Research Article

An Observation of a Resident-as-Teacher Combined with Tutor Guided Hysteroscopy Teaching Program for Standardized Residency Training (SRT) in Obstetrics and Gynecology

Table 1

Focus of the categories of teaching rounds.

CaseDateTheme of TRDiagnosisFocusDominantTools

12018.8Indications and contraindications of hysteroscopic surgeryDysfunctional bleeding, endometrial thickeningTreatment and diagnostic value of hysteroscopy in endometrial diseases and submucosal fibroids; patients with the poor general condition are a contraindication for hysteroscopyResident, S1PPT
Test 1: Treatment and diagnostic value of hysteroscopy in endometrial diseases?

22018.10Hysteroscopic surgical procedure and instrument assemblingEndometrial polypsHysteroscopic procedures: Disinfection, dilatation of the cervix, etc. After observing the location of endometrial polyps, clamp the endometrial polyps by an oval clampResident, S2Video, PPT
Test 2: Hysteroscopic procedures.

32018.12Hysteroscopic resection of uterine submucosal fibroidsUterine submucosal fibroidsCut the submucosal fibroids in the uterine cavity by an electrode ringResidents S3Video, PPT
PBL questions:
(1) What is the indication and complication of using the electric-cutting function of hysteroscopic surgery?
(2) How to prevent the complication of using the electric-cutting function of hysteroscopic surgery?
(3) How to use the electric-cutting function of the hysteroscopic device?
Test 3: Indication and complication of using the electric-cutting function of the hysteroscopic device.

42019.2Treatment of hysteroscopic complicationsPostmenopausal endometrial thickeningSlowly dilate the cervix, explore the location of the uterus, etc. to prevent uterine perforationResidents S4PPT
Test 4: Treatment of hysteroscopic complications.

52019.4Problem-based learning (PBL) discussEndometrial cancerScratch gently to prevent uterine perforation, control the pressure of the uterine cavity to prevent tumor tissue from escaping through the fallopian tubeResidents S5Video, PPT
PBL questions:
(1) How to prevent uterine perforation?
(2) If uterine perforation happened in hysteroscopic produce, how to solve?
(3) How to communicate with patients and their families to explain the complications?
Test 5: How to prevent uterine perforation?

62019.6The impact of hysteroscopy on the diagnosis of mediastinal uterusMediastinal uterusPerform MRI examination in advanceResident, S1PPT
Homework:
(1) What is the impact of hysteroscopy on the diagnosis of the mediastinal uterus?
(2) How to resect mediastinal uterus?
Test 6: The impact of hysteroscopy on the diagnosis of mediastinal uterus