Simulation of advanced cataract surgery – validation of a newly developed test

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Simulation of advanced cataract surgery – validation of a newly developed test. / Forslund Jacobsen, Mads; Konge, Lars; la Cour, Morten; Holm, Lars; Kjærbo, Hadi; Moldow, Birgitte; Saleh, George M.; Thomsen, Ann Sofia Skou.

In: Acta Ophthalmologica, Vol. 98, No. 7, 2020, p. 687-692.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Forslund Jacobsen, M, Konge, L, la Cour, M, Holm, L, Kjærbo, H, Moldow, B, Saleh, GM & Thomsen, ASS 2020, 'Simulation of advanced cataract surgery – validation of a newly developed test', Acta Ophthalmologica, vol. 98, no. 7, pp. 687-692. https://doi.org/10.1111/aos.14439

APA

Forslund Jacobsen, M., Konge, L., la Cour, M., Holm, L., Kjærbo, H., Moldow, B., Saleh, G. M., & Thomsen, A. S. S. (2020). Simulation of advanced cataract surgery – validation of a newly developed test. Acta Ophthalmologica, 98(7), 687-692. https://doi.org/10.1111/aos.14439

Vancouver

Forslund Jacobsen M, Konge L, la Cour M, Holm L, Kjærbo H, Moldow B et al. Simulation of advanced cataract surgery – validation of a newly developed test. Acta Ophthalmologica. 2020;98(7):687-692. https://doi.org/10.1111/aos.14439

Author

Forslund Jacobsen, Mads ; Konge, Lars ; la Cour, Morten ; Holm, Lars ; Kjærbo, Hadi ; Moldow, Birgitte ; Saleh, George M. ; Thomsen, Ann Sofia Skou. / Simulation of advanced cataract surgery – validation of a newly developed test. In: Acta Ophthalmologica. 2020 ; Vol. 98, No. 7. pp. 687-692.

Bibtex

@article{8b13a74cd6124672ab8df4568c48ea57,
title = "Simulation of advanced cataract surgery – validation of a newly developed test",
abstract = "Purpose: To develop and investigate an Eyesi simulator-based test for the more experienced cataract surgeon for evidence of validity. Methods: The study was a prospective interventional cohort study and carried out at the Copenhagen Academy for Medical Education and Simulation. The Eyesi Simulator was used for the test which was developed by three expert cataract surgeons. Ten cataract surgeons (>250 surgeries performed) and ten ophthalmic residents performed two repetitions of the test. The test consisted of four modules: Iris Expansion Ring insertion – level 1, Iris Expansion Ring extraction – level 2, Capsulorhexis – level 3 and Anterior Vitrectomy – level 6. Results: Internal consistency reliability showed Cronbach{\textquoteright}s alpha of 0.63. Test–retest reliabilities were significant for Iris Expansion Ring extraction – level 2 (p = 0.012) and Capsulorhexis – level 3 (p = 0.018). Differences between the two groups were only significant in both repetitions for the Iris Expansion Ring extraction – level 2 (p < 0.001 and p = 0.041, respectively). Furthermore, we found a statistically significant difference between the mean module scores for novices and the more experienced surgeons for Iris Expansion Ring insertion – level 1 (p = 0.021) and Capsulorhexis – level 3 (p = 0.019) in the first repetition. Conclusion: The investigated modules show evidence of validity within several aspects of Messick{\textquoteright}s framework. However, the evidence is not strong enough to apply the test for certification purposes of cataract surgeons, but the modules may still be relevant in the training of advanced cataract surgical procedures.",
keywords = "cataract surgery, Eyesi, medical education, simulation, virtual reality",
author = "{Forslund Jacobsen}, Mads and Lars Konge and {la Cour}, Morten and Lars Holm and Hadi Kj{\ae}rbo and Birgitte Moldow and Saleh, {George M.} and Thomsen, {Ann Sofia Skou}",
year = "2020",
doi = "10.1111/aos.14439",
language = "English",
volume = "98",
pages = "687--692",
journal = "Acta Ophthalmologica",
issn = "1755-375X",
publisher = "Wiley-Blackwell",
number = "7",

}

RIS

TY - JOUR

T1 - Simulation of advanced cataract surgery – validation of a newly developed test

AU - Forslund Jacobsen, Mads

AU - Konge, Lars

AU - la Cour, Morten

AU - Holm, Lars

AU - Kjærbo, Hadi

AU - Moldow, Birgitte

AU - Saleh, George M.

