Posters

Comparision of virtual reality simulation based surgical training for MSICS with traditional surgical training for resident opthalmologists

Poster Details

First Author: A.Bacchav INDIA

Co Author(s):    C. Ahiwalay   T. Seth   A. Nair   V. Lansingh   S. Vedula        

Abstract Details

Purpose:

The objective of TCC-PASTE (Tunnel Construction Course (TCC) - Pilot Assessment of Simulation-based Training Effectiveness) is to determine the effectiveness of the simulator-based training curriculum for scleral tunnel construction in MSICS on intraoperative technical errors during the initial part of the learning curve in trainee surgeons. This was be achieved by assessing the difference if any in the live surgical performance demonstrated by the trainees who undertake Tunnel Construction Course (TCC) simulator-based training, in comparison with those who receive traditional training when performing their first twenty live training surgeries.

Setting:

Mumbai, Hyderabad, Chennai and Nagpur.

Methods:

20 residents from participating Institutes were randomized and enrolled in experimental (EG) and control groups (CG). Trainees in experimental group underwent simulation based surgical training while those in control group underwent traditional surgical training at their respective institutes. The performance of first 20 surgeries of each resident were recorded and analysed by independent video raters. The technique, outcome and complications were analysed across the two groups.

Results:

Reduction in Total Number of Errors: On average, trainees in EG performed 8.31 fewer errors than those in. The 95% CI was 3.54 to 13.08; P = 0.05. Trainees in EG had higher mean scores for overall technical skill for the 20th procedure than those in the control group. The difference between EG and SG was 6.85 (95% CI was 4.16 to 9.53) and the effect of simulation training was statistically significant (P = 0.036). Trainees in EG had higher overall technical skill scores than those in CG for the first procedure.

Conclusions:

To summarise, ophthalmology residents who underwent simulation based training on the Virtual Reality Eye Surgery Simulator for Tunnel Construction in MSICS prior to live surgery made fewer errors, and had higher overall technical skill, shorter learning curve for overall technical skill, and better task outcomes for certain tasks in their first 20 MSICS procedures compared with trainees who did not participate in the simulation based training.

Financial Disclosure:

is employed by a for-profit company with an interest in the subject of the presentation