TY - JOUR
T1 - Low-cost instructional apparatus to improve training for cervical cancer screening and prevention
AU - Parra, Sonia
AU - Oden, Maria
AU - Schmeler, Kathleen
AU - Richards-Kortum, Rebecca
N1 - Funding Information:
Supported by the NCI of the NIH under award numbers R01 CA186132-01 and R01 CA186132-Supplement, the Rice Engineering Alumni Student Project Grant Program, the Lemelson Foundation—Developing Country Program, the Cancer Prevention and Research Institute of Texas (CPRIT) PP150012, the Prevent Cancer Foundation, the Raul Tijerina Foundation, and the Joe Family Fund.
Funding Information:
The authors thank the Project ECHO team, especially Ellen Baker, MD, MPH, Melissa Lopez, MS, and Mila Salcedo, MD, PhD, at the University of Texas MD Anderson Cancer Center for including LUCIA as part of their cervical cancer education program, as well as all medical personnel who provided feedback on the model. They would also like to thank Veronica Leautaud, PhD, from the Rice360 Institute for Global Health for assistance in coordinating model development. Sonia Parra would like to acknowledge the support of the Baylor College of Medicine Medical Scientist Training Program.
Publisher Copyright:
© 2019 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - BACKGROUND:Cervical cancer remains one of the leading causes of cancer for women in medically underserved areas. This is in part due to a lack of trained clinicians to provide the necessary diagnosis and treatment of precancerous lesions to prevent cervical cancer. Increasing medical provider knowledge and skills is important for the early detection and prevention of cervical precancer and cancer in medically underserved areas of the United States and globally.METHOD:LUCIA is a low-cost, universal cervical cancer instructional apparatus that can be used to teach and practice a variety of essential skills for cervical cancer screening, diagnosis, and treatment, including: visual inspection with acetic acid, Pap and human papillomavirus DNA specimen collection, colposcopy, endocervical curettage, cervical biopsy, cryotherapy, and loop electrosurgical excision procedure.EXPERIENCE:LUCIA was used to provide hands-on training in six courses held in Texas (n=3), El Salvador (n=1), and Mozambique, Africa (n=2). Standardized provider evaluations were administered at three of these courses and resulted in mean scores of 4.12/5 for usefulness, 4.46/5 for skill improvement, and 4.43/5 for ease of skill evaluation.CONCLUSION:LUCIA provides dynamic, real-time feedback that allows trainees to learn and practice important skills related to cervical cancer prevention while simulating a patient exam.
AB - BACKGROUND:Cervical cancer remains one of the leading causes of cancer for women in medically underserved areas. This is in part due to a lack of trained clinicians to provide the necessary diagnosis and treatment of precancerous lesions to prevent cervical cancer. Increasing medical provider knowledge and skills is important for the early detection and prevention of cervical precancer and cancer in medically underserved areas of the United States and globally.METHOD:LUCIA is a low-cost, universal cervical cancer instructional apparatus that can be used to teach and practice a variety of essential skills for cervical cancer screening, diagnosis, and treatment, including: visual inspection with acetic acid, Pap and human papillomavirus DNA specimen collection, colposcopy, endocervical curettage, cervical biopsy, cryotherapy, and loop electrosurgical excision procedure.EXPERIENCE:LUCIA was used to provide hands-on training in six courses held in Texas (n=3), El Salvador (n=1), and Mozambique, Africa (n=2). Standardized provider evaluations were administered at three of these courses and resulted in mean scores of 4.12/5 for usefulness, 4.46/5 for skill improvement, and 4.43/5 for ease of skill evaluation.CONCLUSION:LUCIA provides dynamic, real-time feedback that allows trainees to learn and practice important skills related to cervical cancer prevention while simulating a patient exam.
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U2 - 10.1097/AOG.0000000000003140
DO - 10.1097/AOG.0000000000003140
M3 - Article
C2 - 30741811
AN - SCOPUS:85062082832
SN - 0029-7844
VL - 133
SP - 559
EP - 567
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 3
ER -