Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial

Abstract This study was designed to determine the effect of a novel simulation-based training curriculum for scleral tunnel construction in manual small incision cataract surgery (MSICS) compared with traditional training. In this multicenter, investigator-masked, randomized clinical trial, resident...

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Autores principales:	Akshay Gopinathan Nair, Chetan Ahiwalay, Ashish E. Bacchav, Tejas Sheth, Van Charles Lansingh, S. Swaroop Vedula, Venudhar Bhatt, Jagadesh C. Reddy, Pravin K. Vadavalli, Smita Praveen, Nikhilesh Anil Wairagade, Jeff Pettey
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bfd127c7e4cc4f5e9d0ceb8fc664a84e
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spelling	oai:doaj.org-article:bfd127c7e4cc4f5e9d0ceb8fc664a84e2021-12-02T15:49:31ZEffectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial10.1038/s41598-021-90410-42045-2322https://doaj.org/article/bfd127c7e4cc4f5e9d0ceb8fc664a84e2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90410-4https://doaj.org/toc/2045-2322Abstract This study was designed to determine the effect of a novel simulation-based training curriculum for scleral tunnel construction in manual small incision cataract surgery (MSICS) compared with traditional training. In this multicenter, investigator-masked, randomized clinical trial, resident surgeons within 3 months of matriculation with minimal or no prior experience with MSICS were assigned either to simulation-based training, the Experimental Group (EG), or to conventional training, the Control Group (CG). EG residents were trained to perform scleral tunnel construction using a simulation-based curriculum (HelpMeSee Eye Surgery Simulator), while residents in the CG followed institution-specific curriculum before progressing to live surgery. Surgical videos of the first 20 attempts at tunnel construction were reviewed by masked video raters. The primary outcome was the total number of any of 9 pre-specified errors. On average, the total number of errors was 9.25 (95% CI 0–18.95) in the EG and 17.56 (95% CI 6.63–28.49) in the CG (P = 0.05); the number of major errors was 4.86 (95% CI 0.13–9.59) in the EG and 10.09 (95% CI 4.76–15.41) in the CG (P = 0.02); and the number of minor errors was 4.39 (95% CI 0–9.75) in the EG and 7.47 (95% CI 1.43–13.51) in the CG (P = 0.16). These results support that novice surgeons trained using the novel simulation-based curriculum performed fewer errors in their first 20 attempts at tunnel construction compared to those trained with a conventional curriculum.Akshay Gopinathan NairChetan AhiwalayAshish E. BacchavTejas ShethVan Charles LansinghS. Swaroop VedulaVenudhar BhattJagadesh C. ReddyPravin K. VadavalliSmita PraveenNikhilesh Anil WairagadeJeff PetteyNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Akshay Gopinathan Nair Chetan Ahiwalay Ashish E. Bacchav Tejas Sheth Van Charles Lansingh S. Swaroop Vedula Venudhar Bhatt Jagadesh C. Reddy Pravin K. Vadavalli Smita Praveen Nikhilesh Anil Wairagade Jeff Pettey Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial
description	Abstract This study was designed to determine the effect of a novel simulation-based training curriculum for scleral tunnel construction in manual small incision cataract surgery (MSICS) compared with traditional training. In this multicenter, investigator-masked, randomized clinical trial, resident surgeons within 3 months of matriculation with minimal or no prior experience with MSICS were assigned either to simulation-based training, the Experimental Group (EG), or to conventional training, the Control Group (CG). EG residents were trained to perform scleral tunnel construction using a simulation-based curriculum (HelpMeSee Eye Surgery Simulator), while residents in the CG followed institution-specific curriculum before progressing to live surgery. Surgical videos of the first 20 attempts at tunnel construction were reviewed by masked video raters. The primary outcome was the total number of any of 9 pre-specified errors. On average, the total number of errors was 9.25 (95% CI 0–18.95) in the EG and 17.56 (95% CI 6.63–28.49) in the CG (P = 0.05); the number of major errors was 4.86 (95% CI 0.13–9.59) in the EG and 10.09 (95% CI 4.76–15.41) in the CG (P = 0.02); and the number of minor errors was 4.39 (95% CI 0–9.75) in the EG and 7.47 (95% CI 1.43–13.51) in the CG (P = 0.16). These results support that novice surgeons trained using the novel simulation-based curriculum performed fewer errors in their first 20 attempts at tunnel construction compared to those trained with a conventional curriculum.
format	article
author	Akshay Gopinathan Nair Chetan Ahiwalay Ashish E. Bacchav Tejas Sheth Van Charles Lansingh S. Swaroop Vedula Venudhar Bhatt Jagadesh C. Reddy Pravin K. Vadavalli Smita Praveen Nikhilesh Anil Wairagade Jeff Pettey
author_facet	Akshay Gopinathan Nair Chetan Ahiwalay Ashish E. Bacchav Tejas Sheth Van Charles Lansingh S. Swaroop Vedula Venudhar Bhatt Jagadesh C. Reddy Pravin K. Vadavalli Smita Praveen Nikhilesh Anil Wairagade Jeff Pettey
author_sort	Akshay Gopinathan Nair
title	Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial
title_short	Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial
title_full	Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial
title_fullStr	Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial
title_full_unstemmed	Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial
title_sort	effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/bfd127c7e4cc4f5e9d0ceb8fc664a84e
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Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial

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