OBJECTIVE: The purpose of this study was to determine the effectiveness of a teaching module using simulation for the tension-free vaginal tape (TVT) procedure on procedural knowledge and skill.
METHODS: Twenty-five gynecology residents participated in a teaching module about the TVT procedure and urinary incontinence, which included a simulated insertion on a training model. Questionnaires using 10-point scales for self-rated competence and knowledge and a written examination were administered before and after the module. A simulated TVT insertion was evaluated at an examination at 7 weeks and at 7 months.
RESULTS: A significant median improvement of 44% on the written examination and at least one point on each of the self-rated competence and knowledge scales were observed after the teaching module. Residents performed the insertion well at both examinations (89% and 90%), regardless of surgical experience. More than 94% agreed the module was useful and improved their understanding of the procedure.
CONCLUSION: A short teaching module and simulation session can effectively teach residents and improve their perceived competence with the TVT procedure.
Written by:
Sabourin JN, Schulz JA, Flood CG. Are you the author?
Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Canada.
Reference: Female Pelvic Med Reconstr Surg. 2012 Sep-Oct;18(5):268-73.
doi: 10.1097/SPV.0b013e31825e63ed
PubMed Abstract
PMID: 22983269
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