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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 5/2019

01-05-2019 | Cataract | Review Article

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

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 5/2019

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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.
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Metadata
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
Publication date
01-05-2019
Publisher
Springer Berlin Heidelberg
Keyword
Cataract
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 5/2019
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-019-04244-y

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