Short summary

Our goal is to improve hysteroscopic training and assessment through four steps: First, a systematic review to identify knowledge gaps within the field of hysteroscopic training. Then a Delphi study with 25 experts defining key elements of hysteroscopy over three rounds. Then development of a mandatory simulation-based training program for assessing skills. Finally a randomized study comparing simulation training with traditional mentoring.

Rationale

Women's health issues are often underprioritized, and this project aims to change that by creating a national training program for hysteroscopy based in Funen. Hysteroscopy is vital for diagnosing and treating conditions such as infertility, abnormal bleeding, and uterine cancer. It offers precise treatment with low complication risks but requires advanced skills to avoid severe outcomes, such as uterine perforation. As hysteroscopies shift from operating rooms to outpatient clinics under local anesthesia, physicians need better training to ensure safety and minimize pain. Simulation-based training, which enhances skills before patient application, is key. Currently, no structured national hysteroscopy training program exists. This initiative aims to improve skills acquisition, reduce procedural errors, and enhance care for women with uterine conditions.

Description of the cohort

In study three 20-30 doctors with different hysteroscopy experience levels will be included. In study four 24 residents in OB/GYN will be included and randomized to either simulation or traditional apprenticeship training.

Collaborating researchers and departments

Simulationcenter OUH (SimC)

• Anders Bo Nielsen
• Lars Konge

Faculty of Health, SDU

• Pernille Ravn

Faculty of Health, AU

• Margit Dueholm