Benefits of using a simulator in the initial training for transvaginal ultrasound examination in gynecologic emergency unit

Etienne, Martin; Gabay, Louise; Levaillant, Jean‐Marc; Vivanti, Alexandre J.; Dommergues, Marc; Fernandez, H.; Capmas, P.

doi:10.1016/j.jogoh.2020.101938

Cited by 6 publications

(7 citation statements)

References 14 publications

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“…In a multicenter randomized trial, Etienne et al examined the effect of the addition of a simulation course on the usual training in transvaginal ultrasound for medical students that were trained in an emergency gynecological unit. The course was found to be beneficial and the students were highly satisfied with the session as an initial training method ( 34 ). Similar results reported Cook et al .…”

Section: Discussionmentioning

confidence: 99%

Development and evaluation of a “simulator-based” ultrasound training program for university teaching in obstetrics and gynecology–the prospective GynSim study

Weimer,

Recker,

Hasenburg

et al. 2024

Front. Med.

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IntroductionThis study addresses the challenges of ultrasound education in obstetrics and gynecology, focusing on the potential benefits of simulation techniques in medical training. Aiming to evaluate the impact of a structured simulator-based training program, this prospective, randomized, interventional study examines its effects on educational outcomes for 5th year medical students.MethodsA total of 153 medical students were randomized into two groups: one receiving both theoretical instruction and hands-on ultrasound simulator training (study group), and the other receiving only theoretical instruction (control group). The study assessed theoretical knowledge and practical skills at two time points: upon enrollment and at the end of the course. The practical skills were specifically evaluated using a dedicated test on the ultrasound simulator.ResultsOut of 153 students, 113 completed the study (study group n=59, control group n=54). The students in the study group demonstrated a greater improvement in theoretical test scores. They also achieved better results at the practical test, with regard to image quality, accuracy, and efficiency. Both groups showed an increase in self-confidence and competency in performing ultrasound examinations independently. Students expressed high satisfaction with the course and a positive attitude toward simulator-based training.DiscussionSimulator-based training presents a valuable supplement to traditional clinical education methods in obstetrics and gynecology. This approach is particularly effective in overcoming the challenges posed by the sensitive nature of gynecological examinations in medical student training. The study highlights the benefits of integrating simulator-based methods into medical curricula, improving both theoretical and practical ultrasound skills among students.

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Section: Discussionmentioning

confidence: 99%

Development and evaluation of a “simulator-based” ultrasound training program for university teaching in obstetrics and gynecology–the prospective GynSim study

Weimer,

Recker,

Hasenburg

et al. 2024

Front. Med.

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“…Simulation-based education may also be beneficial in the initial training of endovaginal US and may improve the quality of care and reduce the need for repeat patient exams 20,21 though it is unclear how simulation-based education compares to training on live human models. 22 It seems reasonable to suggest that it may be beneficial for the initial acquisition of endovaginal US skills to take place using virtual reality (VR) or a simulation mannequin.…”

Section: Future Directionsmentioning

confidence: 99%

Determination of Endovaginal Ultrasound Proficiency and Learning Curve Among Emergency Medicine Trainees

Derr

Shteyman

Jackson³

et al. 2021

J of Ultrasound Medicine

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Objectives Performing and interpreting endovaginal ultrasound is an important skill used during the evaluation of obstetric and gynecologic emergencies. This study aims to describe the level of proficiency and confidence achieved after performing 25 endovaginal examinations. Methods This is a prospective study at a single urban academic emergency department. Participants performed a minimum of 25 endovaginal ultrasounds under the supervision of a point‐of‐care ultrasound expert. Anatomical structures were identified by the expert under ultrasound prior to each session. Each examination was scored for agreement of findings between the participant and expert. The data were used to develop a performance curve identifying when proficiency was achieved, where experiential benefit diminished, and when participants felt confident. Results A total of 1117 endovaginal ultrasound examinations were performed by 50 participants. Agreement after 25 examinations was highest (>95%) for probe insertion and preparation, bladder and uterus identification, and directionality. Agreement was lowest for identification of the ovaries (76%). Experiential benefit plateaus occurred earliest (10 exams) for preparation and insertion followed by bladder identification and directionality. Surprisingly, ovarian experiential benefit plateaued at 16 exams. Participant confidence improved overall and was lowest for the identification of ovaries and abnormal pelvic anatomy. Conclusions There is a significant learning curve when performing endovaginal ultrasound. Our data do not support the use of 25 examinations as a minimum standard for identification of the ovaries or abnormal ovarian pathology.

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“… 2 , 5 In addition, a US simulator could provide students with the opportunity to perform transvaginal USs, an experience that students are less likely to obtain during their clinical clerkships given the sensitive nature of the examination. 6 …”

Section: Introductionmentioning

confidence: 99%

Integration of ultrasound simulation to improve medical student knowledge and satisfaction on the obstetrics and gynecology clerkship

Shanks¹,

Darwish²,

Cook³

et al. 2023

AJOG Global Reports

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Benefits of using a simulator in the initial training for transvaginal ultrasound examination in gynecologic emergency unit

Cited by 6 publications

References 14 publications

Development and evaluation of a “simulator-based” ultrasound training program for university teaching in obstetrics and gynecology–the prospective GynSim study

Development and evaluation of a “simulator-based” ultrasound training program for university teaching in obstetrics and gynecology–the prospective GynSim study

Determination of Endovaginal Ultrasound Proficiency and Learning Curve Among Emergency Medicine Trainees

Integration of ultrasound simulation to improve medical student knowledge and satisfaction on the obstetrics and gynecology clerkship

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