AU - Thomsen, Ann Sofia Skou

PY - 2020

Y1 - 2020

N2 - Purpose: To develop and investigate an Eyesi simulator-based test for the more experienced cataract surgeon for evidence of validity. Methods: The study was a prospective interventional cohort study and carried out at the Copenhagen Academy for Medical Education and Simulation. The Eyesi Simulator was used for the test which was developed by three expert cataract surgeons. Ten cataract surgeons (>250 surgeries performed) and ten ophthalmic residents performed two repetitions of the test. The test consisted of four modules: Iris Expansion Ring insertion – level 1, Iris Expansion Ring extraction – level 2, Capsulorhexis – level 3 and Anterior Vitrectomy – level 6. Results: Internal consistency reliability showed Cronbach’s alpha of 0.63. Test–retest reliabilities were significant for Iris Expansion Ring extraction – level 2 (p = 0.012) and Capsulorhexis – level 3 (p = 0.018). Differences between the two groups were only significant in both repetitions for the Iris Expansion Ring extraction – level 2 (p < 0.001 and p = 0.041, respectively). Furthermore, we found a statistically significant difference between the mean module scores for novices and the more experienced surgeons for Iris Expansion Ring insertion – level 1 (p = 0.021) and Capsulorhexis – level 3 (p = 0.019) in the first repetition. Conclusion: The investigated modules show evidence of validity within several aspects of Messick’s framework. However, the evidence is not strong enough to apply the test for certification purposes of cataract surgeons, but the modules may still be relevant in the training of advanced cataract surgical procedures.

AB - Purpose: To develop and investigate an Eyesi simulator-based test for the more experienced cataract surgeon for evidence of validity. Methods: The study was a prospective interventional cohort study and carried out at the Copenhagen Academy for Medical Education and Simulation. The Eyesi Simulator was used for the test which was developed by three expert cataract surgeons. Ten cataract surgeons (>250 surgeries performed) and ten ophthalmic residents performed two repetitions of the test. The test consisted of four modules: Iris Expansion Ring insertion – level 1, Iris Expansion Ring extraction – level 2, Capsulorhexis – level 3 and Anterior Vitrectomy – level 6. Results: Internal consistency reliability showed Cronbach’s alpha of 0.63. Test–retest reliabilities were significant for Iris Expansion Ring extraction – level 2 (p = 0.012) and Capsulorhexis – level 3 (p = 0.018). Differences between the two groups were only significant in both repetitions for the Iris Expansion Ring extraction – level 2 (p < 0.001 and p = 0.041, respectively). Furthermore, we found a statistically significant difference between the mean module scores for novices and the more experienced surgeons for Iris Expansion Ring insertion – level 1 (p = 0.021) and Capsulorhexis – level 3 (p = 0.019) in the first repetition. Conclusion: The investigated modules show evidence of validity within several aspects of Messick’s framework. However, the evidence is not strong enough to apply the test for certification purposes of cataract surgeons, but the modules may still be relevant in the training of advanced cataract surgical procedures.

KW - cataract surgery

KW - Eyesi

KW - medical education

KW - simulation

KW - virtual reality

U2 - 10.1111/aos.14439

DO - 10.1111/aos.14439

M3 - Journal article

C2 - 32304357

AN - SCOPUS:85083511673

VL - 98

SP - 687

EP - 692

JO - Acta Ophthalmologica

JF - Acta Ophthalmologica

SN - 1755-375X

IS - 7

ER -

ID: 258402137