title: Efficacy of surgical simulator training versus traditional wet-lab training on operating room performance of ophthalmology residents during the capsulorhexis in cataract surgery.
abstract: OBJECTIVE
  To compare the operating room performance of ophthalmology residents trained by traditional wet-lab versus surgical simulation on the continuous curvilinear capsulorhexis (CCC) portion of cataract surgery.
  
  
  METHODS
  Academic tertiary referral center.
  
  
  METHODS
  Prospective randomized study.
  
  
  METHODS
  Residents who chose to participate and provided informed consent were randomized to preoperative CCC training in the wet lab or on a simulator. Residents completed pre-practice demographic questionnaires including habits of daily living. After completion of their preoperative training (wet lab versus simulator), residents performed their first CCC of the clinical rotation under the direct supervision of an attending physician as part of their standard training at the facility. Residents then completed satisfaction questionnaires regarding their preoperative training. Two attending surgeons reviewed and graded each video of operating room performance. The mean score between the 2 attending physicians was used as the individual performance score for each of the 12 performance criteria. The overall score was calculated as the sum of these 12 individual performance scores (standardized).
  
  
  RESULTS
  Ten residents trained in the wet lab and 11 on the simulator. There was no significant difference in overall score between the 2 groups (P=.608). There was no significant difference in any individual score except time (wet-lab group faster than simulator group) (P=.038).
  
  
  CONCLUSIONS
  Preoperative simulator training prepared residents for the operating room as effectively as the wet lab. The time to pass the simulator curriculum was predictive of the time and overall performance in the operating room.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Veterans Affairs Boston Healthcare System (Daly, Gonzalez, Siracuse-Lee) and the Departments of Ophthalmology, Boston University School of Medicine (Daly, Siracuse-Lee) and Harvard Medical School (Daly, Gonzalez), Boston, Massachusetts, USA. Electronic address: mary.daly2@va.gov.
authors.forename: Mary K
authors.initials: MK
authors.lastname: Daly
authors.forename: Efren
authors.initials: E
authors.lastname: Gonzalez
authors.forename: Donna
authors.initials: D
authors.lastname: Siracuse-Lee
authors.forename: Paul A
authors.initials: PA
authors.lastname: Legutko
mesh_terms: D000046:Academic Medical Centers; D019923:Capsulorhexis / Q000193:education*; D002387:Cataract Extraction / Q000193:education*; D002983:Clinical Competence; D003198:Computer Simulation; D003194:Computer-Assisted Instruction / Q000295:instrumentation; D004503:Education, Medical, Graduate / Q000706:statistics & numerical data*; D004521:Educational Measurement; D006801:Humans; D007396:Internship and Residency; D008953:Models, Anatomic; D009873:Operating Rooms; D009885:Ophthalmology / Q000193:education*; D011446:Prospective Studies; D014741:Video Recording