From the Department of Ophthalmology (Pasricha, Haq, Chan, Redd, Seitzman, Parikh, Kim, Schallhorn, Ramanathan), School of Medicine (Ahmad), and Francis I. Proctor Foundation (Redd, Seitzman, Schallhorn), University of California San Francisco, San Francisco, California, USA.
J Cataract Refract Surg. 2020 Dec;46(12):1667-1673. doi: 10.1097/j.jcrs.0000000000000374.
To study the feasibility and efficacy of a new remote wet lab for microsurgical education using a corneal suturing task.
Department of Ophthalmology, University of California San Francisco, San Francisco, California, USA.
Prospective randomized controlled study.
Ten ophthalmology residents were stratified by postgraduate year and randomized to perform a corneal suturing task consisting of placing the 4 cardinal sutures for a penetrating keratoplasty in porcine eyes with or without remote ophthalmology attending feedback. Subsequently, both groups repeated the same task without remote feedback to test whether initial remote feedback affected subsequent performance. Finally, the group without feedback was crossed over to repeat the same corneal suturing task with remote feedback. The effectiveness of the remote wet lab was assessed subjectively by survey and objectively by grading each suture pass.
Resident-reported comfort with corneal suturing improved significantly after the remote wet lab for all residents. Residents and attendings rated the remote wet lab as equally or more effective compared with previous in-person wet labs and overall effective in corneal suturing. Attendings rated the remote wet lab as effective in multiple domains of microsurgical education using a modified microsurgical global rating scale. Objective corneal suturing performance was similar for both groups.
The remote wet lab was feasible and effective for training ophthalmology residents in corneal suturing. This represents a new social distancing compliant platform for microsurgical education during the COVID-19 pandemic.
研究使用角膜缝合任务的新型远程湿实验室在显微外科教育中的可行性和效果。
美国加利福尼亚大学旧金山分校眼科系。
前瞻性随机对照研究。
根据住院医师年限将 10 名眼科住院医师分层，并随机分配到在猪眼上进行穿透性角膜移植术的 4 个主要缝线的角膜缝合任务中，是否具有远程眼科主治医生的反馈。随后，两组均在没有远程反馈的情况下重复相同的任务，以测试初始远程反馈是否会影响后续表现。最后，没有反馈的组交叉重复具有远程反馈的相同角膜缝合任务。通过问卷调查和对每个缝线通过的评分来评估远程湿实验室的效果。
所有住院医师的角膜缝合舒适度均在远程湿实验室后显著提高。住院医师和主治医生认为远程湿实验室与以前的面对面湿实验室一样或更有效，并且在角膜缝合方面总体有效。主治医生使用改良的显微外科总体评分量表对远程湿实验室在多个显微外科教育领域的有效性进行了评分。两组的客观角膜缝合表现相似。
远程湿实验室在培训眼科住院医师进行角膜缝合方面是可行且有效的。这代表了一种新的符合社交距离要求的平台，可用于 COVID-19 大流行期间的显微外科教育。
