-04, Vol.32 (4), p.897-903 |
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| container_title | International Urogynecology Journal |
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| creator | Takashima, Yoko Handler, Stephanie J. Zeno, Aldene Miyazaki, Brian del Canto, Isabel Yazdany, Tajnoos Le, Tam Hoang |
| description | Introduction and hypothesis
We hypothesize that there will be improvement in a novice learners’ confidence and skill level with sacrospinous ligament fixation (SSLF) following a pelvic model-based simulation.
Methods
We performed a single-blinded randomized controlled trial with obstetrics and gynecology residents who were novices at SSLF. The residents were randomly assigned to two groups. The control group received a lecture on the SSLF procedure and anatomy, whereas the intervention group received the same lecture in addition to a pelvic model-based simulation session taught by urogynecologists. The residents’ knowledge of SSLF anatomy and confidence level with the procedure were measured via assessments administered before and after the educational interventions. Their technical skills were objectively assessed by one of two fellowship-trained urogynecologists who were blinded to their group allocation.
Results
A total of 28 residents were recruited with 14 residents in each group and equal distribution of junior and senior trainees. None of the residents had previously performed the SSLF procedure. There was no difference in anatomical knowledge between the two groups. The intervention group showed a greater increase in their average confidence score compared with the control group: 4.0 ± 1.4 (95% CI 3.1–4.8) versus 2.6 ± 1.6 (95% CI 1.7–3.4) respectively, with
p
= 0.02. The intervention group also showed better objective scores in specific technical skills, such as instrument handling (
p
|
| doi_str_mv | 10.1007/s00192-020-04445-8 |
| format | Article |
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We hypothesize that there will be improvement in a novice learners’ confidence and skill level with sacrospinous ligament fixation (SSLF) following a pelvic model-based simulation.
Methods
We performed a single-blinded randomized controlled trial with obstetrics and gynecology residents who were novices at SSLF. The residents were randomly assigned to two groups. The control group received a lecture on the SSLF procedure and anatomy, whereas the intervention group received the same lecture in addition to a pelvic model-based simulation session taught by urogynecologists. The residents’ knowledge of SSLF anatomy and confidence level with the procedure were measured via assessments administered before and after the educational interventions. Their technical skills were objectively assessed by one of two fellowship-trained urogynecologists who were blinded to their group allocation.
Results
A total of 28 residents were recruited with 14 residents in each group and equal distribution of junior and senior trainees. None of the residents had previously performed the SSLF procedure. There was no difference in anatomical knowledge between the two groups. The intervention group showed a greater increase in their average confidence score compared with the control group: 4.0 ± 1.4 (95% CI 3.1–4.8) versus 2.6 ± 1.6 (95% CI 1.7–3.4) respectively, with
p
= 0.02. The intervention group also showed better objective scores in specific technical skills, such as instrument handling (
p
< 0.001), instrument movement/motion (
p
< 0.001), and speed (
p
= 0.01).
Conclusion
Our results demonstrate that inclusion of a pelvic model simulation significantly improves confidence and certain technical skills of novice trainees in performing SSLF.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-020-04445-8</identifier><identifier>PMID: 32696185</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Clinical trials ; Gynecology ; Intervention ; Medicine ; Medicine & Public Health ; Original Article ; Simulation ; Skills ; Urology</subject><ispartof>International Urogynecology Journal, 2021-04, Vol.32 (4), p.897-903</ispartof><rights>The International Urogynecological Association 2020</rights><rights>The International Urogynecological Association 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-1b5e933f63aa5ee9a821fefaca48ecd8b5953fafb801a094eaf979ccdda2fb123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-020-04445-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-020-04445-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32696185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takashima, Yoko</creatorcontrib><creatorcontrib>Handler, Stephanie J.</creatorcontrib><creatorcontrib>Zeno, Aldene</creatorcontrib><creatorcontrib>Miyazaki, Brian</creatorcontrib><creatorcontrib>del Canto, Isabel</creatorcontrib><creatorcontrib>Yazdany, Tajnoos</creatorcontrib><creatorcontrib>Le, Tam Hoang</creatorcontrib><title>Use of pelvic model-based simulation for sacrospinous ligament fixation education in novice learners: a single-blinded randomized controlled trial</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
We hypothesize that there will be improvement in a novice learners’ confidence and skill level with sacrospinous ligament fixation (SSLF) following a pelvic model-based simulation.
Methods
We performed a single-blinded randomized controlled trial with obstetrics and gynecology residents who were novices at SSLF. The residents were randomly assigned to two groups. The control group received a lecture on the SSLF procedure and anatomy, whereas the intervention group received the same lecture in addition to a pelvic model-based simulation session taught by urogynecologists. The residents’ knowledge of SSLF anatomy and confidence level with the procedure were measured via assessments administered before and after the educational interventions. Their technical skills were objectively assessed by one of two fellowship-trained urogynecologists who were blinded to their group allocation.
Results
A total of 28 residents were recruited with 14 residents in each group and equal distribution of junior and senior trainees. None of the residents had previously performed the SSLF procedure. There was no difference in anatomical knowledge between the two groups. The intervention group showed a greater increase in their average confidence score compared with the control group: 4.0 ± 1.4 (95% CI 3.1–4.8) versus 2.6 ± 1.6 (95% CI 1.7–3.4) respectively, with
p
= 0.02. The intervention group also showed better objective scores in specific technical skills, such as instrument handling (
p
< 0.001), instrument movement/motion (
p
< 0.001), and speed (
p
= 0.01).
