Current status of training in hysteroscopy The European perspective - - PowerPoint PPT Presentation
Current status of training in hysteroscopy The European perspective Y. Van Belle Helsinki, September 21th 2016 Hysteroscopy 20th century A difficult technique Very slow learning curve Organ-specific and technique- specific problems
Helsinki, September 21th 2016
specific problems
Organ-specific
Gynaecologists, scientists & engineers
technique
features
transmission
practice
medical training
teaching
The global protocol
Computer screen or blackboard ? Multimedia as perfect compromise ?
Synthetic, animal or human models ? Virtual reality training ?
exists
training fails
responsability In order to let the patient benefit from the remarkable technical progression in the last decades, the International Societies should, in close collaboration with the industry,
hysteroscopy.
Practical test to measure the competence level of an individual in basic hysteroscopic psychomotor skills like camera handling, hand-eye coordination and bi-manual handling in the specific uterine environment.
2 Exercises:
evaluates the skills to handle the camera and work with a 30°optic
evaluates the skills of simultaneous camera and instrument handling. Scoring: Time to Correct Performed Exercise Assistant/Mentor responsible for time registration and scoring form
under instruction of the head mentor Each exercise is done 3 times Exercises are done in PAIRS Change the participant after each run
AIM to evaluate the participant’s ability to navigate the hysteroscope, using forward/backward and rotation movements, in order to be able to identify all targets. Objective of the exercise: Camera handling with a 30°optic in a hysteroscopic environment to visualize the reach
SET UP The white uterus model with symbols is placed in the Neoderma vagina and placed in the EVE trainer Screen is equipped with a transparent target sheet which has a circle in the middle
STARTING POSITION
DOMINANT hand
DOMINANT hand for correct view
Maximum time of the exercise is 180 sec
first position 1A
the small character so that it is fully shown and readable.
CAPITAL character (A)
position with small character ‘end’
SCORING
within 180 sec Write down the time mm:ss:hh
180 sec Write down the last identified small character (e.g. 8K, 48,…) Each station has 3 different uterine models. In order to eliminate the memory effect, the model is changed after EVERY run
AIM To evaluate the skills of simultaneous camera handling and handling a hysteroscopic forceps,grasping an object and transporting it. SET-UP The white uterus model is placed ON TOP of the Neoderma vagina and placed in the EVE trainer
STARTING POSITION
grasper and rotation Maximum time of the exercise is 180 sec
after the last rod is removed and placed, time is stopped.
and change participant.
SCORING
Write down the time mm:ss:hh
Count the number of pins removed and write down the number If the participants damages the grasping forceps during the exercise this will result in a minimal score and the exercise is stopped.