Embryo transfer simulation improves pregnancy rates and decreases time to proficiency in Reproductive Endocrinology and Infertility fellow embryo transfers 

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Embryo transfer simulation improves pregnancy rates and decreases time to proficiency in Reproductive Endocrinology and Infertility fellow embryo transfers  Ryan J. Heitmann, D.O., Micah J. Hill, D.O., John M. Csokmay, M.D., Justin Pilgrim, D.O., Alan H. DeCherney, M.D., Shad Deering, M.D.  Fertility and Sterility  Volume 107, Issue 5, Pages 1166-1172.e1 (May 2017) DOI: 10.1016/j.fertnstert.2017.01.016 Copyright © 2017 Terms and Conditions

Figure 1 Model development demonstrating (A) uterine model in gel mold, (B) female perineum, and (C) female simulation pelvis. (D) The perineum was attached to the pelvic model to allow for speculum placement. (E) Hook and loop fasteners were placed to secure the uterine mold in the pelvis. Fertility and Sterility 2017 107, 1166-1172.e1DOI: (10.1016/j.fertnstert.2017.01.016) Copyright © 2017 Terms and Conditions

Figure 2 (A) Completed uterine model within the pelvic simulator. (B) Cervical view after speculum placement provided a realistic vaginal/cervical view. (C) Transabdominal ultrasound assessment of the uterus. (D) Representative view of uterus on transvaginal ultrasound. An ET catheter is visualized in the uterine cavity (yellow arrow). Fertility and Sterility 2017 107, 1166-1172.e1DOI: (10.1016/j.fertnstert.2017.01.016) Copyright © 2017 Terms and Conditions

Figure 3 Histograms demonstrating scoring in various different model evaluation categories. 1 = not realistic, 5 = very realistic. Fertility and Sterility 2017 107, 1166-1172.e1DOI: (10.1016/j.fertnstert.2017.01.016) Copyright © 2017 Terms and Conditions

Figure 4 Pregnancy rates (%) were increased and time to proficiency was decreased after implementation of ET simulation. *P<.05. Fertility and Sterility 2017 107, 1166-1172.e1DOI: (10.1016/j.fertnstert.2017.01.016) Copyright © 2017 Terms and Conditions