ArticleInternational urogynecology journal2019
Validation of an educational simulation model for vaginal hysterectomy training: a pilot study.
Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 19 citations in OpenAlex.
- Teaching Vaginal Surgery Through Simulation.O&G open · 2026Review
- Developing a Realistic and Cost-Effective Training Model (MaiSurge) for Laparoscopic Hysterectomies to Train and Assess Surgical Skill: Prospective Nonrandomized Controlled Trial.JMIR medical education · 2026Article
- Requirements and Value Elicitation for a High-Fidelity Pelvic Floor Simulator for Physiotherapists: Mixed Methods Study.JMIR human factors · 2025Article
- A review of simulation training and new 3D computer-generated synthetic organs for robotic surgery education.Journal of robotic surgery · 2022Review
- Validation of Transvaginal Hysterectomy Surgical Model - Modification of the Flowerpot Model to Improve Vesicovaginal Plane Simulation.Journal of minimally invasive gynecology · 2021Article
- Mapping the robotic hysterectomy learning curve and re-establishing surgical training metrics.Journal of gynecologic oncology · 2021Observational
- Establishing Validity for a Vaginal Hysterectomy Simulation Model for Surgical Skills Assessment.Obstetrics and gynecology · 2020Article
- Teaching learners to raise the roof: a vaginal surgery simulator for apical suspension.International urogynecology journal · 2019Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
introduction and hypothesisThe Miya Model ™ (Miyazaki Enterprises, Winston-Salem, NC, USA) was designed as a realistic vaginal surgery simulation model. Our aim was to describe this model and present pilot data on validity and reliability of the model as an assessment tool of vaginal hysterectomy skills.
methodsWe video recorded ten obstetrics and gynecology residents (novice group) and ten practicing gynecologists (expert group) performing vaginal hysterectomy using the Miya model. Blood loss and time taken to complete the procedure were documented. Participants evaluated the model using a postsimulation survey. In addition, two experienced gynecologic surgeons independently evaluated video recordings of each participant's performance using two previously validated global rating scales: Reznick's Objective Structured Assessment of Technical Skill (OSATS) and Vaginal Surgical Skills Index (VSSI).
resultsMost participants (80% of novice and 100% of expert group) rated the model as effective or highly effective for vaginal hysterectomy training and assessment. Median time to procedure completion was significantly higher in the novice group, whereas median estimated blood loss was no different between groups. No significant differences were observed in the composite median OSATS or VSSI scores between groups. The interrater reliability indices for subscales and composite scores of the OSATS and VSSI were high and ranged from 0.79 to 0.90 and 0.77 to 0.93, respectively.
conclusionsWith further study, the Miya Model may be a useful tool for teaching and assessing vaginal surgical skills.
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