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.
PGY-1 Specific Skills Curriculum
Date | Simulation |
---|---|
*8/21/2024 | PGY-1 Robotic Training |
7/25/2024 | Circumcision |
8/29/2024 | C-section (including Surgical Instrument Review) |
9/19/2024 | Intro to Hysteroscopy, Myosure (Wet and Dry Skills), Novasure, Vessel Sealing |
Resident Curriculum Overview
Date | Simulation |
---|---|
7/17/2024 | Laparoscopic Hysterectomy |
8/21/2024 | Vascular Injury Sim + Bladder / Bowel Injury |
9/18/2024 | OB Simulation — Day 1 (Cervical Checks / Shoulder / PPH) |
10/16/2024 | PGY-1 and PGY-3: Introduction to EMIGs PGY-2 and PGY-4: TVH Lab |
11/20/2024 | OB Laceration Lab |
12/18/2024 | OB Simulation — Day 2 (Breech; Manual Extraction of Placenta; Uterine Inversion, Ultrasound) |
1/15/2025 | Laparoscopic Myomectomy |
2/19/2025 | Communications Sim / Hemostasis Workshop |
3/19/2025 | OB Simulation — Day 3 (Forceps; Vacuum; Paracervical / Pundendal) |
4/16/2025 | Hemostasis Workshop / Communications Sim |
5/21/2025 | ED / OB Sim |
6/18/2025 | OB Simulation — Day 4 (O'Leary, B-Lynch; Postpartum Tubal / Open Entry Lab) |
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



Ovarian Cystectomy Sim

Ideal ovarian cystectomy sim — longitudinal cut, no rupture

Sub-optimal ovarian cystectomy sim — oblique or jagged cut, rupture

Solo ovarian cystectomy sim

Cooperative ovarian cystectomy sim

Solo ovarian cystectomy sim
OB Sim







Pudendal and paracervical nerve blocks

Pudendal and paracervical nerve blocks

Pudendal and paracervical nerve blocks

Vacuum delivery

Vacuum delivery

Forceps delivery

Forceps delivery

Forceps delivery



AUB/TLH Sim









TVH Simulation






Laceration Lab






Family Planning Simulation






Laparoscopic Myomectomy



Hysteroscopy Sim



Student and Informal Training



Combined GYN/OB Skills Training

Vaginal morcellation

Laparoscopic suturing

Cold knife cone and McDonald cerclage


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

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