Cumulative summation test for learning curve (LC-CUSUM) in outpatient hysteroscopy

Abstract

Objectives: Outpatient hysteroscopy has become an integral part of postgraduate training in gynecology. It is an operator- dependent procedure, however there are no recommendations regarding total number of performed procedures to reach proficiency. Material and methods: This study aimed to assess the learning curve (LC) using cumulative summation test for learning curve (LC-CUSUM). Results: A success rate of 97% a failure rate ≥ 10% were established to denote an adequate and an inadequate performance. A third-year trainee needed 56 procedures to reach the predefined level of performance. Conclusions: As the length of the LC for outpatient hysteroscopy seems highly variable, it is reasonable to provide tailored monitoring while training.