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Skills assessment after a grape-based microsurgical course for ophthalmology residents: randomised controlled trial. | LitMetric

Skills assessment after a grape-based microsurgical course for ophthalmology residents: randomised controlled trial.

Br J Ophthalmol

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China

Published: September 2023

AI Article Synopsis

Article Abstract

Aims: To introduce and assess a course using grapes as training models for ophthalmology residents to acquire basic microsurgical skills.

Methods: Ophthalmology residents who were novices at microsurgery were included. Participants were randomised into a 1:1 ratio to a 4-hour training programme based on fruit models (group A) or virtual reality (VR) modulator and silicone suture pads (group B), respectively. Before and after training, questionnaires were designed to measure their self-confidence with ophthalmic operations and with their coming role as surgical assistants. After training, each participant provided their interest in further studying microsurgery and was assessed for their general competence of ophthalmic microsurgery on porcine eyes.

Results: Eighty-three participants were included, with 42 ones in group A and 41 ones in group B. After training, participants in group A performed better in the uniformities of the suture span (p<0.05), suture thickness (p<0.05) and tissue protection (p<0.05) during the corneal suturing assessment. The overall scores of corneal suturing and circular capsulorhexis in the porcine eye in group A were comparable to those in group B (p=0.26 and 0.87, respectively). Group A showed a more positive attitude to withstand the training for more than 4 hours (p<0.001), as well as a higher willingness to receive more times of the training in the future (p<0.001).

Conclusions: Training models based on grapes are equal to VR simulators and silicon suture pads to provide solid training tasks for ophthalmology residents to master basic microsurgical skills, and might have advantages in lower economic cost, and easy availability.

Trial Registration Number: ChiCTR2000040439.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10447371PMC
http://dx.doi.org/10.1136/bjophthalmol-2022-321135DOI Listing

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