Effect of Validated Skills Simulation with the Miya Model on Operating Room Performance of Vaginal Hysterectomy

Miya Model™模拟器：第二阶段B摘要 妇产科住院医生必须掌握许多技能，包括盆腔检查、分娩、开放手术， 腹腔镜手术和阴道手术。研究表明，OB/GYN居民缺乏以下方面的培训： 阴道手术技术，包括阴道子宫切除术（VH），理想的子宫切除术技术 美国妇产科医师学会（ACOG）推荐，因为它与 与经腹子宫切除术相比，并发症少，恢复快，费用低。此外，居民 没有接受过用于治疗尿失禁、大便失禁、 失禁或盆腔器官脱垂。Miya Model™是一个完整的女性骨盆解剖模型 旨在模拟真实的手术体验，包括逼真的皮肤和真人大小的器官，逼真的切割和 穿刺张力，可触及的手术标志，加压血管系统，当不充分时出血 技术的使用，和一个可充气的膀胱，可以漏水，如果损坏。该模型是模块化的， 这些部件被设计成当在模拟手术中损坏时容易更换的筒。的 该模型的解剖学正确性可用于培训广泛的卫生专业人员， 如双手检查，窥镜检查和巴氏涂片检查，以及先进的妇科阴道 手术目前还没有市售的模拟器可以训练阴道手术技能和基本的 除了Miya Model™之外，还可以将妇科手术提供给广泛的卫生专业人员。I期和II期 SBIR项目开发了用于进行VH的手术工具，失禁的吊带技术，并完成了一项 结构效度研究表明，新手和专家执行VH的性能差异 对Miya ModelTM的影响是可测量的。建构有效性是模拟器被接受为 评估工具。纳入了确认研究期间外科医生反馈建议的修改 生产设计，使Miya Model™和替换墨盒更经济实惠， 根据外科医生的反馈修改设计。第二B阶段将包括四个具体目标，目标是 确定Miya Model™及其相关课程的培训是否会提高VH在 手术室（OR）。这项研究将需要评估六个机构的住院医师的基线VH技能， 将居民分为两组进行标准或模拟训练，随后进行比较 两组的OR表现。完成后，Miya Model™、课程和评估工具将 是一个完整的培训系统，用于OB/GYN住院医师培训计划，以培训阴道手术技术， 客观评估手术能力，对患者无任何风险或伤害。它将被用于许多和 为基本妇科培训提供多样化的住院医师、护理和联合健康教育计划。宫 Model™系统还将被医院用于认证，医疗设备公司用于产品认证。 发展和培训。

Miya Model™ Simulator: Phase II B Abstract OB/GYN Residents must develop numerous skills including pelvic exams, childbirth, open surgery, laparoscopic surgery, and vaginal surgery. Studies demonstrate that OB/GYN Residents lack training in vaginal surgical techniques, including Vaginal Hysterectomy (VH), the desired hysterectomy technique recommended by The American College of Obstetricians and Gynecologists (ACOG) because it is associated with less morbidity, quicker recovery and lower costs than abdominal hysterectomy. Furthermore, Residents do not receive adequate training in vaginal surgery techniques used to treat urinary incontinence, fecal incontinence or pelvic organ prolapse. The Miya Model™ is a complete female pelvic anatomy model designed to simulate real surgical experiences including lifelike skin and life-sized organs, realistic cutting and puncturing tensions, palpable surgical landmarks, a pressurized vascular system that bleeds when inadequate technique is used, and an inflatable bladder that can leak water if damaged. The model is modular in that all of the parts are designed as cartridges that are easily replaceable when damaged in a simulated surgery. The anatomic correctness of the model can be used to train a broad range of health professionals on general procedures like bimanual exam, speculum exam and pap smear, as well as advanced gynecologic vaginal surgeries. There is no commercially available simulator that can train vaginal surgery skills and basic gynecological procedures to a breadth of health professionals other than the Miya Model™. Phase I and II SBIR programs developed curriculua for performing VH, sling techniques for incontinence, and completed a Construct Validity study demonstrating that performance differences of novices and experts performing a VH on the Miya ModelTM were measurable. Construct Validity is a crucial step in a simulator being accepted as an assessment tool. Modifications suggested by surgeon feedback during the validation study were incorporated into a production design making the Miya Model™ and replacement cartridges more affordable while modifying the design based on surgeon feedback. Phase IIB will encompass four Specific Aims with the goal of determining if training on the Miya Model™ and its associated curricula will improve VH performance in the Operating Room (OR). This study will require assessing the baseline VH skills of Residents at six institutions, dividing the Residents into two groups for either standard or simulation training, and subsequently comparing the OR performance of both groups. When complete, the Miya Model™, curriculum, and assessment tools will be a complete training system used in OB/GYN residency programs to train vaginal surgery techniques and objectively assess surgical competency without any risk or harm to patients. It will be used in numerous and diverse residency, nursing and allied health educational programs for basic gynecology training. The Miya Model™ system will also be used by hospitals for credentialing and medical device companies for product development and training.