Assessment of resident competency in the performance of sonohysterography: does the level of training impact the accuracy? - 25/08/11

Doi : 10.1016/j.ajog.2004.03.011

Jason D. Parker, DO ^a,^b,^c, Ruben J. Alvero, MD ^d, Julie Luterzo, CNP ^a, James H. Segars, MD ^b, Alicia Y. Armstrong, MD ^b,^⁎
Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC^a; Pediatric and Reproductive Endocrinology Branch, National Institutes of Health, Bethesda, Md^b; and Uniformed Services University of the Health Sciences, Bethesda, Md^c; Division of Reproductive Endocrinology and Infertility, University of Colorado Health Sciences Center, Aurora, Colo^d USA

Reprint requests: Alicia Armstrong, 9D42 Pediatric and Reproductive Endocrine Branch, NICHD, Bldg 10, National Institutes of Health, 10 Center Dr, Bethesda, MD 20892.

Abstract

Objective

The objective of this study was to examine the true-positive rates by level of training of the operator and to determine whether the accuracy of the procedure differed by the level of education after formalized training.

Study design

This was a retrospective analysis. The records of patients who underwent surgery for the indication of an abnormal saline sonohysterography were reviewed from January 2001 to April 2003 (n=73 patients). The nature of the saline sonohysterography abnormality, the intraoperative findings, and the level of training of the provider were recorded. Findings at saline sonohysterography were compared with findings at hysteroscopy or surgery. Statistical significance was determined by χ² test.

Results

The overall true-positive rate was 86.3% (63/73 patients). The true-positive rates for nurse practitioners, second- and fourth-year residents, and fellows were 84%, 80%, 90%, and 89%, respectively. There was no significant difference among providers (P=.96).