Are we ready to inject? Individualized LC-CUSUM training in ICSI
Authors:
- 16 March 2016
- journal article
- assisted reproduction-technologies
- Published by Springer Nature in Journal of Assisted Reproduction and Genetics
- Vol. 33 (8) , 1009-1015
Abstract
Purpose The objective of this prospective, single center study was to develop a personalized training scheme for intracytoplasmic sperm injection (ICSI) through the use of learning curve-cumulative summation (LC-CUSUM), which allows to tailor training to the trainee performance, and to validate it against the performance of experienced embryologists. Methods Five trainees microinjected latex microspheres (LM) into vitro matured oocytes. A microinjection was considered successful when the oocyte did not lyse in the 24 h following the injection. Results Each trainee became proficient at ICSI after a variable number of injections, ranging from 35 to 80. Trainees that achieved proficiency went on to perform ICSI with human gametes in a clinical setting with proficiency comparable to that of experienced embryologists. Conclusions We show that LC-CUSUM based personalized ICSI training is feasible and allows trainees to be as proficient as trained embryologists when treating actual patients.Keywords
This publication has 14 references indexed in Scilit:
- Proficiency in oocyte retrieval assessed by the learning curve cumulative summation testReproductive BioMedicine Online, 2014
- Individualized embryo transfer training: timing and performanceHuman Reproduction, 2014
- Learning Curves in 3‐Dimensional Sonographic Follicle Monitoring During Controlled Ovarian StimulationJournal of Ultrasound in Medicine, 2014
- Embryology training for Reproductive Endocrine fellows in the clinical human embryology laboratoryJournal of Assisted Reproduction and Genetics, 2014
- A method for monitoring a process from an out of control to an in control state: Application to the learning curveStatistics in Medicine, 2010
- How soon can I be proficient in embryo transfer? Lessons from the cumulative summation test for learning curve (LC-CUSUM)Human Reproduction, 2009
- Learning curve of vitrification assessed by cumulative summation test for learning curve (LC-CUSUM)Fertility and Sterility, 2009
- Prognostic value of meiotic spindle imaging on fertilization rate and embryo development in in vitro-matured human oocytesFertility and Sterility, 2008
- Quantitative and individualized assessment of the learning curve using LC-CUSUMBritish Journal of Surgery, 2008
- Intracytoplasmic single sperm injection: preclinical training and first clinical resultsJournal of Assisted Reproduction and Genetics, 1994