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Objective To establish substance research for the Essentials in Minimally Invasive Gynecology laparoscopic and hysteroscopic simulation methods. Techniques A prospective cohort research was IRB approved and conducted at 15 websites in the usa and Canada. The four participant cohorts based on education standing were 1) newbie (postgraduate 12 months [PGY]-1) residents, 2) mid-level (PGY-3) residents, 3) proficient (American Board of Obstetri