{"id":93743,"key":"Gynecologic_Simulator","title":"Gynecologic Simulator","latest":{"id":1196007,"timestamp":"2025-10-23T14:51:14Z"},"content_model":"wikitext","license":{"url":"https://www.appropedia.org/Appropedia:Copyrights","title":"CC-BY-SA-4.0"},"source":"{{STARS Cervical Cancer notice}}\n\n{{Medical equipment data}}\n\n[[File:Gynecologic Simulator v3.0.jpg|thumb|none|605x605px]]\n\nThe Sexual and Reproductive Health and Rights (STARS) - Cervical Cancer Screening and Treatment module's Gynecologic Simulator allows nurses, midwives, clinical officers, and medical officers to become confident and competent in performing visual inspection with acetic acid (VIA), and thermal ablation of cervical pre-cancer lesions as part of cervical cancer screening and treatment procedures performed in primary health care facilities and mobile units in resource-constrained settings. The Gynecologic Simulator contains 5 components: (1) base, (2) support pillars, (3) angled plane with triangular supports, (4) vaginal canal with augmented feedback, and (5) cervix models.\n\n== Gynecologic Simulator ==\n\n=== Components ===\n\nThis section explains how to construct the 5 components of the Gynecologic Simulator.\n\nThe Gynecologic Simulator is designed with removeable cervixes so the learner can practice visual inspection with acetic acid (VIA), and thermal ablation of nulliparous and parous cervixes.\n\nThe Gynecologic Simulator is designed with a vaginal canal with augmented feedback for thermal ablation training.\n\nThe Gynecologic Simulator also contains a: (1) base, (2) support pillars, and (3) angled plane with triangular supports.\n\n=== Cervix Dimensions and Appearance ===\n\nThe cervixes are designed to simulate the appearance of the [https://screening.iarc.fr/atlascolpodetail.php?Index=13&e= os of nulliparous and parous cervixes].<ref>International Agency for Research on Cancer. Atlas of Colposcopy: Principles and practice [Internet]. Colposcopy Digital Atlas. World Health Organization; 2021 [cited 2021 Nov 28]. Available from: <nowiki>https://screening.iarc.fr/atlascolpodetail.php?Index=13</nowiki></ref> The simulated cervixes also match the published dimensions on cervical width and length for nulliparous and primiparous women.<ref name=\":0\">Londero AP, Bertozzi S, Fruscalzo A, Driul L, Marchesoni D. Ultrasonographic assessment of cervix size and its correlation with female characteristics, pregnancy, BMI, and other anthropometric features. Arch Gynecol Obstet. 2011 Mar;283(3):545-50. doi: 10.1007/s00404-010-1377-5. Epub 2010 Feb 10. PMID: 20145939.</ref>\n\nThe average cervix width for nulliparous women is 25.51 mm and average cervix length for nulliparous women is 29.18 mm.<ref name=\":0\" /> The average cervix width for primiparous women is 28.18 mm and average cervix length for primiparous women is 31.89 mm.<ref name=\":0\" /> \n\nThe nulliparous and parous cervix models can have acetowhite lesions added to simulate a VIA positive cervix.\n\nThe features of VIA positive acetowhite lesions are:<ref>Training of health staff in VIA, HPV detection test and cryotherapy - Facilitators' guide. New Delhi: World Health Organization, Regional Office for South-East Asia; 2017. Licence: CC-BY-NC-SA-3.0 IGO. The World Health Organization (WHO) is not responsible for the content or accuracy of any translation. The original English edition shall be the binding and authentic edition.</ref>\n\n* Distinct, opaque acetowhite area\n* Margins should be well-defined, may or may not be raised\n* Abnormality close to the squamocolumnar junction in the transitional zone and not far away from the os\n\n=== Vaginal Dimensions ===\n\nThe upper range of linear vaginal length is 95.0 mm (9.5 cm) from the introitus to the cervix.