Original Article

Standardized Surgical Video Curriculum for Teaching Residents Principles of Abdominal Hysterectomy

Authors: Roya Zandi, MS, Amy Alexander, MD, MS, Liqi Chen, MS, Masha Kocherginsky, PhD, Wilberto Nieves-Neira, MD

Abstract

Objectives: To evaluate whether an institutionally created video-based educational module will improve obstetrics and gynecology residents’ understanding of surgical anatomy and principles for performing abdominal hysterectomy. Secondary aims included evaluating the trainees’ confidence levels and perceptions before and after the educational experience and ultimately implementing the module into the program curriculum, if successful.

Methods: In this prospective study, postgraduate obstetrics and gynecology resident physicians (n = 27) at the McGaw Medical Center of Northwestern University were assigned to watch an institutionally created video-based educational module on abdominal hysterectomy before the start of their gynecologic oncology rotation. A knowledge assessment and a postmodule survey were given to participants immediately following the module and repeated at the end of the 4-week rotation.

Results: Participants reported a median rating of 4 (n = 21, interquartile range 4–4) on a 5-point Likert scale when asked to rate the quality of the module. The module also was rated as equally effective both immediately after watching the module and after completing their gynecologic oncology rotation (median 4, interquartile range 3–4 at both times; p = 0.299, Wilcoxon signed rank test). Overall trends revealed that the video module had a greater impact on knowledge of surgical anatomy than on self-reported surgical skills and that postgraduate year 2 and postgraduate year 3 residents benefited more from the intervention.

Conclusions: A video module can be a high-quality and effective educational tool for teaching the surgical principles, anatomy, and steps to perform abdominal hysterectomy to obstetrics and gynecology residents.
Posted in: Obstetrics and Gynecology69

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References

1. Blanchard MH, Amini SB, Frank TM. Impact of work hour restrictions on resident case experience in an obstetrics and gynecology residency program. Am J Obstet Gynecol 2004;191:1746–1751.
 
2. Sanei-Moghaddam A, Ma T, Goughnour SL, et al. Changes in hysterectomy trends after the implementation of a clinical pathway. Obstet Gynecol 2016;127:139–147.
 
3. Wright JD, Herzog TJ, Tsui J, et al. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynecol 2013;122(2 Pt 1):233–241.
 
4. Gressel GM, Potts JR III, Cha S, et al. Hysterectomy route and numbers reported by graduating residents in obstetrics and gynecology training programs. Obstet Gynecol 2020;135:268–273.
 
5. Guntupalli SR. Hysterectomy in residency training: the new numbers game? Obstet Gynecol 2020;135:266–267.
 
6. Burkett D, Horwitz J, Kennedy V, et al. Assessing current trends in resident hysterectomy training. Female Pelvic Med Reconstr Surg 2011;17:210–214.
 
7. Guntupalli SR, Doo DW, Guy M, et al. Preparedness of obstetrics and gynecology residents for fellowship training. Obstet Gynecol 2015;126:559–568.
 
8. Fenner DE. Training of a gynecologic surgeon. Obstet Gynecol 2005;105:193–196.
 
9. Rogers RM, Julian TM. Training the gynecologic surgeon. Obstet Gynecol 2005;105:197–200.
 
10. Chao TT, Wendel GD, McIntire DD, et al. Effectiveness of an instructional DVD on third-and fourth-degree laceration repair for obstetrics and gynecology postgraduate trainees. Int J Gynecol Obstet 2010;109:16–19.
 
11. Fearing N, Bachman S, Holzman M, et al. Evaluation of a video-based curriculum for laparoscopic biliary surgery: a pilot study from the SAGES MIS Web Learning Center. Surg Endosc 2010;24:3141–3143.
 
12. Hong A, Mullin PM, Al-Marayati L, et al. A low-fidelity total abdominal hysterectomy teaching model for obstetrics and gynecology residents. Simul Healthc 2012;7:123–126.
 
13. Karim AS, Sternbach JM, Bender EM, et al. Quality of operative performance feedback given to thoracic surgery residents using an app-based system. J Surg Educ 2017;74:e81–e87.
 
14. Kobraei EM, Bohnen JD, George BC, et al. Uniting evidence-based evaluation with the ACGME plastic surgery milestones: a simple and reliable assessment of resident operative performance. Plast Reconstr Surg 2016;138:349e–357e.
 
15. Kozin ED, Bohnen JD, George BC, et al. Novel mobile app allows for fast and validated intraoperative assessment of otolaryngology residents. OTO Open 2017;1:2473974 x 16685705.
 
16. Shaw CM, Tan SA. Integration of mobile technology in educational materials improves participation: creation of a novel smartphone application for resident education. J Surg Educ 2015;72:670–673.
 
17. McQueen S, McKinnon V, VanderBeek L, et al. Video-based assessment in surgical education: a scoping review. J Surg Educ 2019;76:1645–1654.