Implementation and evaluation of a dilation and evacuation simulation training curriculum

Abstract Objectives To evaluate obstetrics and gynecology resident physicians' performance following a simulation curriculum on dilation and evacuation (DE for sixth case: 19.6; p = .593), OSATS ratings improved from case one (19.7) to case three (23.5; p = .001) and to case six (26.8; p = .005). Trainees completed approximately 71.6% of their first case (range: 21.4–100%). By case six, the six participants performed 81.2% of the case (range: 14.3–100%). Conclusions D&E simulation using a newly-developed uterine model and simulation curriculum improves resident technical skills. Simulation training with mastery learning techniques transferred to high level of performance in OR using checklist. The OSATS measured skills and showed improvement in performance with subsequent cases. Implications Implementation of a D&E simulation curriculum offers potential for improved surgical training and abortion provision.