Abstract
13898 Needs Assessment of a Minimally Invasive Gynecologic Surgery (MIGS) Curriculum: Perspectives of Recent OB/GYN Graduates
Journal of minimally invasive gynecology, Vol.32(11 Suppl), pp.S92-S92
11/2025
DOI: 10.1016/j.jmig.2025.09.275
Abstract
Current Accreditation Council for Graduate Medical Education (ACGME) guidelines for endoscopy and laparoscopy training are vague, and previous research indicates a significant proportion of graduating obstetrics and gynecology (OB/GYN) residents feel inadequately trained in minimally invasive gynecologic surgery (MIGS). The study evaluates the experience of recent Indiana University School of Medicine (IUSM) OB/GYN residency graduates and assess the need for an enhanced MIGS curriculum.
Cross sectional analysis
Academic Teaching institution with numerous OB/GYN Residents and Specialist GYN Sugrical Fellows
51 IUSM OB/GYN residency and fellowship graduates (2018-2022)
This study used Likert-type items to assess satisfaction with the curriculum, confidence in robotic and laparoscopicskills, frequency of skills simulation, confidence performing various hysterectomy methods aslead surgeon, and current MIGS utilization in practice. Bivariate analysis, Pearson correlation, and thematic analysis of open-ended responses were performed.
Twenty-eight graduates (55%) responded. While 80% expressed satisfaction with the overall quality of MIGS training, only 70% felt adequately prepared to perform laparoscopic hysterectomy and 28% felt prepared for robotic surgery post-graduation. A strong positive correlation (r=.63, p <.0001) existed between training in robotic operating room (OR) team dynamics and perceived preparedness for independent robotic surgery. Most trainees (74%) expressed interest in robotic certification if readily available. Key themes from open-ended responses included the importance of early robotics exposure and protected time for MIGS simulations.
These findings reveal that graduates under the current IUSM curriculum do not feel adequately prepared for laparoscopic and, especially, robotic surgery. The significant disparity between laparoscopic and robotic skill comfort highlights the need for a robust, standardized MIGS curriculum. We hypothesize this needs assessment and overlapping resident and fellow curriculum will provide the framework for an optimal MIGS curriculum, better equipping OB/GYN graduates for evolving gynecologic surgery.
Details
- Title: Subtitle
- 13898 Needs Assessment of a Minimally Invasive Gynecologic Surgery (MIGS) Curriculum: Perspectives of Recent OB/GYN Graduates
- Creators
- X C Dadrat - Indiana University IndianapolisL Bode - Indiana University IndianapolisS C Spielman - Indiana University IndianapolisC Gnade - University of IowaM Picklesimer - Indiana University IndianapolisA Oshinowo - Indiana University Indianapolis
- Resource Type
- Abstract
- Publication Details
- Journal of minimally invasive gynecology, Vol.32(11 Suppl), pp.S92-S92
- DOI
- 10.1016/j.jmig.2025.09.275
- ISSN
- 1553-4650
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 11/2025
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9985019144602771
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