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Table 2 Technical performance checklist

From: The development and psychometric validation of a low-cost anthropomorphic 3D-printout simulator for training basic skills applicable to office-based hysteroscopy

Modules

Items

Classification

Unskilled, 1

Somewhat skilled, 2

Skilled, 3

Ergonomy

Posture

Poor posture, such as shoulder contraction, excessive body movement over 50% of the procedures

Alternate periods of good and bad posture during procedures

Good and relaxed posture during procedures

Hand movement

Excessive and uncontrolled hand movements and no proper hysteroscope rotation on over 50% of movements

Controlled movements, but no proper hysteroscope rotation

Economic motion control and proper hysteroscope rotation

Hand/eye coordination

Looked at the simulator or hands more than 50% of the time while performing the task

Looked at the simulator or hands less 50% the time

Did not look at the simulator or hands while performing the task

Image quality (only for the navigation exercise)

Camera alignment

Horizontal alignment loss on over 50% of movements

Horizontal alignment loss on less than 50% of movements

Good camera alignment

Centering and good image view

Difficulty viewing and centering images

View images but had difficulty centering them

Easily viewed and centered images

Safe navigation

Safe navigation

Touched the walls and/or did not have a logical sequence and/or difficulty in panoramic viewing

Did not have a logical sequence but did not touch the walls, performed panoramic viewing

Executed a good sequence, did not touch the walls, and performed panoramic viewing

Handling of instruments

Handling of instruments

Difficulty to depress the sensors and pull the mini-balloons, big distance between the grasping forceps and hysteroscope

Depressed the sensors and pulled mini-balloons but maintained big distance between the forceps and hysteroscope

Depressed the sensors, pulled mini-balloons, and maintained good distance between forceps and hysteroscope