Simulators in the training of surgeons: is it worth the investment in money and time? 2018 Jules Gonin lecture of the Retina Research Foundation
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Simulators in the training of surgeons : is it worth the investment in money and time? 2018 Jules Gonin lecture of the Retina Research Foundation. / la Cour, Morten; Thomsen, Ann Sofia Skou; Alberti, Mark; Konge, Lars.
In: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, Vol. 257, No. 5, 05.2019, p. 877-881.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Simulators in the training of surgeons
T2 - is it worth the investment in money and time? 2018 Jules Gonin lecture of the Retina Research Foundation
AU - la Cour, Morten
AU - Thomsen, Ann Sofia Skou
AU - Alberti, Mark
AU - Konge, Lars
PY - 2019/5
Y1 - 2019/5
N2 - This paper describes transfer of skills obtained from training with the EyeSI virtual reality simulator of ophthalmic surgery to real-life surgical performance. Skills in real-life phacoemulsification surgery were assessed by systematic blinded evaluation of surgical videos based on the OSACCS system. Nineteen Danish cataract surgeons with varying clinical experience levels had their cataract surgery skills evaluated before and after completing a standardized mastery learning program on the EyeSI. It was found that transfer of skills could be demonstrated only for surgeons with a real-life experience of less than 75 completed, independent cases. We could not demonstrate transfer of skills from the EyeSI cataract module to the EyeSI vitreoretinal module, so each subspecialty seems to require specific training. Finally, the discriminative power of EyeSI simulation between emerging surgeons and experts was found to reside only in the first training sessions. The EyeSI simulator in its current state of development, and our implementation of it, seems to require further development before it can be used as a tool to select residents for surgical training and to re-certify more senior surgeons.
AB - This paper describes transfer of skills obtained from training with the EyeSI virtual reality simulator of ophthalmic surgery to real-life surgical performance. Skills in real-life phacoemulsification surgery were assessed by systematic blinded evaluation of surgical videos based on the OSACCS system. Nineteen Danish cataract surgeons with varying clinical experience levels had their cataract surgery skills evaluated before and after completing a standardized mastery learning program on the EyeSI. It was found that transfer of skills could be demonstrated only for surgeons with a real-life experience of less than 75 completed, independent cases. We could not demonstrate transfer of skills from the EyeSI cataract module to the EyeSI vitreoretinal module, so each subspecialty seems to require specific training. Finally, the discriminative power of EyeSI simulation between emerging surgeons and experts was found to reside only in the first training sessions. The EyeSI simulator in its current state of development, and our implementation of it, seems to require further development before it can be used as a tool to select residents for surgical training and to re-certify more senior surgeons.
KW - Cataract Extraction/education
KW - Clinical Competence
KW - Computer Simulation
KW - Education, Medical, Graduate/methods
KW - Humans
KW - Internship and Residency/methods
KW - Ophthalmology/education
KW - Societies, Medical
KW - Surgery, Computer-Assisted/education
KW - User-Computer Interface
U2 - 10.1007/s00417-019-04244-y
DO - 10.1007/s00417-019-04244-y
M3 - Review
C2 - 30648208
VL - 257
SP - 877
EP - 881
JO - Graefe's Archive for Clinical and Experimental Ophthalmology
JF - Graefe's Archive for Clinical and Experimental Ophthalmology
SN - 0721-832X
IS - 5
ER -
ID: 234699962