title: Improving Resident Performance in Oculoplastic Surgery: A New Curriculum Using Surgical Wet Laboratory Videos.
abstract: OBJECTIVE
  To develop a new oculoplastic curriculum that incorporates learning theory of skill acquisition. To develop and evaluate the effectiveness of instructional videos for an oculoplastic surgical wet laboratory.
  
  
  METHODS
  Proof of concept, randomized controlled trial.
  
  
  METHODS
  New York Eye and Ear Infirmary of Mount Sinai-tertiary care academic institution.
  
  
  METHODS
  In total, 16 ophthalmology residents were randomly assigned to 1 of 2 groups and given either video and text or text instructions alone for the following 2 procedures: blepharoplasty and eyelid laceration repair. Operating time and esthetic result were measured, and the groups were statistically compared. A brief survey was administered.
  
  
  RESULTS
  We developed a new 6 component oculoplastics curriculum that incorporates concepts of the Fitts and Posner skill acquisition model and mental imagery. In the wet laboratory pilot study, the group that watched the video of the laceration repair showed better esthetic grades than the group that received text alone (p = 0.038). This difference was not found for the blepharoplasty (p = 0.492). There was no difference between groups in operating time for the laceration repair (p = 0.722), but the group that watched the blepharoplasty video required more time to complete the task than those that reviewed text only (p = 0.023). In total, 100% of residents reported the videos augmented their learning.
  
  
  CONCLUSIONS
  Methods to optimize surgical education are important given limited operating room time in oculoplastics, a subspecialty in which the number of surgeries performed during residency is relatively low. We developed a curriculum based on learning theory and sought to formally test one important aspect, surgical video for wet laboratories. Our pilot study, despite its limitations, showed that wet laboratory surgical videos can be effective tools in improving motor skill acquisition for oculoplastic surgery.
authors.affiliation: Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York.
authors.forename: Kapil
authors.initials: K
authors.lastname: Mishra
authors.affiliation: Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York.
authors.forename: Mariam
authors.initials: M
authors.lastname: Mathai
authors.affiliation: Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York.
authors.forename: Robert C
authors.initials: RC
authors.lastname: Della Rocca
authors.affiliation: Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York. Electronic address: HReddy@nyee.edu.
authors.forename: Harsha S
authors.initials: HS
authors.lastname: Reddy
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D019882:Blepharoplasty / Q000193:education*; D002102:Cadaver; D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods; D005141:Eyelid Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D008297:Male; D009519:New York City; D061646:Operative Time; D013508:Ophthalmologic Surgical Procedures / Q000193:education*; D010865:Pilot Projects; D014741:Video Recording
keywords: Medical Knowledge; Practice-Based Learning and Improvement; oculoplastic surgery; ophthalmology; surgical training; surgical videos; wet lab