Impact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents

Danny Siu-Chun Ng,1 Zihan Sun,1 Alvin Lerrmann Young,1,2 Simon Tak-Chuen Ko,3 Jerry Ka-Hing Lok,1 Timothy Yuk-Yau Lai,1 Shameema Sikder,4 Clement C Tham1 1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, 2Department of Ophthalmology, Prince of Wales Hospital, 3D...

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Autores principales:	Ng DS, Sun ZH, Young AL, Ko STC, Lok JKH, Lai TYY, Sikder S, Tham CC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Virtual reality Simulation surgical education Cataract surgery. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/74cbead6eabe4a67a716221c34463b4e
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spelling	oai:doaj.org-article:74cbead6eabe4a67a716221c34463b4e2021-12-02T02:53:34ZImpact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents1177-5483https://doaj.org/article/74cbead6eabe4a67a716221c34463b4e2018-05-01T00:00:00Zhttps://www.dovepress.com/impact-of-virtual-reality-simulation-on-learning-barriers-of-phacoemul-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Danny Siu-Chun Ng,1 Zihan Sun,1 Alvin Lerrmann Young,1,2 Simon Tak-Chuen Ko,3 Jerry Ka-Hing Lok,1 Timothy Yuk-Yau Lai,1 Shameema Sikder,4 Clement C Tham1 1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, 2Department of Ophthalmology, Prince of Wales Hospital, 3Department of Ophthalmology, Tung Wah Eastern Hospital, Hong Kong, People’s Republic of China; 4Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA Objective: To identify residents’ perceived barriers to learning phacoemulsification surgical procedures and to evaluate whether virtual reality simulation training changed these perceptions. Design: The ophthalmology residents undertook a simulation phacoemulsification course and proficiency assessment on the Eyesi system using the previously validated training modules of intracapsular navigation, anti-tremor, capsulorrhexis, and cracking/chopping. A cross-sectional, multicenter survey on the perceived difficulties in performing phacoemulsification tasks on patients, based on the validated International Council of Ophthalmology’s Ophthalmology Surgical Competency Assessment Rubric (ICO-OSCAR), using a 5-point Likert scale (1 = least and 5 = most difficulty), was conducted among residents with or without prior simulation training. Mann–Whitney U tests were carried out to compare the mean scores, and multivariate regression analyses were performed to evaluate the association of lower scores with the following potential predictors: 1) higher level trainee, 2) can complete phacoemulsification most of the time (>90%) without supervisor’s intervention, and 3) prior simulation training. Setting: The study was conducted in ophthalmology residency training programs in five regional hospitals in Hong Kong. Results: Of the 22 residents, 19 responded (86.3%), of which 13 (68.4%) had completed simulation training. Nucleus cracking/chopping was ranked highest in difficulty by all respondents followed by capsulorrhexis completion and nucleus rotation/manipulation. Respondents with prior simulation training had significantly lower difficulty scores on these three tasks (nucleus cracking/chopping 3.85 vs 4.75, P = 0.03; capsulorrhexis completion 3.31 vs 4.40, P = 0.02; and nucleus rotation/manipulation 3.00 vs 4.75, P = 0.01). In multivariate analyses, simulation training was significantly associated with lower difficulty scores on these three tasks. Conclusion: Residents who had completed Eyesi simulation training had higher confidence in performing the most difficult tasks perceived during phacoemulsification. Keywords: virtual reality, simulation surgical education, cataract surgeryNg DSSun ZHYoung ALKo STCLok JKHLai TYYSikder STham CCDove Medical PressarticleVirtual realitySimulation surgical educationCataract surgery.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 885-893 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Virtual reality Simulation surgical education Cataract surgery. Ophthalmology RE1-994
spellingShingle	Virtual reality Simulation surgical education Cataract surgery. Ophthalmology RE1-994 Ng DS Sun ZH Young AL Ko STC Lok JKH Lai TYY Sikder S Tham CC Impact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents
description	Danny Siu-Chun Ng,1 Zihan Sun,1 Alvin Lerrmann Young,1,2 Simon Tak-Chuen Ko,3 Jerry Ka-Hing Lok,1 Timothy Yuk-Yau Lai,1 Shameema Sikder,4 Clement C Tham1 1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, 2Department of Ophthalmology, Prince of Wales Hospital, 3Department of Ophthalmology, Tung Wah Eastern Hospital, Hong Kong, People’s Republic of China; 4Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA Objective: To identify residents’ perceived barriers to learning phacoemulsification surgical procedures and to evaluate whether virtual reality simulation training changed these perceptions. Design: The ophthalmology residents undertook a simulation phacoemulsification course and proficiency assessment on the Eyesi system using the previously validated training modules of intracapsular navigation, anti-tremor, capsulorrhexis, and cracking/chopping. A cross-sectional, multicenter survey on the perceived difficulties in performing phacoemulsification tasks on patients, based on the validated International Council of Ophthalmology’s Ophthalmology Surgical Competency Assessment Rubric (ICO-OSCAR), using a 5-point Likert scale (1 = least and 5 = most difficulty), was conducted among residents with or without prior simulation training. Mann–Whitney U tests were carried out to compare the mean scores, and multivariate regression analyses were performed to evaluate the association of lower scores with the following potential predictors: 1) higher level trainee, 2) can complete phacoemulsification most of the time (>90%) without supervisor’s intervention, and 3) prior simulation training. Setting: The study was conducted in ophthalmology residency training programs in five regional hospitals in Hong Kong. Results: Of the 22 residents, 19 responded (86.3%), of which 13 (68.4%) had completed simulation training. Nucleus cracking/chopping was ranked highest in difficulty by all respondents followed by capsulorrhexis completion and nucleus rotation/manipulation. Respondents with prior simulation training had significantly lower difficulty scores on these three tasks (nucleus cracking/chopping 3.85 vs 4.75, P = 0.03; capsulorrhexis completion 3.31 vs 4.40, P = 0.02; and nucleus rotation/manipulation 3.00 vs 4.75, P = 0.01). In multivariate analyses, simulation training was significantly associated with lower difficulty scores on these three tasks. Conclusion: Residents who had completed Eyesi simulation training had higher confidence in performing the most difficult tasks perceived during phacoemulsification. Keywords: virtual reality, simulation surgical education, cataract surgery
format	article
author	Ng DS Sun ZH Young AL Ko STC Lok JKH Lai TYY Sikder S Tham CC
author_facet	Ng DS Sun ZH Young AL Ko STC Lok JKH Lai TYY Sikder S Tham CC
author_sort	Ng DS
title	Impact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents
title_short	Impact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents
title_full	Impact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents
title_fullStr	Impact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents
title_full_unstemmed	Impact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents
title_sort	impact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/74cbead6eabe4a67a716221c34463b4e
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Impact of virtual reality simulation on learning barriers of phacoemulsification perceived by residents

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