<ref name=\":1\">Bates CK, Carroll N, Potter J. The challenging pelvic examination. J Gen Intern Med. 2011 Jun;26(6):651-7. doi: 10.1007/s11606-010-1610-8. Epub 2011 Jan 12. PMID: 21225474; PMCID: PMC3101979.</ref> The Pederson medium vaginal speculum is 10.0 cm in length, and is an acceptable fit for many patients.\n\nThe diameter of the opening of a disposable pelvic speculum commonly used in an Ugandan hospital was measured by the Team Lead as 4.5 cm. The diameter of the opening of a medium sized Pederson vaginal speculum<ref>Pederson Vaginal Speculum Medium [Internet]. PEDERSON VAG. SPEC. MED | Medical Supplies & Equipment. Surgo Surgical Supply; [cited 2021 Nov 28]. Available from: <nowiki>https://www.surgo.com/pederson-specs-german/pederson-vaginal-speculum-medium--3</nowiki>.  </ref> is 6.0 cm at the handle and 3.0 cm at the ends of the speculum blades, which averages to 4.5 cm.\n\nThe vaginal canal is designed to be 4.5 cm in diameter, 14.0 cm in [https://en.wikipedia.org/wiki/Circumference circumference], and 13.0 cm long (10.0 cm + 3.0 cm) to account for the vaginal length<ref name=\":1\" /> and cervix length.<ref name=\":0\" />\n\n== Materials ==\n\n* Cardboard\n* Ruler\n* Pencil\n* 4 Tongue Depressors\n* Scissors\n* Knife or Blade\n* Tape\n* Paper\n* Aluminum Foil\n* Marker\n* Pink Clay (2 ounces)\n* White Clay\n* Red Clay\n* [https://resources.jhpiego.org/resources/cervical-cancer-prevention-learning-resource-package-visual-inspection-cervix-flash-card Jhpiego Flashcards]\n\n== Gynecologic Simulator ==\n\n=== Assembly Instructions ===\n\n{{Step\n| number = 1\n| title = Collect Supplies\n| class = full-width\n| text = You will need the following materials:\n\n* Cardboard\n* Ruler\n* Pencil\n* Scissors\n* Knife or Blade\n* Tape\n* 4 Tongue Depressors\n\n}}\n\n{{Step\n| number = 2\n| title = Cut Out the Base\n| class = full-width\n| image = Gynecologic Simulator - Base v2.0.jpg\n| caption = Supplies Used to Cut Out the 19.0 cm by 16.5 cm Base\n| text =\n\n# Use scissors to cut out the base which is 19.0 cm long and 16.5 cm wide.\n# Use knife to create two 5.0 cm long central slots 4.5 cm apart, 6.0 cm from each side, and 3.0 cm from the bottom.\n\n}}\n\n{{Step\n| number = 3\n| title = Cut Out the Angled Plane\n| class = full-width\n| image = Gynecologic Simulator - Angled Plane v4.0.jpg\n| caption = Supplies Used to Cut Out the 13.0 cm by 16.5 cm Angled Plane\n| text =\n\n# Use scissors to cut out the angled plane which is 13.0 cm high and 16.5 cm wide.\n# Use knife tip to create one 0.5 cm wide, central horizontal slit 5.5 cm from the bottom.\n\n}}\n\n{{Step\n| number = 4\n| title = Cut Out the Triangular Supports\n| class = full-width\n| image = Gynecologic Simulator - Triangular Supports v3.0.jpg\n| caption = Supplies Used to Cut Out the 9.0 cm by 9.0 cm Triangular Supports\n| text =\n\n# Use scissors to cut out two triangular supports which are 9.0 cm high and 9.0 cm wide.\n# Use knife to create one 1.5 cm wide, central horizontal slot in each triangular support, 1.5 cm from the side and 2.0 cm from the bottom.\n\n}}\n\n{{Step\n| number = 5\n| title = Cut the Tongue Depressors\n| class = full-width\n| image = Gynecologic Simulator - Tongue Depressors v3.0.jpg\n| caption = Supplies Used for Tongue Depressors\n| text =\n\n# Use scissors to cut out one tongue depressor in half.\n# Use scissors to cut second tongue depressor in half. Then cut one half piece length into a 0.5 cm high piece.\n# Set aside two remaining tongue depressors for taping and use in triangular supports.