Cumulative summation test for learning curve (LC-CUSUM) in outpatient hysteroscopy

Ginekol Pol. 2017;88(1):9-12. doi: 10.5603/GP.a2017.0002.

Abstract

Objectives: Outpatient hysteroscopy has become an integral part of postgraduate training in gynecology. It is an operator-dependent procedure, however there are no recommendations regarding total number of performed procedures to reach proficiency.

Material and methods: This study aimed to assess the learning curve (LC) using cumulative summation test for learning curve (LC-CUSUM).

Results: A success rate of 97% a failure rate ≥ 10% were established to denote an adequate and an inadequate performance. A third-year trainee needed 56 procedures to reach the predefined level of performance.

Conclusions: As the length of the LC for outpatient hysteroscopy seems highly variable, it is reasonable to provide tailored monitoring while training.

Keywords: CUSUM; LC-CUSUM; hysteroscopy; learning curve; outpatient hysteroscopy.

MeSH terms

  • Adult
  • Ambulatory Surgical Procedures / education
  • Clinical Competence*
  • Female
  • Gynecology / education*
  • Humans
  • Hysteroscopy / education*
  • Learning Curve*
  • Middle Aged