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.
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
Br J Ophthalmol. 2023 Sep;107(9):1395-1402. doi: 10.1136/bjophthalmol-2022-321135. Epub 2022 Jun 14.
To introduce and assess a course using grapes as training models for ophthalmology residents to acquire basic microsurgical skills.
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.
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).
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.
ChiCTR2000040439.
介绍并评估一项使用葡萄作为眼科住院医师基础显微手术技能培训模型的课程。
纳入对显微手术不熟悉的眼科住院医师。参与者按照 1:1 的比例随机分为基于水果模型（A 组）或虚拟现实（VR）调制器和硅胶缝线垫（B 组）的 4 小时培训方案。在培训前后，设计了问卷以衡量他们对眼科手术的自信心以及作为手术助手的未来角色。培训后，每位参与者表达了对进一步学习显微手术的兴趣，并在猪眼上评估他们的眼科显微手术综合能力。
共纳入 83 名参与者，其中 A 组 42 名，B 组 41 名。培训后，A 组在角膜缝线评估中缝线跨度（p<0.05）、缝线厚度（p<0.05）和组织保护（p<0.05）的均匀性方面表现更好。A 组在猪眼上角膜缝线和环形囊膜切开术的总体评分与 B 组相当（p=0.26 和 0.87）。A 组对忍受超过 4 小时的培训表现出更积极的态度（p<0.001），以及未来接受更多次培训的意愿更高（p<0.001）。
基于葡萄的培训模型与 VR 模拟器和硅缝线垫一样，可以为眼科住院医师提供扎实的培训任务，以掌握基本的显微手术技能，并且可能具有较低的经济成本和易于获得的优势。
ChiCTR2000040439。