\n\n}}\n\n{{Step\n| number = 6\n| title = Attach Triangular Supports to Base\n| class = full-width\n| image = Gynecologic Simulator - Base + Triangular Supports.jpg\n| caption = Taping Method to Attach Triangular Supports to Base\n| text =\n\n# Apply tape to two sides of each triangular support.\n# Attach triangular supports to base as shown in the photo.\n\n}}\n\n{{Step\n| number = 7\n| title = Apply Tape to Angled Plane\n| class = full-width\n| image = Gynecologic Simulator - Taping for Angled Plane v2.0.jpg\n| caption = Taping Method to Attach Angled Plane to Base\n| text =\n\n# Apply tape to the bottom edge of the angled plane as shown in the photo.\n\n}}\n\n{{Step\n| number = 8\n| title = Attach Angled Plane to Base and Triangular Supports\n| class = full-width\n| image = Gynecologic Simulator - Base + Triangular Supports + Angled Plane v2.0.jpg\n| caption = Preparing to Attach Angled Plane to Base and Triangular Supports\n| text =\n\n# Tape angled plane to base. Press tape of angled plane down firmly to base.\n# Flip up the triangular supports to attach the angled plane to the triangular supports (as shown in the video below).\n\n}}\n\n{{Video|_nnIeeo2IDc}}\n\n{{Step\n| number = 9\n| title = Use Tongue Depressors to Strengthen Triangular Supports\n| class = full-width\n| image = Gynecologic Simulator - Taped Tongue Depressors.jpg\n| caption = Taping Together Two Tongue Depressors Used to Strengthen Triangular Supports\n| text =\n\n# Insert one tongue depressor into each slot while leaving a small length projecting out of each slot.\n# Tape the two tongue depressors together in the middle.\n\n}}\n\n{{Step\n| number = 10\n| title = Insert Tongue Depressor into Angled Plane\n| class = full-width\n| image = Gynecologic Simulator - Tongue Depressor for Mounting Cervix Model v4.0.jpg\n| caption = Tongue Depressor Piece Positioned Underneath the Two Taped Tongue Depressors Behind the Angled Plane.\n| text =\n\n# Insert the tongue depressor piece into the 0.5 cm slot of the angled plane.\n# Check the tongue depressor piece is positioned underneath the two taped tongue depressors behind the angled plane.\n\n}}\n\n{{Step\n| number = 11\n| title = Prepare Support Pillars for Base\n| class = full-width\n| image = Gynecologic Simulator - Preparing Support Pillars - v2.0.jpg\n| caption = Support Pillars for Base\n| text =\n\n# Use scissors to cut out two rectangles 13.0 cm long and 3.0 cm wide.\n# Use scissors to cut the tops of the rectangles at an angle.\n# Use knife to create two vertical slots 1.5 cm wide in each support pillar. The lower slot should be 2.5 cm from the bottom and the upper slot should be 7.5 cm from the bottom of the support pillar.\n\n}}\n\n{{Step\n| number = 12\n| title = Insert and Stabilize Support Pillars in Base\n| class = full-width\n| image = Gynecologic Simulator - Support Pillars.jpg\n| caption = Gynecologic Simulator with Support Pillars\n| text =\n\n# Insert one support pillar in each slot of the base.\n# Insert a half tongue depressor horizontally into the lower vertical slots of the two support pillars.\n# Insert a half tongue depressor horizontally into the upper vertical slots of the two support pillars.\n\n}}\n\n== Vaginal Canal ==\n\n=== Materials ===\n\n[[File:Vaginal Canal Materials v3.0.jpg|thumb|Materials Used to Build the Vaginal Canal]]\n\nYou will need the following materials:\n\n* Paper\n* Ruler\n* Marker\n* Scissors\n* Tape\n* Aluminum Foil\n\n=== Assembly Instructions ===\n\nThis section explains how to construct the Vaginal Canal of the Gynecologic Simulator. The Vaginal Canal provides augmented feedback to alert the learner if the heated [[Thermocoagulator Simulator]] probe shaft comes into contact with the vaginal sidewalls, and thereby, exposes the patient to a potential thermal injury.