Evaluation of Skill Assessment After Hysteroscopy Training Curriculum a designed

Background: To evaluate a standard latex hysteroscopy model training course on gynecologists’ surgical skills. Methods: 74 gynecologists who attended to hysteroscopy training courses of the Training Centre, Tehran University, 2013 to 2015 were investigated. Theoretical information of trainees was obtained at the beginning, at the end and 6 months after the course by filling up a reliable and valid questionnaire. And its subjective and objective impact on their surgical skills and satisfaction were evaluated. Results: 87.84% of participants were satisfied with the curriculum and for most of them, virtual uteruses were felt realistic. After 6 months, subject impact of the curriculum was 77.03%. But, 60.81% of gynecologists hardly could perform hysteroscopy, which was mostly due to lack of technology (53.22%). Objective assessment of surgical skills was done for those who could perform hysteroscopy. Of them, 58.7% had experienced a significant increase in their surgical skills (p=0.004). Correlation of subjective and objective impact of the curriculum was low (r=0.43), (p=0.003). Conclusion: Hysteroscopy training program can improve gynecologists’ hysteroscopic skills. The only index which is significantly correlated with the subjective impact of these courses is the number of previous operations. Also in Iran, because of lacking hysteroscopy equipment in most hospitals, the effect of training courses decreases after a while. So we recommend to train hysteroscopy in all medical universities and equip all hospitals with the hysteroscope. Also we suggest training courses for all gynecologists and repeated it every some years.