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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

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Title: Simulators in the training of surgeons: is it worth the investment in money and time? 2018 Jules Gonin lecture of the Retina Research Foundation
Authors: Morten la Cour, Ann Sofia Skou Thomsen, Mark Alberti, Lars Konge
Source: Graefe's Archive for Clinical and Experimental Ophthalmology. 257:877-881
Publisher Information: Springer Science and Business Media LLC, 2019.
Publication Year: 2019
Subject Terms: Ophthalmology/education, Internship and Residency, Cataract Extraction, Education, Computer-Assisted/education, Internship and Residency/methods, Ophthalmology, User-Computer Interface, 03 medical and health sciences, Cataract Extraction/education, 0302 clinical medicine, Surgery, Computer-Assisted, Education, Medical, Graduate, Medical, Graduate/methods, Humans, Surgery, Computer Simulation, Clinical Competence, Societies, Societies, Medical
Description: 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.
Document Type: Article
Language: English
ISSN: 1435-702X
0721-832X
DOI: 10.1007/s00417-019-04244-y
Access URL: https://pubmed.ncbi.nlm.nih.gov/30648208
https://link.springer.com/content/pdf/10.1007/s00417-019-04244-y.pdf
https://link.springer.com/article/10.1007/s00417-019-04244-y
https://pubmed.ncbi.nlm.nih.gov/30648208/
https://www.ncbi.nlm.nih.gov/pubmed/30648208
Rights: Springer TDM
Accession Number: edsair.doi.dedup.....b777232af1ac54b65df7413cffa4c1bf
Database: OpenAIRE
Description
Abstract: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.
ISSN:1435702X
0721832X
DOI:10.1007/s00417-019-04244-y