- Email: [email protected]
Gyn Residents, an Update
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Abstracts / Journal of Minimally Invasive Gynecology 15 (2008) S1eS159
Conclusion: In less than 5 years, SGO members have considerably increased their utilization of laparoscopy in the treatment of gynecologic malignancies. Most respondents acquired the majority of their skills through training courses after fellowship.
342
Open Communication Session 13dTeaching, Training and Learning Endoscopy (8:12 AM d 8:17 AM)
Perceived Proficiency in Endoscopy among Senior Ob/Gyn Residents, an Update Einarsson JI. Division of Minimally Invasive Gynecologic Surgery, Brigham and Women’s Hospital, Boston, Massachusetts Study Objective: To assess self perceived proficiency in minimally invasive surgical procedures among 4th year Ob/Gyn residents in the United States. To evaluate trends in self perceived proficiencies by comparing the current survey to a similar survey distributed in 2001. Design: Survey (Canadian Task Force classification III). Setting: Accredited obstetrics and gynecology programs in the United States. Patients: All fourth-year residents in accredited obstetrics and gynecology programs in the United States. Intervention: Residents completed an online survey regarding their perceived proficiency in performing minimally invasive procedures. These results were compared to the results from a similar survey performed in 2001. The residents were also asked about teaching methods and the importance of minimally invasive surgery training during residency. The competencies were rated from one (very uncomfortable) to five (very comfortable). Measurements and Main Results: We received responses from a total of 180 senior residents. Of these, 66% thought emphasis on laparoscopic surgery training should be increased or greatly increased and 97% thought laparoscopic skills were important for building a successful practice. Interestingly, perceived proficiencies in advanced laparoscopic procedures such as total laparoscopic hysterectomy and supracervical hysterectomy were significantly higher when compared to our results in 2001. Residents felt comfortable performing basic and advanced hysteroscopic procedures. 52% of respondents felt that a fellowship in minimally invasive surgery would be beneficial to them following graduation. Conclusion: Senior Ob/Gyn residents seem to feel more comfortable performing advanced laparoscopic procedures at graduation than they did 7 years ago. The majority feels that the emphasis on training in minimally invasive surgery should be increased.
343
where 1 5 ‘‘essential’’; 3 5 ‘‘desireable but not essential’’ and; 5 5 ‘‘not applicable’’. Data was analysed in Microsoft Excel. To date, there have been 28 respondents. All respondents perform laparoscopy and 24 of 28 perform hysteroscopy. The percentage of survey participants rated the following content areas as essential for resident education in laparoscopy and (hysteroscopy): equipment- 79% (88%); energy sources- 61% (75%); patient considerations- 82% (88%); anesthesia- 46% (67%); patient positioning- 71% (67%); pneumoperitoneum- 43% (distension media- 83%); abdominal access, trocar techniques and complications- 82% (uterine access- 79%); evaluation of anatomy- 79% (83%); tissue handling and exposure57% (83%); biopsy techniques- 43%; hemorrhage and hemostasis82%; suturing- 32%; exiting the abdomen- 57% and; post-operative care- 57%. Conclusion: The majority of respondents rated most of the proposed content areas as essential for resident education. We anticipate at least 150 responses which will give power to the analysis. With more feedback, we will be able to build a stronger ob/gyn residency curriculum in laparoscopy and hysteroscopy. We plan on presenting the full analysis at the AAGL meeting.
