Training in hysteroscopy is difficult & challenging. The learning curve is bigger than laparoscopy for various reasons.
Hysteroscopy is routinely not been taught in teaching hospitals. Also,every gynaecologist knows that uterine cavity is an potential space with a volume of approximately of 10‐12 cc. It is difficult to maintain distension of the cavity & operate (due to communication thro tubes with peritoneal cavity & also leakage from cervix). To keep in mind with distension the thickness of uterine wall is reduced by 50%.The Preceptor [trainer] can't hold your hand while the student is operating on patient. Hence a graded, systematic–approach is required for teaching as well as learning hysteroscopy.
We in our centre have devised various uterine models wherein the candidates perform innumerable exercises which help them in acquiring & sharpening skills.
At the end of the course each candidate should be able to
[Target oriented, Organised, Assessment, Feedback Learning.]
This uterine model is devised by Dr. Mahajan Vinayak from an indigenous material. It is effective, inexpensive & gives effect like an real time virtual simulator. It has multiple pathologies like Intrauterine septum, polyp, submucous myoma & needs to be distended with fluid. Only mechanical instruments can be used. Bleeding can be seen after cutting the tissue & which itself gives a REAL effect.
Dr. Vinayak Mahajan & Dr. Sangeeta Mahajan developed the passion for hysteroscopy & in order to pursue the passion went to stalwarts of hysteroscopy & achieved training from them.
Dr. Lotte Clevin, Dr. Steffani Bettocchi, Dr. Rudi Compo, Dr. Philip, Dr. Martin Farrugia, Dr. Justin Clarke are the masters from whom they acquired & sharpen the skills.
