dc.contributor.author | Annoh, Roxanne | |
dc.contributor.author | Buchan, John | |
dc.contributor.author | Gichuhi, Stephen | |
dc.contributor.author | Philippin, Heiko | |
dc.contributor.author | Arunga, Simon | |
dc.contributor.author | Mukome, Agrippa | |
dc.contributor.author | Admassu, Fisseha | |
dc.contributor.author | Karinya, Lewis | |
dc.contributor.author | Makupa, William | |
dc.contributor.author | Otiti-Sengeri, Juliet | |
dc.contributor.author | Kim, Min | |
dc.contributor.author | MacLeod, David | |
dc.contributor.author | Burton, Matthew J | |
dc.contributor.author | Dean, William H | |
dc.date.accessioned | 2024-02-27T06:57:19Z | |
dc.date.available | 2024-02-27T06:57:19Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Annoh R, Buchan J, Gichuhi S, Philippin H, Arunga S, Mukome A, Admassu F, Lewis K, Makupa W, Otiti-Sengeri J, Kim M, MacLeod D, Burton MJ, Dean WH. The Impact of Simulation-Based Trabeculectomy Training on Resident Core Surgical Skill Competency. J Glaucoma. 2023 Jan 1;32(1):57-64. doi: 10.1097/IJG.0000000000002114. Epub 2022 Aug 22. PMID: 36001526; PMCID: PMC7614002. | en_US |
dc.identifier.uri | https://pubmed.ncbi.nlm.nih.gov/36001526/ | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/164335 | |
dc.description.abstract | Prcis: Simulation-based surgical education shows a positive, immediate, and sustained impact on core surgical skill competency in trabeculectomy among resident ophthalmologists in training.
Purpose: To measure the impact of trabeculectomy, surgical simulation training on core surgical skill competency in resident ophthalmologists.
Materials and methods: This is a post hoc analysis of the GLAucoma Simulated Surgery trial, which is a multicenter, multinational randomized controlled trial. Resident ophthalmologists from 6 training centers in sub-Saharan Africa (in Kenya, Uganda, Tanzania, Zimbabwe, and South Africa) were recruited according to the inclusion criteria of having performed zero surgical trabeculectomies and assisted in <5. Participants were randomly assigned to intervention and control arms using allocation concealment. The intervention was a 1-week intensive trabeculectomy surgical simulation course. Outcome measures were mean surgical competency scores in 8 key trabeculectomy surgical skills (scleral incision, scleral flap, releasable suturing, conjunctival suturing, sclerostomy, tissue handling, fluidity, and speed), using a validated scoring tool.
Results: Forty-nine residents were included in the intention-to-treat analysis. Baseline characteristics were balanced between arms. Median baseline surgical competency scores were 2.88/16 [interquartile range (IQR): 1.75-4.17] and 3.25/16 (IQR: 1.83-4.75) in the intervention and control arms, respectively. At primary intervention, median scores increased to 11.67/16 (IQR: 9.58-12.63) and this effect was maintained at 3 months and 1 year ( P =0.0001). Maximum competency scores at primary intervention were achieved in the core trabeculectomy skills of releasable suturing (n=17, 74%), scleral flap formation (n=16, 70%), and scleral incision (n=15, 65%) compared with scores at baseline.
Conclusions: This study demonstrates the positive impact of intensive simulation-based surgical education on core trabeculectomy skill development. The rapid and sustained effect of resident skill acquisition pose strong arguments for its formal integration into ophthalmic surgical education. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.title | The Impact of Simulation-Based Trabeculectomy Training on Resident Core Surgical Skill Competency | en_US |
dc.type | Article | en_US |