Posters

Surgical simulation in ophthalmology : evaluation of the performances concordance

Poster Details

First Author: A.Oulmidi MOROCCO

Co Author(s): S. Belghmaidi   J. Hakam   I. Hajji   A. Moutaouakil           

Abstract Details

Purpose:

Surgical simulation, altought is an expensive technique, is being used more and more by medical schools to introduce young surgeons to surgery. Ophthalmology, and more particularly cataract surgery, is a good opportunity for this teaching practice. Nevertheless, the question arises as to how far the simulators are in conformity with reality and in extenso their reliability for learning. The aim of our study is to determine if we find an adequate concordance of results on simulators with the real level of the surgeons who use it and thus be able to validate or not the construction of the modules.

Setting:

We use the Eyesi simulator, which our faculty is one of the first in Africa to have it. We compare the results of 45 surgeons.

Methods:

In this study, we compare the simulator results of a group of 45 surgeons who had never used a simulator and who were divided into different groups of physicians who were increasingly betterin surgery: 7 First Year Resident Physicians (Never having ever had phacoemulsification) 5 second-year medical residents (Beginner in extracapuslar cataract surgery) 14 second-year medical residents (Beginner in Phaco-emulsification) 12 third-year medical residents (Beginner in Phaco-emulsification) 7 fifth-year medical residents (With a year-long decline in phacoemulsification) 6 senior doctors (having several years of experience).

Results:

There is a positive correlation between the scores obtained and the accumulated experience, either in the capsulorhexis module or in the phacoemulsification module. It also appears that participants with greater experience obtained much higher total scores than those who were less experienced; with a lower total working time and fewer lesions to the cornea and lens. In the anti-trembling module, the subjects who have done it best are also those who are the most experienced. There will be fewer errors and a lower total working time than the candidate's experience is great.

Conclusions:

The surgical simulation by its adage: "never the first time on the patient" is an attractive teaching option, provided that it is proven relevance. In this sense, this work demonstrates the similarity of the expected results to the simulator to those collected, it is to say that the simulator indeed layers the level real of the surgeon. The simulator is very sensitive in determining the level of a surgeon; should we make it a compulsory passage before real surgeries?

Financial Disclosure:

None