Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, UK.
NIHR Biomedical Research Centre at Moorfields Eye Hospital and the UCL Institute of Ophthalmology, London, UK.
Eye (Lond). 2022 Oct;36(10):1973-1976. doi: 10.1038/s41433-021-01796-4. Epub 2021 Oct 6.
Ophthalmic simulation is cost-effective in complication prevention. However, there is no consistent resource allocation to provide the necessary time and finance to sustain such activities. We wished to identify the current support for the regional Simulation Leads in the UK.
An online SurveyMonkey questionnaire was sent to all 26 UK ophthalmic regional Simulation Leads in February 2021 regarding current simulation activity and the degree of time and resource support available.
There were 22 responses within 1 month (84.6% response rate). 72.7% run regular simulation induction events for new trainees. 60% run mandatory laser simulation events. 38.1% run immersive simulation (vitreous loss fire drill). 47.6% run yearly sub-specialty events. 45.5% were required to make additional work arrangements to run simulation events. 77.3% had no job plan time allocation for simulation. 59.1% dedicated >1 hr/week to simulation. 68.2% EYESI simulators were purchased via charity/endowments. 72.7% had access to dedicated dry lab simulation (40.9% wet lab). 40.9% used deanery funds to purchase initial model eyes (supplemented by charity (36.4%) and endowments (31.8%)). 65% used unspent study leave budgets for ongoing model eyes, yet 15% reported trainees purchasing their own.
Nearly all ophthalmic simulation in the UK is undertaken via goodwill and personal commitment to excellence by the regional Simulation Leads. There is minimal allowance of time or finance for these vital activities, which is sporadic at best, and unsustainable. We call for the necessary investment and dedicated time allocation to permit ophthalmic simulation to be supported and maintained.
眼科模拟在预防并发症方面具有成本效益。然而，目前没有一致的资源分配来提供维持此类活动所需的时间和资金。我们希望确定英国区域模拟负责人目前所获得的支持。
2021 年 2 月，我们向英国所有 26 位眼科区域模拟负责人发送了一份在线 SurveyMonkey 问卷调查，内容涉及当前的模拟活动以及可用的时间和资源支持程度。
在 1 个月内收到了 22 份回复（回应率为 84.6%）。72.7%的人定期为新学员举办模拟培训。60%的人举办强制性激光模拟活动。38.1%的人进行沉浸式模拟（玻璃体液损失消防演习）。47.6%的人每年举办专业模拟活动。45.5%的人需要做出额外的工作安排来开展模拟活动。77.3%的人没有专门的模拟工作时间分配。59.1%的人每周专门投入>1 小时进行模拟。68.2%的人使用 EYESI 模拟器是通过慈善/捐赠获得的。72.7%的人可以使用专门的干实验室模拟（40.9%的人使用湿实验室）。40.9%的人使用学院基金购买初始模型眼（36.4%的人得到慈善基金的补充，31.8%的人得到捐赠基金的补充）。65%的人使用未使用的学习休假预算来购买持续使用的模型眼，但 15%的人报告称学员自己购买。
英国几乎所有的眼科模拟都是由区域模拟负责人凭借良好意愿和对卓越的个人承诺来开展的。这些至关重要的活动所获得的时间或资金微乎其微，而且最多只是零星分配，无法持续。我们呼吁进行必要的投资和专门的时间分配，以支持和维持眼科模拟。
