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- W2068045383 abstract "To examine learning proficiency in a running vaginal cuff closure in a simulated model using a one-way barbed suture. Prospective assessment of gynecology resident learning curves on a simulated laparoscopic suturing task using a proficiency-based curriculum. American College of Surgeons Accredited Level I Education Institute None A vaginal cuff closure model was created in an FLS box trainer with a single layer reinforced simulated tissue. Proficiency standards were established using 10 tries by an expert laparoscopic surgeon. Residents were trained to proficiency (360 seconds without errors). Residents were not allowed to suture in the OR unless they had reached proficiency on the simulator. Resident learning curves on the task were assessed and their association with the level of training and gender was examined. Proficiency in cuff closure was obtained by 16 resident surgeons with an median of 4 attempts (range 1-13). Performance improved dramatically from an average of 632 seconds at baseline to 360 seconds during the 10th repetition. Resident performance for any given repetition and number of repetitions to proficiency did not correlate with resident level of training or gender. Baseline performance predicted resident learning curve with poorer performing residents requiring longer training times (R2 = 0.44, P = 0.007). A proficiency-based laparoscopic suturing curriculum on a simulated vaginal cuff model using a one-way barbed suture was created and was shown to be easily mastered by gynecology residents. The lack of correlation between the attainment of task proficiency and the resident level of training indicates the need for simulator training for all resident years." @default.
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- W2068045383 date "2011-11-01" @default.
- W2068045383 modified "2023-09-27" @default.
- W2068045383 title "Development of a Proficiency-Based Vaginal Cuff Closure Simulator Curriculum" @default.
- W2068045383 doi "https://doi.org/10.1016/j.jmig.2011.08.294" @default.
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