Constructing a protocol for the evaluation of residents' competency with office hysteroscopy

Table 1 Task score list for performing office hysteroscopy

Task scores		0: not done or incorrect	1: needs help	2: done independently
1	Proper consultation of the patient on procedure, risks, and benefits, before and after	0	1	2
2	Exact knowledge of instruments/system and fitting	0	1	2
3	Discovery and identification of the external cervical os	0	1	2
4	Entrance into the cervical canal/rotation of the scope by 90°	0	1	2
5	Passage through the canal/appearance of the canal has to be at 6 and 12 o′clock positions (ante- or retroverted uterus)	0	1	2
6	Inspection of the intrauterine cavity/rotation of the body of the scope by 90° (right and left) for the examination of the tubal ostia	0	1	2
7	Pulling back of the scope at the level of the internal cervical os to obtain a panoramic view of the uterus	0	1	2
8	Recognition and/or selection of appropriate findings to operate (synechiaes, polyps, fibroids, uterine septum)	0	1	2
9	Operative technique/grasp technique/biopsy/polyp removal	0	1	2
10	Complications: recognition/treatment	0	1	2
11	Patients' compliance^a	0	1	2
12	Pain scores^b	0 (above 5)	1 (4–6)	2 (below 5)
Total:		0	12	24

^aRefers to patient's general acceptance of the procedure and cooperation with the clinician/performer
^bRefers to pain scores during (a) and 15 min after (b) the procedure. If it has to be discontinued, scoring falls to 0. The mean pain score is calculated as follows: \( \mathrm{mean}\,\mathrm{PS}={{{\left[ {2(a)+(b)} \right]}} \left/ {3} \right.} \)