Program Goal
To provide OB/GYN residents with the knowledge and skills, through hands-on training, to become competent, credentialed gynecologic surgeons in transvaginal hysterectomy.
The Transvaginal Hysterectomy (TVH) curriculum is designed to better educate our residents on the indications for and techniques associated with the performance of TVH. Additionally, this curriculum will comply with the ACGME “Gynecology Technical Skills Milestone” to document competency in vaginal surgery. This program will better prepare residents for the OR by enabling a more rapid development and evaluation of competency in an important surgical procedure. Ultimately, completion of this curriculum will lead to certification of resident competency.
Objectives
Upon completion of this course, the resident will be able to:
- Identify pertinent anatomical landmarks.
- List the standardized TVH steps using the simulated model.
- Document the TVH procedure (dictation).
- Describe current problems associated with planning a TV approach to hysterectomy, performing a TVH, and proposed solutions with regard to TVH training.
- List the benefits of TVH.
- List the indications/contraindications for TVH.
- Describe the challenges of long-term vaginal vault and pelvic floor support.
- Discuss all complications encountered with TVH and understand means of avoidance and management.