Clinical anatomy and surgical skills training for senior residents: A multicenter, multidisciplinary program for urogynecological procedures

Sondra L. Summers, Elizabeth R. Mueller, Brenda Darrell, Xavier Pombar, William Kobak, Scott Graziano, Tracy Irwin, Vaishali Mody, Leslie Rickey, Laura Hruska, Kimberly Kenton

Research output: Contribution to journalArticlepeer-review


OBJECTIVES: We developed a curriculum for urogynecological procedures and problem-solving for senior residents in obstetrics/gynecology and urology. METHODS: The clinical anatomy and surgical skills training senior program was developed with collaboration between faculty from multiple medical centers and surgical disciplines. The format used a series of workshops with didactics and hands-on sessions with cadavers and bench models to teach anatomy and surgical skills. The curriculum was developed by incorporating a needs assessment from participants and faculty with academic principles of educational objectives. Written pre and posttests were administered to evaluate the knowledge of the participants. RESULTS: Thirty-nine residents from 4 Gynecology, 1 Urology residency programs participated in the program. Although the majority of residents felt adequately prepared for endoscopy and vaginal surgery, most of the participants responded that they had inadequate skills for identification of urologic surgical complications (67%) or bowel injury (33%). Very few responded that they had adequate knowledge for advanced surgical procedures such as colposuspension or midurethral sling or displayed adequate knowledge of these procedures and anatomy involved. The satisfaction survey found mean satisfaction scores of 4.0 to 4.8 of 5.0. CONCLUSION: The results of the questionnaires indicate the need for further educational efforts to teach these advanced surgical skills. The satisfaction scores show that this format is highly regarded by the participants as an effective teaching tool. The results of this program can be used in future sessions for curricular development at which time we plan to evaluate participant performance as well as knowledge enhancements.

Original languageEnglish (US)
Pages (from-to)195-203
Number of pages9
JournalJournal of Pelvic Medicine and Surgery
Issue number4
StatePublished - Jul 2009


  • Surgical skills education
  • Urogynecological procedures

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology


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