Abstract
Introduction This retrospective consecutive case series examined whether training on a surgical simulator reduces intraoperative complication rates among novice ophthalmology residents learning cataract surgery. Methods Beginning July 2014, training on the Eyesi simulator became mandatory for novice postgraduate year 3 ophthalmology residents before live cataract surgery at our institution. Complication rates of the 11 simulator-trained residents (study group) were compared with their immediate 11 simulator-naive predecessors (comparison group). Only straightforward cataract cases (according to standardized preoperative criteria) where postgraduate year 3 residents served as the primary surgeon were included. Complication data were obtained from Morbidity and Mortality records and compared using Fisher exact test. A survey was administered to the residents to gauge the perceived utility of simulation training. Results The simulator-trained group (n = 501 cataract cases) and the simulator-naive comparison group (n = 454 cases) were analyzed. The complication rate in the simulator group was 2.4% compared with 5.1% in the comparison group (P = 0.037, Fisher exact test). Both the mean posterior capsule tear rate and vitreous prolapse rate in the simulator group were 2.2% compared with 4.8% in the comparison group (P = 0.032, Fisher exact test). The survey had a response rate of 100% (11/11), and 91% (10/11) of respondents felt that the training was "extremely worthwhile" and should be mandatory. Conclusions The addition of surgical simulation training was associated with a significantly reduced rate of complications, including posterior capsule tears and vitreous prolapse, among novice postgraduate year 3 residents. There is a perceived utility among residents to incorporate virtual simulation into surgical training.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 11-15 |
| Number of pages | 5 |
| Journal | Simulation in Healthcare |
| Volume | 13 |
| Issue number | 1 |
| DOIs | |
| State | Published - Feb 1 2018 |
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Keywords
- cataract surgery
- complications
- education
- Eyesi
- Phacoemulsification
- posterior capsular tear
- residency training
- simulation
- surgical simulator
- virtual reality
- vitreous prolapse
ASJC Scopus subject areas
- Epidemiology
- Medicine (miscellaneous)
- Education
- Modeling and Simulation
Cite this
Surgical Simulation Training Reduces Intraoperative Cataract Surgery Complications among Residents. / Staropoli, Patrick C.; Gregori, Ninel; Junk, Anna; Galor, Anat; Goldhardt, Raquel; Goldhagen, Brian; Shi, Wei; Feuer, William J.
In: Simulation in Healthcare, Vol. 13, No. 1, 01.02.2018, p. 11-15.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Surgical Simulation Training Reduces Intraoperative Cataract Surgery Complications among Residents
AU - Staropoli, Patrick C.
AU - Gregori, Ninel
AU - Junk, Anna
AU - Galor, Anat
AU - Goldhardt, Raquel
AU - Goldhagen, Brian
AU - Shi, Wei
AU - Feuer, William J
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Introduction This retrospective consecutive case series examined whether training on a surgical simulator reduces intraoperative complication rates among novice ophthalmology residents learning cataract surgery. Methods Beginning July 2014, training on the Eyesi simulator became mandatory for novice postgraduate year 3 ophthalmology residents before live cataract surgery at our institution. Complication rates of the 11 simulator-trained residents (study group) were compared with their immediate 11 simulator-naive predecessors (comparison group). Only straightforward cataract cases (according to standardized preoperative criteria) where postgraduate year 3 residents served as the primary surgeon were included. Complication data were obtained from Morbidity and Mortality records and compared using Fisher exact test. A survey was administered to the residents to gauge the perceived utility of simulation training. Results The simulator-trained group (n = 501 cataract cases) and the simulator-naive comparison group (n = 454 cases) were analyzed. The complication rate in the simulator group was 2.4% compared with 5.1% in the comparison group (P = 0.037, Fisher exact test). Both the mean posterior capsule tear rate and vitreous prolapse rate in the simulator group were 2.2% compared with 4.8% in the comparison group (P = 0.032, Fisher exact test). The survey had a response rate of 100% (11/11), and 91% (10/11) of respondents felt that the training was "extremely worthwhile" and should be mandatory. Conclusions The addition of surgical simulation training was associated with a significantly reduced rate of complications, including posterior capsule tears and vitreous prolapse, among novice postgraduate year 3 residents. There is a perceived utility among residents to incorporate virtual simulation into surgical training.
AB - Introduction This retrospective consecutive case series examined whether training on a surgical simulator reduces intraoperative complication rates among novice ophthalmology residents learning cataract surgery. Methods Beginning July 2014, training on the Eyesi simulator became mandatory for novice postgraduate year 3 ophthalmology residents before live cataract surgery at our institution. Complication rates of the 11 simulator-trained residents (study group) were compared with their immediate 11 simulator-naive predecessors (comparison group). Only straightforward cataract cases (according to standardized preoperative criteria) where postgraduate year 3 residents served as the primary surgeon were included. Complication data were obtained from Morbidity and Mortality records and compared using Fisher exact test. A survey was administered to the residents to gauge the perceived utility of simulation training. Results The simulator-trained group (n = 501 cataract cases) and the simulator-naive comparison group (n = 454 cases) were analyzed. The complication rate in the simulator group was 2.4% compared with 5.1% in the comparison group (P = 0.037, Fisher exact test). Both the mean posterior capsule tear rate and vitreous prolapse rate in the simulator group were 2.2% compared with 4.8% in the comparison group (P = 0.032, Fisher exact test). The survey had a response rate of 100% (11/11), and 91% (10/11) of respondents felt that the training was "extremely worthwhile" and should be mandatory. Conclusions The addition of surgical simulation training was associated with a significantly reduced rate of complications, including posterior capsule tears and vitreous prolapse, among novice postgraduate year 3 residents. There is a perceived utility among residents to incorporate virtual simulation into surgical training.
KW - cataract surgery
KW - complications
KW - education
KW - Eyesi
KW - Phacoemulsification
KW - posterior capsular tear
KW - residency training
KW - simulation
KW - surgical simulator
KW - virtual reality
KW - vitreous prolapse
UR - http://www.scopus.com/inward/record.url?scp=85041942851&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85041942851&partnerID=8YFLogxK
U2 - 10.1097/SIH.0000000000000255
DO - 10.1097/SIH.0000000000000255
M3 - Article
C2 - 29023268
AN - SCOPUS:85041942851
VL - 13
SP - 11
EP - 15
JO - Simulation in Healthcare
JF - Simulation in Healthcare
SN - 1559-2332
IS - 1
ER -