TY - JOUR
T1 - Training and Assessment of Hysteroscopic Skills
T2 - A Systematic Review
AU - Savran, Mona Meral
AU - Sørensen, Stine Maya Dreier
AU - Konge, Lars
AU - Tolsgaard, Martin G
AU - Bjerrum, Flemming
N1 - Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - OBJECTIVE: The aim of this systematic review was to identify studies on hysteroscopic training and assessment.DESIGN: PubMed, Excerpta Medica, the Cochrane Library, and Web of Science were searched in January 2015. Manual screening of references and citation tracking were also performed. Studies on hysteroscopic educational interventions were selected without restrictions on study design, populations, language, or publication year. A qualitative data synthesis including the setting, study participants, training model, training characteristics, hysteroscopic skills, assessment parameters, and study outcomes was performed by 2 authors working independently. Effect sizes were calculated when possible. Overall, 2 raters independently evaluated sources of validity evidence supporting the outcomes of the hysteroscopy assessment tools.RESULTS: A total of 25 studies on hysteroscopy training were identified, of which 23 were performed in simulated settings. Overall, 10 studies used virtual-reality simulators and reported effect sizes for technical skills ranging from 0.31 to 2.65; 12 used inanimate models and reported effect sizes for technical skills ranging from 0.35 to 3.19. One study involved live animal models; 2 studies were performed in clinical settings. The validity evidence supporting the assessment tools used was low. Consensus between the 2 raters on the reported validity evidence was high (94%).CONCLUSIONS: This systematic review demonstrated large variations in the effect of different tools for hysteroscopy training. The validity evidence supporting the assessment of hysteroscopic skills was limited.
AB - OBJECTIVE: The aim of this systematic review was to identify studies on hysteroscopic training and assessment.DESIGN: PubMed, Excerpta Medica, the Cochrane Library, and Web of Science were searched in January 2015. Manual screening of references and citation tracking were also performed. Studies on hysteroscopic educational interventions were selected without restrictions on study design, populations, language, or publication year. A qualitative data synthesis including the setting, study participants, training model, training characteristics, hysteroscopic skills, assessment parameters, and study outcomes was performed by 2 authors working independently. Effect sizes were calculated when possible. Overall, 2 raters independently evaluated sources of validity evidence supporting the outcomes of the hysteroscopy assessment tools.RESULTS: A total of 25 studies on hysteroscopy training were identified, of which 23 were performed in simulated settings. Overall, 10 studies used virtual-reality simulators and reported effect sizes for technical skills ranging from 0.31 to 2.65; 12 used inanimate models and reported effect sizes for technical skills ranging from 0.35 to 3.19. One study involved live animal models; 2 studies were performed in clinical settings. The validity evidence supporting the assessment tools used was low. Consensus between the 2 raters on the reported validity evidence was high (94%).CONCLUSIONS: This systematic review demonstrated large variations in the effect of different tools for hysteroscopy training. The validity evidence supporting the assessment of hysteroscopic skills was limited.
KW - Clinical Competence
KW - Education, Medical
KW - Educational Measurement
KW - Female
KW - Humans
KW - Hysteroscopy
KW - Journal Article
KW - Review
U2 - 10.1016/j.jsurg.2016.04.006
DO - 10.1016/j.jsurg.2016.04.006
M3 - Review
C2 - 27209030
SN - 1931-7204
VL - 73
SP - 906
EP - 918
JO - Journal of Surgical Education
JF - Journal of Surgical Education
IS - 5
ER -