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ObjectiveTo establish validity evidence for the Essentials in Minimally Invasive Gynecology laparoscopic and hysteroscopic simulation systems.MethodsA prospective cohort study was IRB approved and conducted at 15 sites in the United States and Canada. The four participant cohorts based on training status were: 1) novice (postgraduate year [PGY]-1) residents, 2) mid-level (PGY-3) residents, 3) proficient (American Board of Obstetrics and Gynecology [ABOG]-certified specialists without subspecialty training); and 4) expert (ABOG-certified obstetrician-gynecologists who had completed a 2-year fellowship in minimally invasive gynecologic surgery). Qualified participants were oriented to both systems, followed by testing with five laparoscopic exercises (L-1, sleeve-peg transfer; L-2, pattern cut; L-3, extracorporeal tie; L-4, intracorporeal tie; L-5, running suture) and two hysteroscopic exercises (H-1, targeting; H-2, polyp removal). Measured outcomes included accuracy and exercise times, including incompletion rates.ResultsOf 227 participants, 77 were novice, 70 were mid-level, 33 were proficient, and 47 were experts. Exercise times, in seconds (±SD), for novice compared with mid-level participants for the seven exercises were as follows, and all were significant (P

Background: • Endometriosis is a benign gynecologic condition associated with pain and infertility, affecting up to 30% of women • Treatment of endometriosis often includes a combination of medical and surgical management • Short term improvement of pain is more likely with surgical treatment of lesions than diagnostic laparoscopy alone • Recently, psychological factors such as catastrophization and depression have been associated with poor pain outcomes • Long term predictors of pain outcome for endometriosis have not been well described. Objective: • To determine long-term pain outcomes for women undergoing endometriosis surgery based on their demographic, procedural, and pyschometric elements.