Conclusion
Our results demonstrate that inclusion of a pelvic model simulation significantly improves confidence and certain technical skills of novice trainees in performing SSLF.</description><subject>Clinical trials</subject><subject>Gynecology</subject><subject>Intervention</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Simulation</subject><subject>Skills</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc-KFDEQh4Mo7uzqC3iQgBcv0fzrno43WXQVFry451CdrgxZ0smYdIvuY_jEZuxVwYOnFOSrL1X5EfJM8FeC8_3ryrkwknHJGddad2x4QHZCK8UUl-oh2XGj9kzpXp6R81pvOeead_wxOVOyN70Yuh35cVORZk-PGL8GR-c8YWQjVJxoDfMaYQk5UZ8LreBKrseQ8lppDAeYMS3Uh28bgtPqtiokmnKTIY0IJWGpbyg0WzpEZGMMaWryAmnKc7hrpctpKTnGVi4lQHxCHnmIFZ_enxfk5v27z5cf2PWnq4-Xb6-Za-MvTIwdGqV8rwA6RAODFB49ONADumkYO9MpD34cuABuNII3e-PcNIH0o5DqgrzcvMeSv6xYFzuH6jBGSNh2tFLLXuy7vj-hL_5Bb_NaUpvOyo73RouNkht1-qha0NtjCTOU71Zwe0rMbonZlpj9lZgdWtPze_U6zjj9afkdUQPUBtR2lQ5Y_r79H-1P0jmlXQ</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Takashima, Yoko</creator><creator>Handler, Stephanie J.</creator><creator>Zeno, Aldene</creator><creator>Miyazaki, Brian</creator><creator>del Canto, Isabel</creator><creator>Yazdany, Tajnoos</creator><creator>Le, Tam Hoang</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210401</creationdate><title>Use of pelvic model-based simulation for sacrospinous ligament fixation education in novice learners: a single-blinded randomized controlled trial</title><author>Takashima, Yoko ; Handler, Stephanie J. ; Zeno, Aldene ; Miyazaki, Brian ; del Canto, Isabel ; Yazdany, Tajnoos ; Le, Tam Hoang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-1b5e933f63aa5ee9a821fefaca48ecd8b5953fafb801a094eaf979ccdda2fb123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Clinical trials</topic><topic>Gynecology</topic><topic>Intervention</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Simulation</topic><topic>Skills</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takashima, Yoko</creatorcontrib><creatorcontrib>Handler, Stephanie J.</creatorcontrib><creatorcontrib>Zeno, Aldene</creatorcontrib><creatorcontrib>Miyazaki, Brian</creatorcontrib><creatorcontrib>del Canto, Isabel</creatorcontrib><creatorcontrib>Yazdany, Tajnoos</creatorcontrib><creatorcontrib>Le, Tam Hoang</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takashima, Yoko</au><au>Handler, Stephanie J.</au><au>Zeno, Aldene</au><au>Miyazaki, Brian</au><au>del Canto, Isabel</au><au>Yazdany, Tajnoos</au><au>Le, Tam Hoang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of pelvic model-based simulation for sacrospinous ligament fixation education in novice learners: a single-blinded randomized controlled trial</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>32</volume><issue>4</issue><spage>897</spage><epage>903</epage><pages>897-903</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
We hypothesize that there will be improvement in a novice learners’ confidence and skill level with sacrospinous ligament fixation (SSLF) following a pelvic model-based simulation.
Methods
We performed a single-blinded randomized controlled trial with obstetrics and gynecology residents who were novices at SSLF. The residents were randomly assigned to two groups. The control group received a lecture on the SSLF procedure and anatomy, whereas the intervention group received the same lecture in addition to a pelvic model-based simulation session taught by urogynecologists. The residents’ knowledge of SSLF anatomy and confidence level with the procedure were measured via assessments administered before and after the educational interventions. Their technical skills were objectively assessed by one of two fellowship-trained urogynecologists who were blinded to their group allocation.
Results
A total of 28 residents were recruited with 14 residents in each group and equal distribution of junior and senior trainees. None of the residents had previously performed the SSLF procedure. There was no difference in anatomical knowledge between the two groups. The intervention group showed a greater increase in their average confidence score compared with the control group: 4.0 ± 1.4 (95% CI 3.1–4.8) versus 2.6 ± 1.6 (95% CI 1.7–3.4) respectively, with
p
= 0.02. The intervention group also showed better objective scores in specific technical skills, such as instrument handling (
p
< 0.001), instrument movement/motion (
p
< 0.001), and speed (
p
= 0.01).
Conclusion
Our results demonstrate that inclusion of a pelvic model simulation significantly improves confidence and certain technical skills of novice trainees in performing SSLF.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32696185</pmid><doi>10.1007/s00192-020-04445-8</doi><tpages>7</tpages></addata></record> |
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| subjects | Clinical trials Gynecology Intervention Medicine Medicine & Public Health Original Article Simulation Skills Urology |
| title | Use of pelvic model-based simulation for sacrospinous ligament fixation education in novice learners: a single-blinded randomized controlled trial |
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