Operating Room Performance Improves after Proficiency-Based Virtual Reality Cataract Surgery Training
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Operating Room Performance Improves after Proficiency-Based Virtual Reality Cataract Surgery Training. / Thomsen, Ann Sofia Skou; Bach-Holm, Daniella; Kjærbo, Hadi; Højgaard-Olsen, Klavs; Subhi, Yousif; Saleh, George M; Park, Yoon Soo; la Cour, Morten; Konge, Lars.
In: Ophthalmology, Vol. 124, No. 4, 2017, p. 524-531.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Operating Room Performance Improves after Proficiency-Based Virtual Reality Cataract Surgery Training
AU - Thomsen, Ann Sofia Skou
AU - Bach-Holm, Daniella
AU - Kjærbo, Hadi
AU - Højgaard-Olsen, Klavs
AU - Subhi, Yousif
AU - Saleh, George M
AU - Park, Yoon Soo
AU - la Cour, Morten
AU - Konge, Lars
N1 - Copyright © 2017 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.
PY - 2017
Y1 - 2017
N2 - PURPOSE: To investigate the effect of virtual reality proficiency-based training on actual cataract surgery performance. The secondary purpose of the study was to define which surgeons benefit from virtual reality training.DESIGN: Multicenter masked clinical trial.PARTICIPANTS: Eighteen cataract surgeons with different levels of experience.METHODS: Cataract surgical training on a virtual reality simulator (EyeSi) until a proficiency-based test was passed.MAIN OUTCOME MEASURES: Technical performance in the operating room (OR) assessed by 3 independent, masked raters using a previously validated task-specific assessment tool for cataract surgery (Objective Structured Assessment of Cataract Surgical Skill). Three surgeries before and 3 surgeries after the virtual reality training were video-recorded, anonymized, and presented to the raters in random order.RESULTS: Novices (non-independently operating surgeons) and surgeons having performed fewer than 75 independent cataract surgeries showed significant improvements in the OR-32% and 38%, respectively-after virtual reality training (P = 0.008 and P = 0.018). More experienced cataract surgeons did not benefit from simulator training. The reliability of the assessments was high with a generalizability coefficient of 0.92 and 0.86 before and after the virtual reality training, respectively.CONCLUSIONS: Clinically relevant cataract surgical skills can be improved by proficiency-based training on a virtual reality simulator. Novices as well as surgeons with an intermediate level of experience showed improvement in OR performance score.
AB - PURPOSE: To investigate the effect of virtual reality proficiency-based training on actual cataract surgery performance. The secondary purpose of the study was to define which surgeons benefit from virtual reality training.DESIGN: Multicenter masked clinical trial.PARTICIPANTS: Eighteen cataract surgeons with different levels of experience.METHODS: Cataract surgical training on a virtual reality simulator (EyeSi) until a proficiency-based test was passed.MAIN OUTCOME MEASURES: Technical performance in the operating room (OR) assessed by 3 independent, masked raters using a previously validated task-specific assessment tool for cataract surgery (Objective Structured Assessment of Cataract Surgical Skill). Three surgeries before and 3 surgeries after the virtual reality training were video-recorded, anonymized, and presented to the raters in random order.RESULTS: Novices (non-independently operating surgeons) and surgeons having performed fewer than 75 independent cataract surgeries showed significant improvements in the OR-32% and 38%, respectively-after virtual reality training (P = 0.008 and P = 0.018). More experienced cataract surgeons did not benefit from simulator training. The reliability of the assessments was high with a generalizability coefficient of 0.92 and 0.86 before and after the virtual reality training, respectively.CONCLUSIONS: Clinically relevant cataract surgical skills can be improved by proficiency-based training on a virtual reality simulator. Novices as well as surgeons with an intermediate level of experience showed improvement in OR performance score.
KW - Clinical Competence/standards
KW - Computer Simulation
KW - Computer-Assisted Instruction/methods
KW - Double-Blind Method
KW - Education, Medical, Graduate/standards
KW - Educational Measurement
KW - Female
KW - Humans
KW - Internship and Residency
KW - Male
KW - Middle Aged
KW - Operating Rooms/standards
KW - Ophthalmology/education
KW - Phacoemulsification/education
KW - Prospective Studies
KW - Task Performance and Analysis
KW - Video Recording
KW - Visual Acuity
U2 - 10.1016/j.ophtha.2016.11.015
DO - 10.1016/j.ophtha.2016.11.015
M3 - Journal article
C2 - 28017423
VL - 124
SP - 524
EP - 531
JO - Ophthalmology
JF - Ophthalmology
SN - 0161-6420
IS - 4
ER -
ID: 197360345