Evidence map›Paper›PMID 39845124›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2025

Second Trimester Abortion: A Dilation and Evacuation Simulation for Gynecologic Surgery and Obstetrics Residents.

Kiley Hunkler, David Boedeker, Elizabeth Gill, Katelyn Simpkins, Katerina Shvartsman, Jill Brown, Sara Drayer

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Article in MedEdPORTAL : the journal of teaching and learning resources, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kiley HunklerFellow, Department of Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center; Fellow, Reproductive Endocrinology and Infertility, National Institute of Child Health and Human Development, National Institutes of Health.ORCID 0009-0002-6292-712X
David BoedekerFourth-Year Resident, Department of Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center.
Elizabeth GillSecond-Year Resident, Department of Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center.
Katelyn SimpkinsThird-Year Resident, Department of Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center.
Katerina ShvartsmanAssociate Professor, Department of Gynecologic Surgery and Obstetrics, Uniformed Services University of the Health Sciences F. Edward Hébert School of Medicine.
Jill BrownAssociate Professor, Department of Gynecologic Surgery and Obstetrics, Uniformed Services University of the Health Sciences F. Edward Hébert School of Medicine.
Sara DrayerFellow, Department of Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The future of training in second trimester surgical abortions with dilation and evacuation (D&E) procedures faces ongoing legal and political scrutiny; thus, adjuncts to standard clinical experiences are exceedingly important. We sought to build medical trainees' surgical familiarity with D&Es using a realistic simulation model. Methods: The simulation began with an instructional video reviewing accessible and affordable materials used to build the fetal model (vaginal swabs, styrofoam ball, and putty) and the uterine model (collapsible water bottle). Required personnel roles included surgeon, surgical assistant, and facilitator. A standardized rubric was used to evaluate learners' mastery of procedural learning objectives, and a pre- and postsimulation assessment measured learners' knowledge and confidence before and after the activity. Consistency between iterations was maintained with use of standardized prompts and lectures. Total time for the activity, including setup and debrief, was 1 hour. Results: Eighteen residents, medical students, and attendings participated in the simulation, and 100% completed the assessment. There was a demonstrated improvement in clinical knowledge of D&E steps (56% presimulation vs. 94% postsimulation, Discussion: A gap now exists in access to clinical D&E training. This low-fidelity D&E simulation is a training tool that can fill this gap and improve learners' familiarity with this surgical procedure.

Indexed as

Abortion, InducedGynecologic Surgical ProceduresObstetricsSimulation TrainingAdultClinical CompetenceDilatation and CurettageEducational MeasurementFemaleGynecologyHumansInternship and ResidencyPregnancyPregnancy Trimester, SecondAbortion AccessAbortion TrainingClinical/Procedural Skills TrainingDilation and EvacuationGynecologic SurgeryOB/GYNSimulationWomen's Health

Identifiers

PMID39845124
PMCPMC11753717

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.