Electrosurgical loop excision of the cervical transformation zone: Preclinical training proficiency

Research output: Contribution to journalArticle

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Abstract

Introduction: The purpose of this investigation was to evaluate learning errors and preclinical psychomotor skill acquisition among physicians learning the electrosurgical loop excision of the cervical transformation zone (ELECTZ) procedure. Methods: Gynecologists attending one-day ELECTZ continuing medical education courses demonstrated their newly acquired ELECTZ cognitive and procedural skills. A bovine cervical model was used to simulate the uterine cervix and cervical pathology. Subjects performed successive procedures until an adequate specimen was obtained. Results: The mean number of procedural attempts to achieve proficiency was 1.61; 38 of 51 (75%) subjects were proficient following three trials. Thirty-nine percent (20 of 51) of subjects were successful following the first attempt, and an additional 14 of 23 were successful after the second trial. The most common (27%) defective specimen shape resulted from rapid terminal excision and subsequent shallow skewed tissue. Temporary loop electrode or tissue impedance was experienced by 35% of subjects during the first procedure. Conclusions: The ELECTZ procedure is mastered by most physicians with few complications following a minimal number of attempts. The most common procedural errors resulted from excessively rapid surgical technique. Realistic management scenarios with simulated model practice should be used when teaching the ELECTZ procedure to physicians.

Original languageEnglish (US)
Pages (from-to)456-460
Number of pages5
JournalFamily Medicine
Volume25
Issue number7
StatePublished - Jan 1 1993

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Physicians
Learning
Continuing Medical Education
Electric Impedance
Cervix Uteri
Teaching
Electrodes
Pathology

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Electrosurgical loop excision of the cervical transformation zone : Preclinical training proficiency. / Ferris, Daron Gale.

In: Family Medicine, Vol. 25, No. 7, 01.01.1993, p. 456-460.

Research output: Contribution to journalArticle

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