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.
A short teaching module and simulation training session for residents can be used to effectively teach and improve procedural knowledge and competence with the TVT procedure.
From the Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alberta, Canada.
Reprints: Catherine G. Flood, MD, FRCSC, Department of Obstetrics and Gynecology, 5S131 Lois Hole Hospital for Women, Robbins Pavilion, Royal Alexandra Hospital, 10240 Kingsway Ave, Edmonton, Alberta, Canada, T5H 3V9. E-mail: firstname.lastname@example.org.
JN Sabourin has no conflict of interest. CG Flood is a consultant for Astellas. She has received funding from Gynecare. JA Schulz is a consultant for Gynecare, Astellas, Triton, Pfizer, and Bard. She has conducted research studies for Pfizer and Astellas.