\n\n{{Step\n| number = 1\n| title = Cut Out Vaginal Canal\n| class = full-width\n| image = Gynecologic Simulator - Prepare Vaginal Canal v3.0.jpg\n| caption = Supplies to Cut Out Vaginal Canal\n| text =\n\n# Mark out a rectangle that is 13.0 cm high and 14.0 cm wide.\n# Extend the rectangle with a diagonal line out to the edge on the unused part of the paper. This will help you line up the ends of the cylinder so the diameter is 4.5 cm.\n# Mark out an area that is 3.0 cm from the top edge of the rectangle. This area will not be lined with aluminum foil.\n# Cut out the 5-sided polygon.\n\n}}\n\n{{Step\n| number = 2\n| title = Prepare Aluminum Foil\n| class = full-width\n| image = Vaginal Canal - Aluminum Foil Cut Pattern v3.0.jpg\n| caption = Aluminum Foil Cut-Out Pattern\n| text =\n\n# Mark out an area of aluminum foil that is 1.0 cm out from the paper edge of the Vaginal Canal.\n# TIP: On the aluminum foil, mark out the line up against the paper edge of the Vaginal Canal also. This marking will be useful later on when you attach the aluminum foil to the Vaginal Canal.\n# Cut out the aluminum foil rectangle which will be used to line the inside of the Vaginal Canal for the Augmented Feedback feature.\n\n}}\n\n{{Step\n| number = 3\n| title = Attach Aluminum Foil to Vaginal Canal\n| class = full-width\n| image = Vaginal Canal Taping for Aluminum Foil v4.0.jpg\n| caption = Please Tape Underneath and Not Over the Aluminum Foil to Avoid Insulating the Conductive Material.\n| text =\n\n# Apply tape to the area of the Vaginal Canal that will be lined with aluminum foil (area below the dashed line) so the foil layer will lie flat inside the Vaginal Canal.\n# IMPORTANT: One should avoid taping over the aluminum foil because this will insulate the conductive material and prevent the augmented feedback circuit from functioning.\n# Press the aluminum foil over the taped area of the vaginal canal to attach the aluminum foil to the area below the dashed line on the vaginal canal.\n\n}}\n\n{{Step\n| number = 4\n| title = Fold Aluminum Foil Over Vaginal Canal\n| class = full-width\n| image = Aluminum Foil Taped and Folded on Vaginal Canal v3.0.jpg\n| caption = Aluminum Foil Attached To and Folded Over On Vaginal Canal\n| text = Flip the vaginal canal over and fold and press down the remaining 1 cm border of aluminum foil on the vaginal canal as shown in the image.\n}}\n\n{{Step\n| number = 5\n| title = Roll Vaginal Canal Into Cylinder\n| class = full-width\n| image = Roll Vaginal Canal Into Cylinder v3.0.jpg\n| caption = Roll Vaginal Canal Into Cylinder of 4.5 cm Diameter.\n| text =\n\n# Roll up the vaginal canal with the aluminum foil on the inside to form a cylinder of 4.5 cm diameter.\n# Line up the two sides of the 13.0 cm lengths on the previously drawn rectangle to form a cylinder with a circumference of 14.0 cm.\n\n}}\n\n{{Step\n| number = 6\n| title = Tape End of Cylinder\n| class = full-width\n| image = Tape End of Cylinder v2.0.jpg\n| text =\n\n# Apply a small amount of tape inside and outside the end of the cylinder that is not lined with aluminum foil to keep the top corners aligned. IMPORTANT: Tape should never cover the aluminum foil lining the inside of the cylinder.\n# Carefully ensure the bottom edges of the cylinder remain aligned as you roll the remaining paper around the outside of the cylinder.