Improving the quality of transvaginal ultrasound scan by simulation training for general practice residents

M. Le Lous; N. De Chanaud; A. Bourret; M. V. Senat; C. Colmant; P. Jaury; A. Tesnière; V. Tsatsaris

doi:10.1186/s41077-017-0056-z

Advances in Simulation (Nov 2017)

Improving the quality of transvaginal ultrasound scan by simulation training for general practice residents

M. Le Lous,
N. De Chanaud,
A. Bourret,
M. V. Senat,
C. Colmant,
P. Jaury,
A. Tesnière,
V. Tsatsaris

Affiliations

M. Le Lous: Department of Gynecology Obstetrics and Reproductive Medicine, AP-HP, Cochin Port Royal Hospital, University of Sorbonne Paris Cité
N. De Chanaud: Simulation Department iLumens, Sorbonne Paris Cité University
A. Bourret: Department of Gynecology Obstetrics and Reproductive Medicine, AP-HP, Cochin Port Royal Hospital, University of Sorbonne Paris Cité
M. V. Senat: Department of Obstetrics and Gynecology, AP-HP, Bicêtre Hospital, University of Paris-Sud
C. Colmant: Department of Obstetrics and Gynecology, AP-HP, Bicêtre Hospital, University of Paris-Sud
P. Jaury: General Practice Department, Paris Descartes University
A. Tesnière: Simulation Department iLumens, Sorbonne Paris Cité University
V. Tsatsaris: Department of Gynecology Obstetrics and Reproductive Medicine, AP-HP, Cochin Port Royal Hospital, University of Sorbonne Paris Cité

DOI: https://doi.org/10.1186/s41077-017-0056-z
Journal volume & issue: Vol. 2, no. 1
pp. 1 – 5

Abstract

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Abstract Background Ultrasonography (US) is an essential tool for the diagnosis of acute gynecological conditions. General practice (GP) residents are involved in the first-line management of gynecologic emergencies. They are not familiar with US equipment. Initial training on simulators was conducted. The aim of this study was to evaluate the impact of simulation-based training on the quality of the sonographic images achieved by GP residents 2 months after the simulation training versus clinical training alone. Methods Young GP residents assigned to emergency gynecology departments were invited to a one-day simulation-based US training session. A prospective controlled trial aiming to assess the impact of such training on TVS (transvaginal ultrasound scan) image quality was conducted. The first group included GP residents who attended the simulation training course. The second group included GP residents who did not attend the course. Written consent to participate was obtained from all participants. Images achieved 2 months after the training were scored using standardized quality criteria and compared in both groups. The stress generated by this examination was also assessed with a simple numeric scale. Results A total of 137 residents attended the simulation training, 26 consented to participate in the controlled trial. Sonographic image quality was significantly better in the simulation group for the sagittal view of the uterus (3.6 vs 2.7, p = 0.01), for the longitudinal view of the right ovary (2.8 vs 1.4, p = 0.027), and for the Morrison space (1.7 vs 0.4, p = 0.034), but the difference was not significant for the left ovary (2.9 vs 1.7, p = 0.189). The stress generated by TVS after 2 months was not different between the groups (6.0 vs 4.8, p = 0.4). Conclusion Simulation-based training improved the quality of pelvic US images in GP residents assessed after 2 months of experience in gynecology compared to clinical training alone.

Published in Advances in Simulation

ISSN: 2059-0628 (Online)
Publisher: BMC
Country of publisher: United Kingdom
LCC subjects: Medicine: Medicine (General): Computer applications to medicine. Medical informatics
Website: http://advancesinsimulation.biomedcentral.com/

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