20.102 GYN ★ Harrith M. Hasson Award for Best Presentation Promoting Education or Training скачать в хорошем качестве

20.102 GYN ★ Harrith M. Hasson Award for Best Presentation Promoting Education or Training

★ Harrith M. Hasson Award for Best Presentation Promoting Education or Training USE OF AN ORANGE AND CHICKEN BREAST IN SIMULATION TRAINING OF THE EXCITE MODEL: A VIDEO DEMONSTRATION Meredith L McKinney, ML Racher University of Arkansas for Medical Sciences, Little Rock, AR, USA Objective: Extracorporeal C-Incision Tissue Extraction (ExCITE) is used in minimally invasive gynecologic surgery to extract large specimens (i.e. myomas, uteri). The published model of this technique uses beef tongue, which is approximately $5-7 per learner. The purpose of this video is to instruct simulation directors on how to assemble and utilize a more cost effective model for ExCITE training. Methods and Procedures: Inexpensive reusable plastic containers were used to hold the orange and the chicken breast models. We then instructed learners on how to elevate the specimen to the extraction point and cut a “C” incision on its surface. Learners continue to alternate between grasping the specimen and cutting on the cut surface, leaving one surface completely intact until the entire specimen is removed. Results: There was a statistically significant improvement in comfort level after completing the chicken model and a trend in improved comfort level after the orange model. Overall comfort in use of the ExCITE technique was statistically significant after completion of both models. The cost of the chicken breast model ranged from $0.56 to $1.13 per learner; the cost of the orange model was $0.30 per learner. Conclusion: This video instructs simulation directors on how to assemble and utilize a more cost effective model for ExCITE training that also significantly improves learner’s understanding of, and comfort with, this technique.