Laparoscopic Gynecology Curriculum for Residents

Unity Health Toronto

Status: Completed

Conditions: Hysterectomy for Abnormal Uterine Bleeding

Treatments: Procedure: Study Laparoscopic Curriculum

Study type: Interventional

Funder types: Other

Identifiers

NCT01916343

12-159

Details and patient eligibility

About

Gynecologists are currently using laparoscopy to perform many surgeries traditionally approached by laparotomy. The technical skills required for laparoscopic surgery are different than the skills required for laparotomy, causing a prolonged learning curve. Currently there is no standardized laparoscopy curriculum for gynecology residents. This study aims to develop a specific evidence-based surgical skills gynecologic curriculum that could be instituted in residency programs at a national and international level. The investigators will then validate the curriculum using Obstetrics and Gynecology residents through a cognitive examination, a technical skills examination, and a video recording of performance in the operating room.

HYPOTHESIS: The investigators aim is to design a standardized evidence-based comprehensive laparoscopic curriculum that focuses on cognitive knowledge, surgical skills, and team training exercises. The investigators hypothesize that residents in the experimental curriculum-trained group will perform better than the residents in the traditional residency curriculum-trained group on a cognitive examination, a technical skills examination, and in the operating room. The operating room performance will be judged by blinded experts on a previously validated evaluation tool.

Enrollment: 27 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Novice residents (defined as having performed less than 10 laparoscopic salpingectomies)
• Patients undergoing uncomplicated right-sided salpingectomies prophylactically at the time of laparoscopic hysterectomy, laparoscopic salpingo-ophorectomies, or laparoscopic-assisted vaginal hysterectomies.

Exclusion criteria

• Residents who have performed more than 10 laparoscopic salpingectomies
• Residents in PGY3 or higher
• Patients with multiple prior abdominal surgeries, high BMI, significant adnexal pathology, and extensive endometriosis

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

27 participants in 2 patient groups

Study Laparoscopic Curriculum

Experimental group

Description:

Residents will perform a salpingectomy in the operating room, which will be video-recorded through the laparoscopic camera. The residents in the intervention group will then complete the salpingectomy at the conclusion of the curriculum. Following the completion of the curriculum, residents in the intervention group will undergo a multiple-choice examination as well as a repeat skills examination.

Treatment:

Procedure: Study Laparoscopic Curriculum

Standard Clinical Education

No Intervention group

Description:

Residents will perform a salpingectomy in the operating room, which will be video-recorded through the laparoscopic camera. The standard clinical education residents will perform the procedure as per standard of care.