\n\n}}\n\n{{Step\n| number = 7\n| title = Tape Outside of Cylinder\n| class = full-width\n| image = Tape Outside of Cylinder v2.0.jpg\n| text =\n\n# Tape the outside end of the cylinder as shown. IMPORTANT: Be sure to leave a section of the folded aluminum foil exposed (untaped) where the alligator clip will be attached to allow the augmented feedback circuit to function.\n# Use a ruler to check the diameter of the cylinder is 4.5 cm.\n\n}}\n\n{{Video|IMkMFkRpQxw}}\n\n== VIA Positive Cervix Models ==\n\n=== Nulliparous Cervix ===\n\n{{Step\n| number = 1\n| title = Collect Supplies\n| class = full-width\n| image = Gynecologic Simulator - Cervix Model Materials.jpg\n| caption = Materials Required for Making Nulliparous Cervix Model\n| text = You will need the following materials:\n\n* [https://screening.iarc.fr/doc/cecap_flashcards.pdf Jhpiego Flash Card No. 49 (pages 133-134)]\n* Light Pink Clay\n* Red Clay\n* White Clay\n* Pencil\n* Ruler\n\nThe clay should be a water-based soft clay, like [https://www.chapters.indigo.ca/en-ca/toys/play-doh-rainbow-8-pack/630509775743-item.html?ref=recently_viewed%3A%20kidsandtoys%3Aitem%20page Play-Doh].\n\nNot shown in image:\n\n* [https://www.appropedia.org/Thermocoagulator_Simulator#Augmented_Feedback_Feature Thermocoagulator Simulator - Augmented Feedback Circuit]\n* Gynecologic Simulator\n\n}}\n\n{{Step\n| number = 2\n| title = Make a Nulliparous Cervix\n| class = full-width\n| text = Roll pink clay into a cylinder 2.5 cm in diameter and 3.0 cm long.\n| image = Make A Nulliparous Cervix.jpg\n| caption = Dimensions For a Nulliparous Cervix: 2.5 cm in diameter and 3.0 cm in length.\n}}\n\n{{Step\n| number = 3\n| title = Create the Os\n| class = full-width\n| text = Press a pencil tip into the center of the pink clay cylinder to simulate the [https://screening.iarc.fr/atlascolpodetail.php?Index=13&e= smooth, rounded os of the nulliparous cervix]. TIP: Cover the pencil tip with cellophane to prevent the pencil from discoloring the clay cervix.\n| image = Creation of Os of Nulliparous Cervix.jpg\n| caption = Creation of The Os: Press a pencil into the clay cervix to simulate the os of a nulliparous cervix.\n}}\n\n{{Step\n| number = 4\n| title = Add Squamocolumnar Junction to Nulliparous Cervix\n| class = full-width\n| image = Add Squamocolumnar Junction to Nulliparous Cervix.jpg\n| caption = Nulliparous Cervix Model (Pink Clay) with Squamocolumnar Junction (Red Clay)\n| text =\n\n# Review the image of a VIA positive cervix on Flash Card No. 49 (pages 133-134) of the [https://screening.iarc.fr/doc/cecap_flashcards.pdf Jhpiego Flashcards] and identify the squamocolumnar junction.\n# The pink clay of the nulliparous cervix model simulates the squamous epithelium of the ectocervix.\n# Add red clay to the cervix to simulate the columnar epithelium of the endocervix and define the squamocolumnar junction as a visible sharp border located near the external os.\n\n}}\n\n{{Step\n| number = 5\n| title = Add Acetowhite Lesion to Nulliparous Cervix\n| class = full-width\n| image = Adding Acetowhite Lesion to Nulliparous Cervix.jpg\n| caption = Nulliparous Cervix Model (Pink Clay) with Squamocolumnar Junction (Red Clay) and Acetowhite Lesion (White Clay)\n| text =\n\n# Review the image of a VIA positive cervix on Flash Card No. 49 (pages 133-134) of the [https://screening.iarc.fr/doc/cecap_flashcards.pdf Jhpiego Flashcards] and identify well-defined acetowhite lesions that are adjacent to the squamocolumnar junction.\n# Add white clay to the cervix next to the squamocolumnar junction to simulate clinically significant acetowhite lesions.