Health Sciences Education Symposium

First Author Information

Lauren Siff, MD Assistant Professor Departments of OB/GYN and Surgery Divisions of Urogynecology and Urology

Additional Author(s) Information

Neil Mehta, MD Professor of Medicine and Assistant Dean, Education Informatics and Technology, Cleveland Clinic Lerner College of Medicine of CWRU

Presentation Format


Type of Activity


Original Presentation Date


Date of Submission

April 2018

Abstract/Short Description

Abstract Purpose: One of the biggest challenges teaching urogynecologic surgery is developing a spatial understanding of the 3-Dimensional relationships of musculature, ligamentous supports and neurovasculature of the pelvic floor. Therefore, we created an innovative curriculum to improve trainee-preparedness for complex vaginal surgery. The aim of the study is to determine if an interactive holographic curriculum will improve self-perceived preparedness, surgical knowledge and learner-satisfaction compared to usual self-study. Methods: This is a prospective study of 18 OB/GYN residents. Participants prepared like they were “scrubbing into a case of uterosacral ligament suspension (USLS) and sacrospinous ligament fixation (SSLF).” They then completed a self-perceived preparedness survey and knowledge-test of surgical anatomy and intraoperative complications. Each participant used the HoloLens curriculum independently and surveys were re-administered. Data were analyzed with paired non-parametric statistics. Results: 16/18 residents were females at a median PGY3 level (range 1-6). Self-perceived preparedness score ranged 7-35 with a median baseline score 22 for USLS and 20.5 for SSLF. These scores increased significantly for both procedures after using the modules: mean difference USLS 3.6 points p=.0001 and SSLF 3.7 points p=.0034. Knowledge scores also improved from baseline median 42.5% (range 25-85%) to 82.5% (55-100%): mean difference 35% p<.0001. Compared to usual preparation, 88% ranked the modules as “much” or “very much better” and 81% would be “likely” or “very likely” to use HoloLens to prepare for surgery. Discussion: This interactive holographic curriculum significantly improved self-perceived preparedness, surgical knowledge and trainee-satisfaction in urogynecologic surgery compared to usual self-study.


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VCU Medical Education Symposium