Training and Assessment of Hysteroscopic Skills: A Systematic Review

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 -