2899 Validation of Simulated Diagnostic Hysteroscopy Curriculum

Study Objective This purpose of this study is to test the face and construct validity of a low-fidelity simulation model for hysteroscopy training Design This is a prospective observational study. Setting This study took place within an obstetrics and Gynecology residency program at major academic medical center Patients or Participants Incoming first year residents of obstetrics and gynecology Interventions We have created a mock uterus using a clear plastic bottle and placed targets within the bottle to serve as goals for navigation. The curriculum, which includes instructional videos, pre-test and post-test surveys as well as the simulation task. In 2017 and 2018 expert faculty administered an objective structured assembly of technical skills (OSATS) and recorded times required to assemble the hysteroscope and perform the simulation. Residents were then given 6 weeks for independent practice with the model after which the OSATS and performance times were collected again. Measurements and Main Results 36 first year residents (33 female and 3 male) and 4 faculty experts completed the simulation. 69% of residents had no hands-on training in hysteroscopy prior to the study. Following independent practice, resident OSAT scores improved by 11 points (SD ± 8, out of 39 potential total points) on assembly of hysteroscope and 9 points (SD ± 3.5, out of 15 potential points) on simulation tasks. Resident OSATS scores improved significantly (p Conclusion Our study supports the use of our reusable, low-fidelity hysteroscopic training model as a way to improve resident performance in a simulation environment.