Skip Navigation LinksHome > September/October 2012 - Volume 18 - Issue 5 > Improving Resident Competence and Knowledge Regarding Tensio...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31825e63ed
Original Articles

Improving Resident Competence and Knowledge Regarding Tension-Free Vaginal Tape Procedure: An Educational Module

Sabourin, Jeanelle N. MD, FRCSC; Schulz, Jane A. MD, FRCSC; Flood, Catherine G. MD, FRCSC

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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.

© 2012 by Wolters Kluwer Health | Lippincott Williams & Wilkins


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