\n\n}}\n\n{{Step\n| number = 6\n| title = Attach Cervix to Gynecologic Simulator\n| class = full-width\n| image = Attach Nulliparous Cervix to Gynecologic Simulator.jpg\n| caption = Attach VIA Positive Nulliparous Cervix to Angled Plane of Gynecologic Simulator\n| text =\n\n# Mount the VIA positive cervix model on the angled plane of the Gynecologic Simulator.\n# IMPORTANT: Hold and stabilize the tongue depressor piece underneath the two taped tongue depressors behind the angled plane when mounting the cervix model on the angled plane.\n\n}}\n\n{{Step\n| number = 7\n| title = Place Vaginal Canal Over Cervix Model\n| class = full-width\n| image = Place Vaginal Canal Over VIA Positive Nulliparous Cervix Model.jpg\n| caption = Place Vaginal Canal Over the VIA Positive Nulliparous Cervix Model on the Gynecologic Simulator\n| text =\n\n# Place the Vaginal Canal over the VIA positive cervix model on the angled plane of the Gynecologic Simulator.\n# IMPORTANT: Ensure the end of the Vaginal Canal that is not lined with the aluminum foil is adjacent to the cervix model because the clay of the cervix model can conduct the Augmented Feedback circuit.\n# Place the aluminum foil-lined end of the Vaginal Canal between the two support pillars so the Vaginal Canal rests on the half tongue depressor in the upper slots.\n\n}}\n\n{{Step\n| number = 8\n| title = Connect Augmented Feedback Circuit to Vaginal Canal\n| class = full-width\n| image = Attach Augmented Feedback Circuit to Vaginal Canal v5.0.jpg\n| caption = Connect (Red) Alligator Clip of Augmented Feedback Circuit to Vaginal Canal\n| text =\n\n# Tape the bottom underside of the base of the Gynecologic Simulator to stabilize it during simulation training.\n# Connect the alligator clip (attached to the exposed wire of the red insulated end of the buzzer) of the Augmented Feedback Circuit to the exposed aluminum foil of the Vaginal Canal.\n\n}}\n\n=== Parous Cervix ===\n\n{{Step\n| number = 1\n| title = Collect Supplies\n| class = full-width\n| image = Gynecologic Simulator - Cervix Model Materials.jpg\n| caption = Materials Required for Making Parous Cervix Model\n| text = You will need the following materials:\n\n* [https://screening.iarc.fr/doc/cecap_flashcards.pdf Jhpiego Flash Card No. 97 (pages 229-230)]\n* Light Pink Clay\n* Red Clay\n* White Clay\n* Pencil\n* Ruler\n\nThe clay should be a water-based soft clay, like [https://www.chapters.indigo.ca/en-ca/toys/play-doh-rainbow-8-pack/630509775743-item.html?ref=recently_viewed%3A%20kidsandtoys%3Aitem%20page Play-Doh].\n\nNot shown in image:\n\n* [https://www.appropedia.org/Thermocoagulator_Simulator#Augmented_Feedback_Feature Thermocoagulator Simulator - Augmented Feedback Circuit]\n* Gynecologic Simulator\n\n}}\n\n{{Step\n| number = 2\n| title = Make a Parous Cervix\n| class = full-width\n| image = Make A Parous Cervix v3.0.jpg\n| caption = Dimensions For a Parous Cervix: 3.0 cm in diameter and 3.0 cm in length.\n| text = Roll clay into a cylinder 3.0 cm in diameter and 3.0 cm long.\n}}\n\n{{Step\n| number = 3\n| title = Create the Os\n| class = full-width\n| text = Use the tip of the pencil to create the \"fish mouth\" appearance of the wider [https://screening.iarc.fr/atlascolpodetail.php?Index=13&e= os of a parous cervix]. TIP: Cover the pencil tip with cellophane to prevent the pencil from discoloring the clay cervix.\n| image = Create Os of Parous Cervix v3.0.jpg\n| caption = Creation of The Os: Use a pencil to simulate the \"fish mouth\" appearance of the os of a parous cervix.