To describe a hybrid simulation model for pediatric and adolescent gynecology (PAG) examination teaching, to evaluate if it would be feasible to be conducted as a part of the PAG training, and to find out how it would be perceived by the trainees.
The development process and a 2-day workshop is presented.
An academic 2-day PAG simulation training at the Medical University of Lublin Centre of Medical Simulation.
Twenty-two obstetrics and gynecology and pediatric residents from various hospitals of the Lublin county region.
Participants took part in a 2-day simulation-based workshop consisting of a theoretical part and 3 high-fidelity PAG simulation scenarios, followed by an anonymous feedback survey on their opinions about the hybrid model teaching strategy.
Main Outcome Measures
To describe and evaluate feasibility of a hybrid simulation model for PAG examination teaching and to report students’ satisfaction and acceptance of this teaching modality; to share faculty experience and lessons learned during the development process.
Of 22 initially enrolled residents, 16 of them completed the simulation-based session. All but 1 participant preferred a hybrid model to a task trainer as a teaching modality. The same number of surveyed residents stated that they learned more using the hybrid model. Qualitative feedback from the participants was overall positive.
A hybrid model for teaching PAG examination is feasible and greatly accepted by the trainees. We are convinced that such a model of training can improve trainees' skills and translate to PAG patients’ comfort and safety. It could be potentially used in teaching more difficult procedures (eg, intrauterine device insertion or examination after sexual assault).
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- The role of examination under anesthesia (EUA) and vaginoscopy in pediatric and adolescent gynecology: a retrospective review.J Pediatr Adolesc Gynecol. 2012; 25: 64
- Diagnostic methods in pediatric and adolescent gynecology.Endocr Dev. 2012; 22: 40
- Clinical report--gynecologic examination for adolescents in the pediatric office setting.Pediatrics. 2010; 126: 583
- Enhancing postgraduate training in pediatric and adolescent gynecology: evaluation of an advanced pelvic simulation session.J Pediatr Adolesc Gynecol. 2014; 27: 360
- Investigating disparity between global grades and checklist scores in OSCEs.Med Teach. 2015; 37: 1106
- The Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP).Adv Simul (Lond). 2017; 2: 10
- A critical review of simulation-based medical education research: 2003-2009.Medical Educ. 2010; 44: 50
- Where do we come from? What are we? Where are we going?.Simul Healthc. 2011; 6: 195
- A prospective study into the benefits of simulation training in teaching obstetric vaginal examination.Int J Gynaecol Obstet. 2016; 133: 380
- Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.Obstet Gynecol. 2010; 115: 1021
- The case for simulation as part of a comprehensive patient safety program.Am J Obstet Gynecol. 2012; 206: 451
- A simulation program for teaching obstetrics and gynecology residents the pediatric gynecology examination and procedures.J Pediatr Adolesc Gynecol. 2011; 24: 127
- Does an advanced pelvic simulation curriculum improve resident performance on a pediatric and adolescent gynecology focused objective structured clinical examination? A cohort study.J Pediatr Adolesc Gynecol. 2016; 29: 276
- Pediatric and Adolescent Gynecology Education through Simulation (PAGES): development and evaluation of a simulation curriculum.J Pediatr Adolesc Gynecol. 2015; 28: 186
- A simulated patient-based program for training gynecologists in communication with adolescent girls presenting with gynecological problems.J Pediatr Adolesc Gynecol. 2009; 22: 79
- Hybrid simulation improves medical student procedural confidence during EM clerkship.Mil Med. 2014; 179: 1223
- Emergency birth hybrid simulation with standardized patients in midwifery education: implementation and evaluation.J Midwifery Womens Health. 2015; 60: 298
- Development and incorporation of hybrid simulation OSCE into in-training examinations to assess multiple CanMEDS competencies in urologic trainees.Can Urol Assoc J. 2015; 9: 32
- The use of simulated patients in medical education: AMEE Guide No 42.Med Teach. 2009; 31: 477
- Effective feedback strategies for teaching in pediatric and adolescent gynecology.J Pediatr Adolesc Gynecol. 2014; 27: 188
- Construction and validation of the Nijmegen Evaluation of the Simulated Patient (NESP): assessing simulated patients’ ability to role-play and provide feedback to students.Acad Med. 2013; 88: 253
Published online: December 07, 2018
The authors indicate no conflicts of interest.
This work was presented, in part, at the 14th European Congress of Paediatric and Adolescent Gynaecology, Vilnius, Lithuania, June 7-10, 2017.
© 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.