344
Open Communication Session 13dTeaching, Training and Learning Endoscopy (8:24 AM d 8:29 AM)
Changing Patterns of Gynaecological Surgical Workloads in Dublin over 20 Years O’Sullivan R,1 McMenamin M.2 1National Clinical Skills Centre, Coombe Women’s Hospital, Dublin, Ireland; 2Ob/Gyn, National Maternity Hospital, Dublin, Ireland Study Objective: To review the surgical workload reports of 3 major teaching hospitals over a twenty year period from 1986 to 2006. Design: The annual reports of the three largest teaching hospitals in Ireland were reviewed. The number and types of procedure were noted along with the total numbers of consultants and trainees. Overall procedures per trainee per annum were calculated. Setting: Twenty years of reports from the 3 largest teaching hospitals in the country. Measurements and Main Results: Over the 20 year period that the review spanned there was a doubling of the total number of trainees. During this time period there was also an increase in the numbers of patients with private insurance and a 41% increase in consultant numbers. Overall there was a 6-fold fall in the number of total abdominal hysterectomies per trainee and a 5-fold decrease in the number of vaginal hysterectomies for the same group. Over the 20 years the number of laparoscopic and hysteroscopic procedures increased several fold.
Open Communication Session 13dTeaching, Training and Learning Endoscopy (8:18 AM d 8:23 AM)
Fundamentals of Laparoscopic and Hysteroscopic Surgery: What Should We Be Teaching Our Ob/Gyn Residents? Jacobson MT,1 Chen B,1 Beatty M,1 Nezhat CR.1,2 1Obstetrics and Gynecology, Stanford University, Stanford, California; 2Center for Special Minimally Invasive Surgery, Atlanta, Georgia Study Objective: To establish content areas for development of a Fundamentals of Laparoscopy and Hysteroscopy curriculum for Ob/Gyn residents. Design: Survey of ob/gyn educators who teach residents laparoscopy and hysteroscopy that poses questions about the relevance of content areas of the Fundamentals of Laparoscopic Surgery program to the gynecology residency curriculum as well as development of essential content areas in hysteroscopy. This survey was Stanford-IRB approved. We plan to evaluate at least 150 responses. Setting: Ob/gyn educators were contacted via email by the authors and asked to complete an anonymous survey. Measurements and Main Results: The survey consists of 41 questions. Survey participants were asked to rate 14 proposed content areas in laparoscopy and 10 proposed content areas in hysteroscopy from 1e5
Conclusion: Endoscopic techniques are emerging as the predominant gynaecological surgical modalities. Therefore there needs to be an emphasis on training in these techniques for all trainees. With the
Abstracts / Journal of Minimally Invasive Gynecology 15 (2008) S1eS159
Conclusion: In less than 5 years, SGO members have considerably increased their utilization of laparoscopy in the treatment of gynecologic malignancies. Most respondents acquired the majority of their skills through training courses after fellowship.
342
Open Communication Session 13dTeaching, Training and Learning Endoscopy (8:12 AM d 8:17 AM)
Perceived Proficiency in Endoscopy among Senior Ob/Gyn Residents, an Update Einarsson JI. Division of Minimally Invasive Gynecologic Surgery, Brigham and Women’s Hospital, Boston, Massachusetts Study Objective: To assess self perceived proficiency in minimally invasive surgical procedures among 4th year Ob/Gyn residents in the United States. To evaluate trends in self perceived proficiencies by comparing the current survey to a similar survey distributed in 2001. Design: Survey (Canadian Task Force classification III). Setting: Accredited obstetrics and gynecology programs in the United States. Patients: All fourth-year residents in accredited obstetrics and gynecology programs in the United States. Intervention: Residents completed an online survey regarding their perceived proficiency in performing minimally invasive procedures. These results were compared to the results from a similar survey performed in 2001. The residents were also asked about teaching methods and the importance of minimally invasive surgery training during residency. The competencies were rated from one (very uncomfortable) to five (very comfortable). Measurements and Main Results: We received responses from a total of 180 senior residents. Of these, 66% thought emphasis on laparoscopic surgery training should be increased or greatly increased and 97% thought laparoscopic skills were important for building a successful practice. Interestingly, perceived proficiencies in advanced laparoscopic procedures such as total laparoscopic hysterectomy and supracervical hysterectomy were significantly higher when compared to our results in 2001. Residents felt comfortable performing basic and advanced hysteroscopic procedures. 52% of respondents felt that a fellowship in minimally invasive surgery would be beneficial to them following graduation. Conclusion: Senior Ob/Gyn residents seem to feel more comfortable performing advanced laparoscopic procedures at graduation than they did 7 years ago. The majority feels that the emphasis on training in minimally invasive surgery should be increased.
