Simulation Overview

The Duke Ob/Gyn Residency Program’s simulation curriculum is designed to hone residents’ practical skills and foster a mindset for effective teamwork. The curriculum utilizes a blend of tabletop simulations and hands-on task training in a lab room/simulated environment to ensure a well-rounded learning experience. 

The curriculum is based on the following fundamental principles: 

  • Basic assumptions: Every learner has a unique set of experiences, skills and knowledge; we respect and build upon these differences to create a well-rounded learning experience.
  • Psychological safety: We provide an environment where learners can feel safe to take risks, make mistakes and openly express their thoughts and ideas. 
  • Think out loud, ask for help, time out as needed: Active participation and open communication is encouraged. Residents think out loud, ask for help when needed and call for a "time out" if the situation requires it.
  • Formative learning (not graded): The focus is on formative learning, which means residents participate to learn and grow, not to be graded. 
  • Debriefing: Each simulation session is followed by a comprehensive debriefing. 
Date Simulation
7/12/23 PGY-2: Introduction to Robotics 
7/19/2023  Resection of Superficial Endometriosis and Introduction to EMIGS (+ FLS training)  
GYN Simulation: superficial endometriosis -> circle cut, peg transfer
8/16/2023   GYN Simulation: ovarian cysts
Fellows / PGY-2 make-up / PGY-1: Introduction to Robotics 
9/20/2023   OB Simulation – Day 1  
US basics; AOL/C-section; Fetal Pillow; PPH; Shoulder Dystocia 
10/18/2023   TLH Lab
11/15/2023   OB Laceration Lab
12/20/2023  Family Planning Simulation:  
Complicated IUD removal / placement,  D+C/Dilators,  D+E/laminara  
1/17/2024   Myomectomy Lab
2/21/2024  Hysteroscopy Lab 
3/20/2024 OB Simulation – Day 2
Forceps; Paracervical / Pudendal; Vacuum
4/17/2024   Combined GYN/OB Skills Training 
Morcellation, Open Entry; Vascular Injury; CKC, Cerclage 
5/29/2024 Combined ED/OB Simulation
6/12/2024  OB Simulation – Day 3
AOL/C-section; PPH – O’Leary, B-Lynch; Postpartum Tubal

 

EMIGS / Endo

Dr. Lachiewicz at the simulator
Simulator

Ovarian Cystectomy Sim

Ideal Ovarian Cystectomy Sim
Ideal ovarian cystectomy sim — longitudinal cut, no rupture
Sub-Optimal Ovarian Cystectomy Sim
Sub-optimal ovarian cystectomy sim — oblique or jagged cut, rupture
Solo Ovarian Cystectomy Sim
Solo ovarian cystectomy sim
Cooperative Ovarian Cystectomy Sim
Cooperative ovarian cystectomy sim
Solo ovarian cystectomy sim
Solo ovarian cystectomy sim

OB Sim

OB simulation
Residents practicing during OB sim day
OB simulation
Residents practicing during OB sim day
OB simulation
Residents practicing during OB sim day
Residents practicing OB simulation skills
Pudendal and paracervical nerve blocks
Residents practicing OB simulation skills
Pudendal and paracervical nerve blocks
Residents practicing OB simulation skills
Pudendal and paracervical nerve blocks
Residents practicing during OB sim day
Vacuum delivery
Residents practicing during OB sim day
Vacuum delivery
Residents practicing during OB sim day
Forceps delivery
Residents practicing during OB sim day
Forceps delivery
Residents practicing during OB sim day
Forceps delivery

AUB/TLH Sim

Residents practicing during AUB/TLH Day
Residents practicing during AUB/TLH Day
Residents practicing during AUB/TLH Day
Residents practicing during AUB/TLH Day
Residents practicing during AUB/TLH Day
Residents practicing during AUB/TLH Day

Laceration Lab

Residents practicing during Laceration Lab
Residents practicing during Laceration Lab
Residents practicing during Laceration Lab

Family Planning Simulation

Family planning simulation
Family planning simulation
Family planning simulation
Family planning simulation
Family planning simulation
Family planning simulation

Laparoscopic Myomectomy​

Residents practicing during Laparoscopic Myomectomy​ lab
Residents practicing during Laparoscopic Myomectomy​ lab
Residents practicing during Laparoscopic Myomectomy​ lab

Hysteroscopy Sim

Residents practicing during Hysteroscopy​ Sim
Residents practicing during Hysteroscopy​ Sim
Residents practicing during Hysteroscopy​ Sim

Student and Informal Training

Students training
Students training
Students training

Combined GYN/OB Skills Training

Vaginal morcellation
Vaginal morcellation
Laparoscopic suturing
Laparoscopic suturing
Cold knife cone and McDonald cerclage
Cold knife cone and McDonald cerclage
Vaginal surgery prep
Vaginal surgery prep

For questions about the Duke Ob/Gyn simulation program, please contact:

Dr. Mark Lachiewicz

Dr. Mark Lachiewicz
Director of Surgical Simulation
mark.lachiewicz@duke.edu