Ioannis Chatzipapas, Greece
Title: Hysteroscopy for training residents using uterine post-hysterectomy specimens with a mobile hysteroscope
Education in endoscopic surgery focuses on theoretical training and mainly on practical training including the practice of technical skills under the supervision of experienced trainers. See one, do one, teach one. It has been the foundation of medical training for over a century, but unfortunately, it no longer works. Young doctors today need to be trained in simulators and models repeatedly until they reach a certain level of competence. The expression coined by Aristotle, “For the things we have to learn before we can do them, we learn by doing them.”, applies to our time. Several types of endoscopy simulators are commercially available, Including traditional box trainers, animal-based and virtual and augmented reality. All have their benefits and limitations. They have all been shown to improve trainees' endoscopic skills, and increase efficiency, reduce costs and improve patient safety. Training in hysteroscopy can be challenging, especially in conscious women as an office procedure. I present a realistic hysteroscopy training model for residents using human uteri. Human uterine specimens were acquired immediately after hysterectomy before they were sent for histological analysis and were used as a training model for hysteroscopy. This new technique has been used for one year in our resident training program. Each resident performs a number of diagnostic and operative hysteroscopies in extirpated uteri, before performing procedures on women in the operating room. Simulating hysteroscopy on human uterine models offers a novel and realistic way of training novices prior to conducting procedures under supervision on live patients.
Ioannis Chatzipapas has been a Consultant of Obstetrics-Gynecology & Endoscopic Surgery at the 1st Department of Obstetrics and Gynecology at the University of Athens, Alexandra Hospital, Greece, since 1999. He has been trained in Maternal-Fetal Medicine in the United Kingdom. In gynaecological endoscopy in the United Kingdom and Germany. Has a particular interest in advanced pelvic endoscopic surgery, hysteroscopy and innovative techniques.