{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:51:30Z","timestamp":1761900690294,"version":"build-2065373602"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007270","name":"University of Michigan","doi-asserted-by":"crossref","award":["Global Reach Partnership Development Grant","Women\u2019s Health Innovation Grant"],"award-info":[{"award-number":["Global Reach Partnership Development Grant","Women\u2019s Health Innovation Grant"]}],"id":[{"id":"10.13039\/100007270","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>We aimed to assess obstetrics and gynecology (Ob\/Gyn) resident experience and confidence with vaginal surgery and ability to perform basic vaginal surgery skills using a vaginal surgery simulator at a teaching hospital in Ghana. We present validity evidence and a region-specific proficiency score that can be used for training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross-sectional study at a teaching hospital in Accra, Ghana, Ob\/Gyn residents in a 3-year training program completed a survey on demographics, vaginal surgery exposure, and surgical confidence. Using the Fundamentals of Vaginal Surgery (FVS) simulation system, participants performed five timed tasks twice each. A region-specific proficiency score of\u2009\u2265\u2009266 was used to assess skill proficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty-four participants were enrolled. Of the 22 who provided details about types of vaginal surgery they had performed, only two (9.1%) had completed a vaginal hysterectomy in the past 12\u00a0months. All participants described being \u201cnot at all confident\u201d in performing vaginal hysterectomy and other vaginal surgeries and \u201csomewhat or slightly confident\u201d in their surgical skills. The median (IQR) overall normalized score for the FVS hands-on skills assessment was 57.5 (6.3, 113.8) for novice and 160.0 (95.8, 312.0) for experienced participants (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.005). Five percent of novice and 28.6% of experienced participants achieved the proficiency score of\u2009\u2265\u2009266.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We present validity evidence and a region-specific proficiency score supporting the use of FVS in a Ghanaian training program. Limited experience in vaginal surgery, low confidence and performance scores highlight an opportunity to utilize this training system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-025-06343-3","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T13:20:08Z","timestamp":1758806408000},"page":"1839-1846","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating Fundamentals of Vaginal Surgery for Use Among Obstetrics and Gynecology Residents in Accra, Ghana"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6240-0822","authenticated-orcid":false,"given":"Marie","family":"Bangura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Ganyaglo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Kupualor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Boateng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Perez","family":"Sepenu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac","family":"Koranteng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma R.","family":"Lawrence","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Rooney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Payton","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"6343_CR1","doi-asserted-by":"publisher","unstructured":"Committee Opinion No 701: Choosing the Route of Hysterectomy for Benign Disease. 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Institutional review board (IRB) exemption was obtained from University of Michigan (HUM00231293) and IRB approval was obtained from Korle Bu Teaching Hospital (KBTH-STC 0026\/2023).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Consortium of Universities for Global Health, Los Angeles, CA, April 2024. Society of Gynecologic Surgeons, Orlando, FL, March 2024.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Previous Presentations"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}