Top Rated Hyderabad Call Girls Erragadda โ 9332606886 โ Call Me For Genuine ...
ย
Building a training model for treatment of CIN Xavier Carcopino, Chair Education Committee of EFC
1.
2. Building a training model for treatment of CIN
Xavier Carcopino, Chair Education Committee of EFC
3. Xavier Carcopino MD PhD
Service de Gynรฉcologie Obstรฉtrique, Hรดpital Nord
Marseille, France
xcarco@free.fr
COLPOSCOPIC GUIDELINES :
A CRITIQUE
Conflicts of interest : none
4. LLETZ PROCEDURE
โข One of the most common procedures in operative gynaecology
โข France: 25000 - 30000 LLETZ procedures per year
โข Routine part of the surgical training program of residents
โข No established / standardized method of teaching
โข Typically, learning-by-doing approach with experts demonstrating and assisting
procedures:
โข Subjective
โข Methodological and ethical issues
standardized, reliable, and efficient methods of teaching
Training models+++
5. TRAINING MODELS IN LAPAROSCOPIC SURGERY: Genuine benefits
Gurusamy et al. Cochrane 2014
Laparoscopic surgical box model training for surgical trainees with no prior laparoscopic experience:
โข Reduction of time for task completion
โข Lower error score
โข Better accuracy scores
โข Better performance composite scores
Laparoscopic box model training appears to improve technical skills compared with no training in trainees
with no previous laparoscopic experience. The impacts of this decreased time on patients and healthcare
funders in terms of improved outcomes or decreased costs are unknown.
6. 1ST PUBLICATION
Reeves et al. Obstet Gynecol 1999
Development of a simple and inexpensive model
โข Cardboard tube / vagina
โข Vaginal speculum
โข Sausage / grounding pad
Procedure performed under colposcopic direct vision
7. 51 participantsโ technical skills assessed before and
after training completion:
โข LEEP performance was significantly better after
completion of the training (P .001).
โข Before / after training mean scores (SD): 18.0 (3.5) vs.
23.4 (2.1)
โข Training effects were independent of previous surgical
expertise.
LLETZ TRAINING MODEL
Helps in improving performances
Hefler et al. Am J Obstet Gyn 2012
10. HOW TO BUILD A LLETZ MODEL
Connor et al. AJOG 2014
What you need:
โข PVC fittings
- Standard T with female thread
sockets
- Male threaded adapter
โข Metal or plastic fender washer
โข Particle board
โข Superglue
โข Sausages (low fat content)
11. HOW TO BUILD A LLETZ MODEL
Connor et al. AJOG 2014
https://www.youtube.com/watch?v=KZLfKTcNygo
12. HOW TO BUILD A LLETZ MODEL
Connor et al. AJOG 2014
