September 15th, 2019

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Impact of a Simulation Based Surgical Skills Curriculum on Ob-Gyn Interns
Authors:  Sandra D. Dayaratna, M.D., Guy Hewlett, M.D., Beverly Vaughn, M.D., Dipak Delvadia, D.O., Catherine Salva, M.D., David K. Hadley, M.D., and Carmen Sultana, M.D.
  OBJECTIVE: To evaluate the impact of an intern boot camp on Ob-Gyn residents.

STUDY DESIGN: A prospective cohort study was performed on Ob-Gyn interns undergoing a simulation-based surgical curriculum. A written pretest was given at the first training session to assess surgical cognitive knowledge. Following completion of 3 sessions, short and long-term cognitive knowledge retention was assessed. Residents from 7 other programs in the region who were exposed to the traditional education at their institutions served as controls. Performance was assessed near the end of the academic year and compared using 2 sample t tests for independent groups.

RESULTS: There were 35 residents from 6 programs, and between 58–81% participated during each session. Of the 32 possible controls, 20 (63%) first-year residents from 7 other Ob-Gyn programs participated in the final session. Subjects demonstrated long-term knowledge retention when compared to baseline performance and performed better on the knowledge test and on 4 of 6 technical skills as compared to controls. Technical skills of subjects improved or stayed the same when compared to their initial performance, with the exception of two-handed knot tying.

CONCLUSION: The intern boot camp appears to be successful in imparting cognitive knowledge and selected technical skills.
Keywords:  computer simulation, education, evaluation, interactive learning, intern, medical education, medical residencies, simulation training, technical skills
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