Cervical cancer remains one of the leading causes of cancer for women in medically underserved areas. This is in part due to a lack of trained clinicians to provide the necessary diagnosis and treatment of precancerous lesions to prevent cervical cancer. Increasing medical provider knowledge and skills is important for the early detection and prevention of cervical precancer and cancer in medically underserved areas of the United States and globally.
LUCIA is a low-cost, universal cervical cancer instructional apparatus that can be used to teach and practice a variety of essential skills for cervical cancer screening, diagnosis, and treatment, including: visual inspection with acetic acid, Pap and human papillomavirus DNA specimen collection, colposcopy, endocervical curettage, cervical biopsy, cryotherapy, and loop electrosurgical excision procedure.
LUCIA was used to provide hands-on training in six courses held in Texas (n=3), El Salvador (n=1), and Mozambique, Africa (n=2). Standardized provider evaluations were administered at three of these courses and resulted in mean scores of 4.12/5 for usefulness, 4.46/5 for skill improvement, and 4.43/5 for ease of skill evaluation.
LUCIA provides dynamic, real-time feedback that allows trainees to learn and practice important skills related to cervical cancer prevention while simulating a patient exam.
LUCIA is a portable, low-cost pelvic model that allows clinicians to learn and practice procedures performed in the screening, diagnosis, and treatment of cervical precancer.
Rice University, and the University of Texas MD Anderson Cancer Center, Houston, Texas.
Corresponding author: Rebecca Richards-Kortum, PhD, 6500 Main Street, Houston, TX 77005; email: firstname.lastname@example.org.
Supported by the NCI of the NIH under award numbers R01 CA186132-01 and R01 CA186132-Supplement, the Rice Engineering Alumni Student Project Grant Program, the Lemelson Foundation—Developing Country Program, the Cancer Prevention and Research Institute of Texas (CPRIT) PP150012, the Prevent Cancer Foundation, the Raul Tijerina Foundation, and the Joe Family Fund.
Financial Disclosure The authors did not report any potential conflicts of interest.
Presented as a poster at the annual meeting of the Society of Gynecologic Oncology, March 24–27, 2018, New Orleans, Louisiana.
* For a list of co-authors making up the Rice360 Student Team, see Appendix 1 online at http://links.lww.com/AOG/B274.
The authors thank the Project ECHO team, especially Ellen Baker, MD, MPH, Melissa Lopez, MS, and Mila Salcedo, MD, PhD, at the University of Texas MD Anderson Cancer Center for including LUCIA as part of their cervical cancer education program, as well as all medical personnel who provided feedback on the model. They would also like to thank Veronica Leautaud, PhD, from the Rice360 Institute for Global Health for assistance in coordinating model development. Sonia Parra would like to acknowledge the support of the Baylor College of Medicine Medical Scientist Training Program.
Each author has confirmed compliance with the journal's requirements for authorship.
Peer reviews and author correspondence are available at http://links.lww.com/AOG/B276.
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Received October 17, 2018
Received in revised form December 14, 2018
Accepted December 20, 2018