Enhancing Postgraduate Training in Pediatric and Adolescent Gynecology: Evaluation of an Advanced Pelvic Simulation Session

• Published in: Journal of pediatric & adolescent gynecology Vol. 27; no. 6; pp. 360 - 370
• Main Authors: Dumont, Tania, MD, Hakim, Julie, MD, Black, Amanda, MD, MPH, Fleming, Nathalie, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-12-2014
• Subjects: Adolescent; Adolescent Medicine - education; Attitude of Health Personnel; Canada; Child; Curriculum; Female; Gynecologic Surgical Procedures - education; Gynecological Examination; Gynecology; Gynecology - education; Health Knowledge, Attitudes, Practice; Humans; Hymen - surgery; Internship and Residency; Medical History Taking; Obstetrics - education; Obstetrics and Gynecology; Pediatric; Pediatrics; Pediatrics - education; Physician-Patient Relations; Post graduate medical education; Session; Simulation; Simulation Training; Teaching; Canada; Simulation; Gynecology; Adolescent; Curriculum; Post graduate medical education; Pediatric; Session; Teaching
• ISSN: 1083-3188; 1873-4332
• DOI: 10.1016/j.jpag.2014.01.105

Abstract Study Objective 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. Design 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. Setting Academic half-day at the University of Ottawa Skills and Simulation Centre. Participants Twenty-four Obstetrics/Gynecology residents at the University of Ottawa. Interventions 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. Main Outcome Measure Self-perceived increase in knowledge and PAG specific skills after the simulation session. Results 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. Conclusions 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.