ArticleAdvances in medical education and practice2026
Knowledge Acquisition, Self-Assessed Competence, and Simulator-Based Performance in a Structured Laparoscopic VR Curriculum for Obstetrics and Gynecology Residents: A Single-Center Observational Study.
Article in Advances in medical education and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Simulation enables safe, structured practice of laparoscopic skills outside the operating room, yet objective, threshold-referenced performance data from mandatory postgraduate curricula in Central and Eastern Europe remain scarce. We report the educational outcomes of a structured, multi-level virtual-reality (VR) laparoscopy curriculum delivered at a single national simulation center. Methods: We conducted a single-center prospective observational study of 29 obstetrics and gynecology residents who completed a four-module laparoscopic course (Basic 1-2, Advanced 1-2) at the Centre for Endoscopy Simulation, Centre of Postgraduate Medical Education (CMKP), Warsaw. Outcomes comprised pre- and post-course single-choice knowledge tests, self-assessed competence, satisfaction, and simulator-based performance evaluated against a priori, criterion-referenced passing thresholds. Technical metrics were simulator-generated (Simbionix LAP Mentor); no human global rating scales were used. Demographic and training-related variables (gender, residency year, training-center referral level, prior endoscopic experience) were analyzed with non-parametric statistics. Results: Knowledge scores improved from 20.9 (SD = 2.70) to 29.2 (SD = 1.01) (Wilcoxon, p <0.05). Self-assessed competence increased significantly across all domains (p <0.05). Satisfaction was uniformly high (mean 4.7/5, SD = 0.45) but did not correlate with objective performance (all p >0.05). Outcomes did not differ by gender or training-center referral level; residency year was associated with performance only in colpotomy ( Conclusion: A structured, multi-modular VR laparoscopy course significantly improved theoretical knowledge and self-assessed competence among OB-GYN residents. Within this single-center cohort, measured outcomes did not differ by gender or training-center referral level. High satisfaction diverged from objective performance, underscoring the need for balanced, criterion-referenced evaluation. A priori passing thresholds enabled transparent, proficiency-oriented assessment.
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