1. Clay Modeling: A Hands-on Approach to Understanding Pelvic Floor Anatomy Presenters: Norman Brest, MD and Crystal Brogan, MD Original syllabus designed by: Deborah L. Myers MD. Lily A. Arya MD, Dianne L. Polseno LPN LMT, Edward M. Buchanan MD

2. Financial Disclosures No conflicts of interest 2

3. Objectives Introduce a hands-on curriculum to teach pelvic anatomy Participate in the building of a pelvic model Utilize the models as a 3-D guide to discuss common obstetric and gynecologic topics related to the pelvis 3

4. Small Group Outline Introduction – 5 Minutes Model Building – 40 Minutes –Bony Landmarks of the Pelvis –Ligaments of the Pelvis –Muscles of the Pelvis –Muscles of the Perineum Use model to visualize common obstetric and gynecologic topics – 5 Minutes Wrap Up – 5 Minutes 4

5. Purpose of clay modeling 5 Provide an additional tool to aid in the mastery of pelvic anatomy, a complex topic that is crucial to becoming a competent obstetric and gynecologic surgeon.

6. Pelvic Anatomy for Obstetrics and Gynecology Residents: An Experimental Study Using Clay Models Myers DL, Arya LA, Verma A, Polseno DL, Buchanan EM Obstetrics and Gynecology. 2001;97:321-4 Conclusion: Clay modeling with lecture was more effective than lecture alone for teaching pelvic anatomy.

8. Materials (will be provided) Syllabus Anatomy Atlas Pelvis with Attached Femurs Clay (terracotta, orange, white, and pink) – Muscle Groups Green Cord or White Twine – Nerves Straw – Urethra 2x 1/3 Toilet Paper Roll / Paper Towel Roll – Vagina and Rectum Rubber Bands – Uterosacral Ligaments Snaps or Kelly (to run nerves) Vinyl Table Cloths Paper Towels Gloves Aprons Rolling Pin 8

9. References Julian TM, Rogers RM. Changing the Way We Train Gynecologic Surgeons. Obstet Gynecol Clin N AM. 2006; 33: 237-246. Woodman PJ, Nager SW. From the Simple to the Sublime: Incorporating Surgical Models into Your Surgical Curriculum. Obstet Gynecol Clin N AM. 2006; 33: 267-281. Myers DL, Arya LA, Verma A, et al. Pelvic Anatomy of Obstetric and Gynecology Residents: An Experimental Study Using Clay Models. Obstetrics and Gynecology. 2001; 97 (2): 321- 324 Myers DL, Arya LA, Polseno DL, Buchanan EM. Building guide for the female clay pelvic model. http://2013.iuga.org/handouts/docs/handout24_parta.pdf. Accessed January 3, 2016.http://2013.iuga.org/handouts/docs/handout24_parta.pdf. Accessed January 3