Dilation and Evacuation Simulation Model for Learners and Providers Who Offer Abortion Care
Year: 2025
Type: article
Abstract: Introduction: In the US, one in four women will have an abortion, and most OB/GYN physicians have had patients who required abortion care. Most second-trimester abortions in the US (95%) are performed via dilation and evacuation (D&E), which requires provider skill and competency. Barriers to obtaining abortion training include opt-in residency programs, location-based legal restrictions, and religiously affiliated institutions. Our D&E simulation is a cost-effective, realistic model. Methods: D&E models were assembled using juice containers, Cornish hens, and Sopher forceps. Thirty-five participants (medical students and OB/GYN residents) completed presimulation surveys and received a brief lecture about abortion demographics, techniques, and complications, followed by the hands-on simulation; 27 completed postsimulation surveys. Participants assessed their comfort levels in performing D&Es and recognizing postabortion complications, and their likelihood of performing D&Es in future clinical practice. Results: recognizing postabortion complications after receiving the introductory lecture. Overall, participants indicated that the simulation was realistic (92%) and increased their knowledge (100%) and ability to perform D&Es (96%). Discussion: Our affordable and simple D&E model can be easily replicated and implemented for training in second-trimester D&E. This model can serve as a valuable and realistic tool for providers with restricted access to clinical abortion who need adjunct training, improving physician education and competency.
Source: MedEdPORTAL
Authors: Haven Frazier, Leanne Free, Shana Miles, Matthew Vanbaaren, Adam Levy
Language: English
Subfield: Physiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410249118