Learning Curves in 3‐Dimensional Sonographic Follicle Monitoring During Controlled Ovarian Stimulation

Abstract

A variable number of procedures are needed to reach proficiency in 3D SonoAVC, even for trained 2-dimensional sonographers. Assessment of learning curves should be implemented when incorporating 3D SonoAVC in reproduction units.

Training Performance in Diagnosis of Congenital Uterine Anomalies With 3‐Dimensional Sonography

“…The CUSUM analysis allows discrimination of accuracy of the diagnosis of different types of malformations (bicorporeal, complete septum, partial septum, normal, and nonvaluable), whereas an accuracy analysis only allows discrimination between binary results (normal or congenital uterine anomalies). As previously described for other procedures, competence achievement and the average evaluation time per volume was operator dependent 12 , 20 , 21 . In the learning period, trainee R1 required a greater number of evaluations to reach competence than trainees R2 and R3 (85th for R1, 58th for R2, and 40th for R3), probably because trainees R2 and R3 had more experience in conventional transvaginal 2D sonography.…”

“…It has been used in different medical specialties to measure the competence of physicians in specific procedures, such as surgical obstetrics and gynecology and embryo transfer, 16 , 17 neurosurgical performance, 18 and arthroplasty performance, 19 among others. It has also been used to evaluate practitioners' performance of 3D sonographic diagnosis of adnexal masses and follicle monitoring during controlled ovarian stimulation 20 , 21 …”

“…It has also been used to evaluate practitioners' performance of 3D sonographic diagnosis of adnexal masses and follicle monitoring during controlled ovarian stimulation. 20,21 This study evaluated the learning curve of 3D sonography for diagnosis of congenital uterine anomalies by 3 residents in obstetrics and gynecology and the deviations in the level of trainees' performance during the control process by standard CUSUM. To do so, all trainees received a 14-hour theoretical and practical course developed in our institution for diagnosis of congenital uterine anomalies based on 3D sonographic volume interpretation.…”

“…As previously described for other procedures, competence achievement and the average evaluation time per volume was operator dependent. 12,20,21 In the learning period, trainee R1 required a greater number of evaluations to reach competence than trainees R2 and R3 (85th for R1, 58th for R2, and 40th for R3), probably because trainees R2 and R3 had more experience in conventional transvaginal 2D sonography. Once competence in diagnosing congenital uterine anomalies was reached, all trainees went into the control process, during which the failure rates were less than 4.5% and level until the end of the test.…”

Are we ready to inject? Individualized LC-CUSUM training in ICSI

“…curves (LC)-CUSUM have been used to evaluate training in ART-related tasks, such as, folliclemetry during ovarian stimulation [7] oocyte retrieval [8], oocyte vitrification [9], and embryo transfer [10,11].…”