Evidence supporting performance measures of laparoscopic salpingostomy using novel low-cost ectopic pregnancy simulator

Laparoscopic skills improve with simulation-based training. However, training remains inaccessible in many low- and middle-income countries (LMICs). In response, we developed a low-cost simulator an assessment tool to support learning, practice, of laparoscopic salpingostomy skills. We conducted this study June–August 2021 at United States, Cameroon, Ethiopia sites. Participants (n = 18) viewed annotated video expert performing the procedure before uploading their own performance. 12) then reviewed rated subset videos 10) using novel verification proficiency (VOP) assessment. The VOP had 3 components: checklist for completion key tasks avoidance critical errors, modified Objective Structured Assessment Technical Skills (m-OSATS), overall competency rating. performed statistical analyses evaluate discrimination between novice performances, inter-rater agreement raters, correlation m-OSATS components’ summed scores. (P 0.001) 0.01) scores discriminated from performance, regardless rater’s level expertise. Inter-rater across raters was high (ICC |0.88, 0.95|, CI |0.79, 0.97|). Findings indicated strong positive (r 0.53, P 0.0001) rating 0.76, 0.0001). Preliminary evidence supports use highlights capacity global network peers assist learners’ performance allow scaling LMIC setting.