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](/sites/default/files/2023-10/endo1.jpg)
![Simulator](/sites/default/files/2023-10/endo2.jpg)
Ovarian Cystectomy Sim
![Ideal Ovarian Cystectomy Sim](/sites/default/files/2023-10/1_0.jpg)
Ideal ovarian cystectomy sim — longitudinal cut, no rupture
![Sub-Optimal Ovarian Cystectomy Sim](/sites/default/files/2023-10/2_0.jpg)
Sub-optimal ovarian cystectomy sim — oblique or jagged cut, rupture
![Solo Ovarian Cystectomy Sim](/sites/default/files/2023-10/hyst1.jpg)
Solo ovarian cystectomy sim
![Cooperative Ovarian Cystectomy Sim](/sites/default/files/2023-10/hyst2.jpg)
Cooperative ovarian cystectomy sim
![Solo ovarian cystectomy sim](/sites/default/files/2023-10/hyst3.jpg)
Solo ovarian cystectomy sim
OB Sim
![OB simulation](/sites/default/files/2023-10/sim1.jpg)
![Residents practicing during OB sim day](/sites/default/files/2023-10/sim4.jpg)
![OB simulation](/sites/default/files/2023-10/sim2.jpg)
![Residents practicing during OB sim day](/sites/default/files/2023-10/sim5.jpg)
![OB simulation](/sites/default/files/2023-10/sim3.jpg)
![Residents practicing during OB sim day](/sites/default/files/2023-10/sim6.jpg)
![Residents practicing OB simulation skills](/sites/default/files/2024-03/obsimppnb1.jpg)
Pudendal and paracervical nerve blocks
![Residents practicing OB simulation skills](/sites/default/files/2024-03/obsimppnb2.jpg)
Pudendal and paracervical nerve blocks
![Residents practicing OB simulation skills](/sites/default/files/2024-03/obsimppnb3.jpg)
Pudendal and paracervical nerve blocks
![Residents practicing during OB sim day](/sites/default/files/2024-03/obsimvd1.jpg)
Vacuum delivery
![Residents practicing during OB sim day](/sites/default/files/2024-03/obsimvd2.jpg)
Vacuum delivery
![Residents practicing during OB sim day](/sites/default/files/2024-03/obsimfd1.jpg)
Forceps delivery
![Residents practicing during OB sim day](/sites/default/files/2024-03/obsimfd2.jpg)
Forceps delivery
![Residents practicing during OB sim day](/sites/default/files/2024-03/obsimfd3.jpg)
Forceps delivery
AUB/TLH Sim
![Residents practicing during AUB/TLH Day](/sites/default/files/2023-10/aub1.png)
![Residents practicing during AUB/TLH Day](/sites/default/files/2023-10/aub4.png)
![Residents practicing during AUB/TLH Day](/sites/default/files/2023-10/aub2.png)
![Residents practicing during AUB/TLH Day](/sites/default/files/2023-10/aub5.png)
![Residents practicing during AUB/TLH Day](/sites/default/files/2023-10/aub3.png)
![Residents practicing during AUB/TLH Day](/sites/default/files/2023-10/aub6.png)
Laceration Lab
![Residents practicing during Laceration Lab](/sites/default/files/2023-12/screenshot_2023-12-12_at_11.52.55_am_0.png)
![Residents practicing during Laceration Lab](/sites/default/files/2023-12/screenshot_2023-12-12_at_11.52.43_am_1.png)
![Residents practicing during Laceration Lab](/sites/default/files/2023-12/screenshot_2023-12-12_at_11.52.48_am_0.png)
Family Planning Simulation
![Family planning simulation](/sites/default/files/2023-12/fp1.jpg)
![Family planning simulation](/sites/default/files/2023-12/fp2.jpg)
![Family planning simulation](/sites/default/files/2023-12/fp3.jpg)
![Family planning simulation](/sites/default/files/2023-12/fp4.jpg)
![Family planning simulation](/sites/default/files/2023-12/fp5.jpg)
![Family planning simulation](/sites/default/files/2023-12/fp6.jpg)
Laparoscopic Myomectomy
![Residents practicing during Laparoscopic Myomectomy lab](/sites/default/files/2024-03/lm1.jpg)
![Residents practicing during Laparoscopic Myomectomy lab](/sites/default/files/2024-03/lm2.jpg)
![Residents practicing during Laparoscopic Myomectomy lab](/sites/default/files/2024-03/lm3.jpg)
Hysteroscopy Sim
![Residents practicing during Hysteroscopy Sim](/sites/default/files/2024-03/h1.jpg)
![Residents practicing during Hysteroscopy Sim](/sites/default/files/2024-03/h2.jpg)
![Residents practicing during Hysteroscopy Sim](/sites/default/files/2024-03/h3.jpg)
Student and Informal Training
![Students training](/sites/default/files/2023-10/training1.png)
![Students training](/sites/default/files/2023-10/training2.png)
![Students training](/sites/default/files/2024-03/training3_0.jpg)
Combined GYN/OB Skills Training
![Vaginal morcellation](/sites/default/files/2024-04/img_3004-preview.jpeg)
Vaginal morcellation
![Laparoscopic suturing](/sites/default/files/2024-04/img_3002-preview.jpeg)
Laparoscopic suturing
![Cold knife cone and McDonald cerclage](/sites/default/files/2024-04/img_2999-preview.jpeg)
Cold knife cone and McDonald cerclage
![Vaginal surgery prep](/sites/default/files/2023-12/vsp1.jpg)
![Vaginal surgery prep](/sites/default/files/2023-12/vsp2.jpg)
For questions about the Duke Ob/Gyn simulation program, please contact:
![Dr. Mark Lachiewicz](/sites/default/files/2024-03/mark-p-lachiewicz-md-mph.jpg)
Dr. Mark Lachiewicz
Director of Surgical Simulation
mark.lachiewicz@duke.edu