The VirtaMed essential hysteroscopy skills module uses SimProctor™, a new simulator feature guiding the trainee and giving hints, tips, and tricks to improve performance. Ghost tools show the correct position of the instruments, and step-by-step instructions teach the correct approach. Learning goals include diagnostic skills such as gaining access to different uteri (anteverted, retroverted, or nulliparous cases), manipulating uterine distension for a clear view, or screening the entire uterine cavity for pathologies. Also, operative interventions can be trained: how to take a proper biopsy, remove a small polyp with grasper or scissors, or treat synechiae.
32 virtual patients with varying pathologies, and cases with different levels of difficulty offer a comprehensive endoscopy training. Fibroids, which appear in various locations and sizes feature in the GynoS™. Hysteroscopy courses teach how to establish uterine distension, clear viewing conditions, and how to safely handle loop electrode and rollerball for resection, coagulation, and ablation of the endometrial surface.
This module contains patients with more serious gynecologic pathologies, including multiple polyps in one patient case, intramural fibroids, uterine adhesions, or a septum. Learning objectives include coping with multiple pathologies and removing them in a safe and efficient manner,as well as re-establishing an intact uterine cavity. More advanced endoscopic techniques can also be trained. For example, reducing the fluid inflow leads to a reduction of uterine distension, allowing the intramural parts of fibroids naturally to expand into the cavity for easier resection.