\n}}\n\n{{Step\n| number = 4\n| title = Add Squamocolumnar Junction to Parous Cervix\n| class = full-width\n| image = Add Squamocolumnar Junction to Parous Cervix.jpg\n| caption = Parous Cervix Model (Pink Clay) with Squamocolumnar Junction (Red Clay)\n| text =\n\n# Review the image of a VIA positive cervix on Flash Card No. 97 (pages 229-230) of the [https://screening.iarc.fr/doc/cecap_flashcards.pdf Jhpiego Flashcards] and identify the squamocolumnar junction.\n# The pink clay of the parous cervix model simulates the squamous epithelium of the ectocervix.\n# Add red clay to the cervix to simulate the columnar epithelium of the endocervix and define the squamocolumnar junction as a visible sharp border located near the external os.\n\n}}\n\n{{Step\n| number = 5\n| title = Add Acetowhite Lesion to Parous Cervix\n| class = full-width\n| image = Add Acetowhite Lesion to Parous Cervix.jpg\n| caption = Parous Cervix Model (Pink Clay) with Squamocolumnar Junction (Red Clay) and Acetowhite Lesion (White Clay)\n| text =\n\n# Review the image of a VIA positive cervix on Flash Card No. 97 (pages 229-230) of the [https://screening.iarc.fr/doc/cecap_flashcards.pdf Jhpiego Flashcards] and identify well-defined acetowhite lesions that are adjacent to the squamocolumnar junction.\n# Add white clay to the cervix next to the squamocolumnar junction to simulate clinically significant acetowhite lesions.\n\n}}\n\n{{Step\n| number = 6\n| title = Attach Cervix to Gynecologic Simulator\n| class = full-width\n| image = Attach VIA Positive Parous Cervix to Angled Plane of Gynecologic Simulator.jpg\n| caption = Attach VIA Positive Parous Cervix to Angled Plane of Gynecologic Simulator\n| text =\n\n# Mount the VIA positive cervix model on the angled plane of the Gynecologic Simulator.\n# IMPORTANT: Hold and stabilize the tongue depressor piece underneath the two taped tongue depressors behind the angled plane when mounting the cervix model on the angled plane.\n\n}}\n\n{{Step\n| number = 7\n| title = Place Vaginal Canal Over Cervix Model\n| class = full-width\n| image = Place Vaginal Canal Over VIA Positive Parous Cervix Model.jpg\n| caption = Place Vaginal Canal Over the VIA Positive Parous Cervix Model on the Gynecologic Simulator\n| text =\n\n# Place the Vaginal Canal over the VIA positive cervix model on the angled plane of the Gynecologic Simulator.\n# IMPORTANT: Ensure the end of the Vaginal Canal that is not lined with the aluminum foil is adjacent to the cervix model because the clay of the cervix model can conduct the Augmented Feedback Circuit.\n# Place the aluminum foil-lined end of the Vaginal Canal between the two support pillars so the Vaginal Canal rests on the half tongue depressor in the upper slots.\n\n}}\n\n{{Step\n| number = 8\n| title = Connect Augmented Feedback Circuit to Vaginal Canal\n| class = full-width\n| image = Attach Augmented Feedback Circuit to Vaginal Canal v5.0.jpg\n| caption = Connect (Red) Alligator Clip of Augmented Feedback Circuit to Vaginal Canal\n| text =\n\n# Tape the bottom underside of the base of the Gynecologic Simulator to stabilize it during simulation training.\n# Connect the alligator clip (attached to the exposed wire of the red insulated end of the buzzer) of the Augmented Feedback Circuit to the exposed aluminum foil of the Vaginal Canal.\n\n}}\n\n{{Attention\n| title = When not in use, store the clay cervix models inside an sealed, airtight container or bag to prevent the clay from drying out and hardening.\n}}\n\n== References ==\n\n<references />\n\n{{Page data\n| part-of = STARS - Cervical Cancer Screening and Treatment\n| keywords = cervical cancer, screening, treatment, human papillomavirus testing, visual inspection with acetic acid, thermal ablation, cervical pre-cancer lesions\n| sdg = SDG03 Good health and well-being\n}}"}