Operative and diagnostic hysteroscopy: A novel learning model combining new animal models and virtual reality simulation
Alfred Bassil, Chrystèle Rubod, Yves Borghesi, Yohan Kerbage, Elie Servan Schreiber, Henri Azaïs, Charles GarabedianHysteroscopy is one of the most common gynaecological procedure. Training for diagnostic and operative hysteroscopy can be achieved through numerous previously described models like animal models or virtual reality simulation. We present our novel combined model associating virtual reality and bovine uteruses and bladders.
Assessment of a high-fidelity mobile simulator for intrauterine contraception training in ambulatory reproductive health centres
Laura E. Dodge, Michele R. Hacker, Sarah H. Averbach, Sara F. Voit and Maureen E. PaulLittle is known about the utility of simulation-based training in office gynaecology. The objective of this cross-sectional study was to evaluate the self-reported effectiveness and acceptability of the PelvicSim™ (VirtaMed), a highfidelity mobile simulator, to train clinicians in intrauterine device (IUD) insertion.
Advancing Hysteroscopy Skills: Essure® Procedure Virtual Reality Simulator Training
H.W. Schreuder, R.G. Wolswijk, J.E. Persson, I. Ihse, et al.To demonstrate the educational benefits of the Essure® Simulator among physicians seeking to enhance their in-office hysteroscopic skills. The Essure Simulator is a virtual reality-based procedural training platform developed for use on a standard laptop computer. This technology monitors, and realistically simulates, the Essure procedure and offers physicians an innovative teaching opportunity.
A virtual reality simulator for hysteroscopic placement of tubal sterilization micro-inserts: the face and construct validity
J.A. Janse, S. Veersema, F. Broekmans, H.W.R. SchreuderThis study investigated the validity of a virtual reality simulator for hysteroscopic tubal sterilization. Initially performed laparoscopically, the hysteroscopic sterilization method is becoming increasingly popular. An adequate training model could enhance one’s skills prior to the start of performing the procedure on the real patient.
Hysteroscopic Sterilization Using a Virtual Reality Simulator: Assessment of Learning Curve
J.A. Janse, S. Veersema, F. Broekmans, H.W.R. SchreuderThe learning curve is represented by improvement per procedure. Two-way repeatedmeasures analysis of variance was used to analyze learning curves. Effect size (ES) was calculated to express the practical significance of the results (ES R 0.50 indicates a large learning effect). For all parameters, significant improvements were found in novice performance within nine repetitions. Large learning effects were established for six of eight parameters (p , .001; ES, 0.50–0.96). Novices approached expert level within 9 to 14 repetitions. The learning curve established in this study endorses future implementation of the simulator in curricula on hysteroscopic skill acquisition for clinicians who are interested in learning this sterilization technique.
Hysteroscopic Placement of Tubal Sterilization Implants: Virtual Reality Simulator Training
Panel P, Bajka M, Cotin S.Responses to realism, educational potential and general opinion were excellent, proving face validity. Significant differences between novices and experts were assessed for 7 of the 15 metrics analyzed, proving construct validity.
Effectiveness of Simulation Training in Improving the Operative Performance of the Essure® Procedure
Chavan NR, Santandreu O, Jacobs AJ. Dept. of Obstetrics & Gynecology, Flushing Hospital Medical Center, Flushing, New YorkWe prospectively followed two consecutive cohorts of patients undergoing the Essure® procedure over a 1 year period from Feb’11 through Jan’12 - 58 cases before and 78 cases after implementation of the EssureSim™ (VirtaMed AG, Switzerland) simulation program, among residents (n = 14) and attending physicians (n = 44). The time to deployment (time from entering endocervical canal to microinsert placement) was significantly shorter after simulation training, as was the total operating room (OR) time. These cases had a significantly lower frequency of requiring > 2 essure coils for successful insertion.
Establishing Construct Validity of a Virtual-Reality Training Simulator for hysteroscopy via a Multimetric Scoring System
PD Dr. med. Michael Bajka, Dr. Stefan Tuchschmid, Daniel Fink, Prof. Dr. Gabor Szekely, PD Dr. Matthias HardersThe aims of this study are to determine construct validity for the HystSim™ virtual reality (VR) training simulator for hysteroscopy via a new multimetric scoring system (MMSS) and to explore learning curves for both novices and experienced surgeons.
Preliminary Experience with Virtual Reality Simulation vs. Animal Model for Hysteroscopic Myomectomy Training
L.R. Glazerman, S.R. Hart, M. Bajka, D. Fink, R.R. BassalyThe HystSim™ Virtual Reality hysteroscopic trainer was felt to be at least equal to the ‘‘gold standard’’ pig bladder model for training in hysteroscopic myomectomy with the additional advantages of reproducibility and measurement of results. Further studies comparing modalities and relating results to operating room performance are warranted.
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