Clinical anatomy and surgical skills training for gynecology and urology residents: Assessment of learners

Leslie M. Rickey, Elizabeth R. Mueller, Scott Graziano, Lior Lowenstein, Sondra Summers, Xavier Pombar, Michael Dauzvardis, Kimberly Kenton

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

OBJECTIVES: Evaluate the efficacy of a multicenter, multidisciplinary surgical curriculum (Kenton et al, Am J Obstet Gynecol. 2006;195:1789-1793) that was designed to teach basic pelvic anatomy and surgical skills to junior residents in Urology and Gynecology. METHODS: The Clinical Anatomy and Surgical Skills Training program was developed for junior residents in urology and gynecology at 3 academic medical centers in Chicago. The course consisted of five 3-hour sessions. Each session was composed of didactics and a hands-on laboratory. A written test comprised of 2 sections, anatomy and surgical knowledge, was given before and after the course. Pre- and posttest scores were compared using the paired t test. A 0.05 significance level was used for all statistical tests. RESULTS: Twenty-eight residents completed the program (15 first-year residents [PGY-1] and 13 second-year residents [PGY-2]). At completion of the program, residents showed a 71% and 60% improvement in both anatomy and surgical skills knowledge, respectively (38 vs. 65, P < 0.001 and 50 vs. 80, P < 0.0001, respectively). The PGY-2 residents had significantly higher baseline scores than the PGY-1 residents in both anatomy (48 ± 14 vs. 28 ± 10, P < 0.001) and surgical skills test scores (59 ± 9 vs. 42 ± 9, P < 0.001). However, there were no significant differences in the posttest scores of the PGY-2 residents compared with the PGY-1 residents in either anatomy or surgical skills. CONCLUSION: Our multidisciplinary Clinical Anatomy and Surgical Skills Training program improved urology and gynecology residents' knowledge of anatomy and basic surgical skills, demonstrating that knowledge essential for the development of a competent resident can be taught outside of the operating room.

Original languageEnglish (US)
Pages (from-to)189-193
Number of pages5
JournalJournal of Pelvic Medicine and Surgery
Volume15
Issue number4
DOIs
StatePublished - Jul 1 2009

Keywords

  • Gynecology
  • Resident education
  • Surgical education
  • Urology

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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