Training and accreditation in hysteroscopy
An overview of training and accreditation in hysteroscopy in different countries pointed out the diversity and lack of robust guidelines across Europe. The European Society for Gynaecology Endoscopy has developed training standards for hysteroscopy but these are arbitrary.
Since 2010, the United Kingdom Royal College of Obstetricians and Gynaecologists has offered an advanced training skill module for hysteroscopy (diagnostic/operative and outpatient/inpatient) for all senior trainees in obstetrics and gynaecology who wish to train as hysteroscopists. The gynaecologists who choose to train have access to variable training schemes; it is important, however, to attend training in order to perform outcomes. Novel methods of training in endoscopic psychomotor skills have developed such as stimulation training. More recently, advanced virtual reality stimulators have been developed; various studies have evaluated stimulation training, demonstrating improved performance in operative hysteroscopic skills (59, 68-74). HystSim (Virtamed, Symbionic) is a virtual reality stimulator providing realistic stimulation of hysteroscopic scenarios including obscured vision, bleeding control in a variety of modules stimulating diagnostic hysteroscopy, polypectomy, myomectomy, resection, ablation, and more recently hysteroscopic sterilization.
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