343
where 1 5 ‘‘essential’’; 3 5 ‘‘desireable but not essential’’ and; 5 5 ‘‘not applicable’’. Data was analysed in Microsoft Excel. To date, there have been 28 respondents. All respondents perform laparoscopy and 24 of 28 perform hysteroscopy. The percentage of survey participants rated the following content areas as essential for resident education in laparoscopy and (hysteroscopy): equipment- 79% (88%); energy sources- 61% (75%); patient considerations- 82% (88%); anesthesia- 46% (67%); patient positioning- 71% (67%); pneumoperitoneum- 43% (distension media- 83%); abdominal access, trocar techniques and complications- 82% (uterine access- 79%); evaluation of anatomy- 79% (83%); tissue handling and exposure57% (83%); biopsy techniques- 43%; hemorrhage and hemostasis82%; suturing- 32%; exiting the abdomen- 57% and; post-operative care- 57%. Conclusion: The majority of respondents rated most of the proposed content areas as essential for resident education. We anticipate at least 150 responses which will give power to the analysis. With more feedback, we will be able to build a stronger ob/gyn residency curriculum in laparoscopy and hysteroscopy. We plan on presenting the full analysis at the AAGL meeting.
344
Open Communication Session 13dTeaching, Training and Learning Endoscopy (8:24 AM d 8:29 AM)
Changing Patterns of Gynaecological Surgical Workloads in Dublin over 20 Years O’Sullivan R,1 McMenamin M.2 1National Clinical Skills Centre, Coombe Women’s Hospital, Dublin, Ireland; 2Ob/Gyn, National Maternity Hospital, Dublin, Ireland Study Objective: To review the surgical workload reports of 3 major teaching hospitals over a twenty year period from 1986 to 2006. Design: The annual reports of the three largest teaching hospitals in Ireland were reviewed. The number and types of procedure were noted along with the total numbers of consultants and trainees. Overall procedures per trainee per annum were calculated. Setting: Twenty years of reports from the 3 largest teaching hospitals in the country. Measurements and Main Results: Over the 20 year period that the review spanned there was a doubling of the total number of trainees. During this time period there was also an increase in the numbers of patients with private insurance and a 41% increase in consultant numbers. Overall there was a 6-fold fall in the number of total abdominal hysterectomies per trainee and a 5-fold decrease in the number of vaginal hysterectomies for the same group. Over the 20 years the number of laparoscopic and hysteroscopic procedures increased several fold.
Open Communication Session 13dTeaching, Training and Learning Endoscopy (8:18 AM d 8:23 AM)
Fundamentals of Laparoscopic and Hysteroscopic Surgery: What Should We Be Teaching Our Ob/Gyn Residents? Jacobson MT,1 Chen B,1 Beatty M,1 Nezhat CR.1,2 1Obstetrics and Gynecology, Stanford University, Stanford, California; 2Center for Special Minimally Invasive Surgery, Atlanta, Georgia Study Objective: To establish content areas for development of a Fundamentals of Laparoscopy and Hysteroscopy curriculum for Ob/Gyn residents. Design: Survey of ob/gyn educators who teach residents laparoscopy and hysteroscopy that poses questions about the relevance of content areas of the Fundamentals of Laparoscopic Surgery program to the gynecology residency curriculum as well as development of essential content areas in hysteroscopy. This survey was Stanford-IRB approved. We plan to evaluate at least 150 responses. Setting: Ob/gyn educators were contacted via email by the authors and asked to complete an anonymous survey. Measurements and Main Results: The survey consists of 41 questions. Survey participants were asked to rate 14 proposed content areas in laparoscopy and 10 proposed content areas in hysteroscopy from 1e5
Conclusion: Endoscopic techniques are emerging as the predominant gynaecological surgical modalities. Therefore there needs to be an emphasis on training in these techniques for all trainees. With the