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Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery
OBJECTIVES: To develop and implement a simulation-based training model for the management of posterior capsule rupture (PCR) from a non-technical skills (NTS) perspective, and analyse changes in participant’s NTS and technical skills (TS). METHODS: The simulation-based training model consisted of tw...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905539/ https://www.ncbi.nlm.nih.gov/pubmed/35140330 http://dx.doi.org/10.1038/s41433-022-01962-2 |
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author | Wood, Thomas Charles Maqsood, Sundas Saunders, Alex Sancha, William Nanavaty, Mayank A. Wearne, Michael Rajak, Saul |
author_facet | Wood, Thomas Charles Maqsood, Sundas Saunders, Alex Sancha, William Nanavaty, Mayank A. Wearne, Michael Rajak, Saul |
author_sort | Wood, Thomas Charles |
collection | PubMed |
description | OBJECTIVES: To develop and implement a simulation-based training model for the management of posterior capsule rupture (PCR) from a non-technical skills (NTS) perspective, and analyse changes in participant’s NTS and technical skills (TS). METHODS: The simulation-based training model consisted of two identical PCR simulations with NTS stressors applied, separated by a predominantly NTS focussed training intervention. Participants’ TS and NTS were evaluated by two blinded assessors using the Objective Structured Assessment of Technical Skill (OSATS) global rating scale and the HUman Factors in intraoperative Ophthalmic Emergencies Scoring System (HUFOES) respectively. Paired t-tests were used to establish the difference in mean HUFOES and OSATS scores between initial and repeat simulations; p < 0.05 indicated statistical significance. McGaghie’s model of translational outcomes for simulation-based learning was used to establish the simulation model’s educational status. RESULTS: Seventeen cataract surgeons of varying training grades participated in the simulation-based training model. NTS improved with statistical significance; mean HUFOES scores increased from 48.7 ± 16.6 to 59.2 ± 14.8 (p < 0.001). Mean OSATS scores increased without statistical significance from 16.0 ± 7.3 to 17.9 ± 8.3 (p = 0.07). This simulation model achieved Level 1 (internal acceptability) and Level 2 (contained effects) according to McGaghie’s model. CONCLUSIONS: This novel simulation-based training model was designed to improve the NTS required for managing intraoperative PCR, through the provision of an interactive training session. Statistically significant improvements in participants’ NTS in combination with statistically insignificant improvements in TS demonstrate that the simulation-based training model has specificity within the NTS domain. |
format | Online Article Text |
id | pubmed-9905539 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-99055392023-02-10 Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery Wood, Thomas Charles Maqsood, Sundas Saunders, Alex Sancha, William Nanavaty, Mayank A. Wearne, Michael Rajak, Saul Eye (Lond) Article OBJECTIVES: To develop and implement a simulation-based training model for the management of posterior capsule rupture (PCR) from a non-technical skills (NTS) perspective, and analyse changes in participant’s NTS and technical skills (TS). METHODS: The simulation-based training model consisted of two identical PCR simulations with NTS stressors applied, separated by a predominantly NTS focussed training intervention. Participants’ TS and NTS were evaluated by two blinded assessors using the Objective Structured Assessment of Technical Skill (OSATS) global rating scale and the HUman Factors in intraoperative Ophthalmic Emergencies Scoring System (HUFOES) respectively. Paired t-tests were used to establish the difference in mean HUFOES and OSATS scores between initial and repeat simulations; p < 0.05 indicated statistical significance. McGaghie’s model of translational outcomes for simulation-based learning was used to establish the simulation model’s educational status. RESULTS: Seventeen cataract surgeons of varying training grades participated in the simulation-based training model. NTS improved with statistical significance; mean HUFOES scores increased from 48.7 ± 16.6 to 59.2 ± 14.8 (p < 0.001). Mean OSATS scores increased without statistical significance from 16.0 ± 7.3 to 17.9 ± 8.3 (p = 0.07). This simulation model achieved Level 1 (internal acceptability) and Level 2 (contained effects) according to McGaghie’s model. CONCLUSIONS: This novel simulation-based training model was designed to improve the NTS required for managing intraoperative PCR, through the provision of an interactive training session. Statistically significant improvements in participants’ NTS in combination with statistically insignificant improvements in TS demonstrate that the simulation-based training model has specificity within the NTS domain. Nature Publishing Group UK 2022-02-09 2023-02 /pmc/articles/PMC9905539/ /pubmed/35140330 http://dx.doi.org/10.1038/s41433-022-01962-2 Text en © The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2022 |
spellingShingle | Article Wood, Thomas Charles Maqsood, Sundas Saunders, Alex Sancha, William Nanavaty, Mayank A. Wearne, Michael Rajak, Saul Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery |
title | Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery |
title_full | Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery |
title_fullStr | Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery |
title_full_unstemmed | Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery |
title_short | Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery |
title_sort | non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905539/ https://www.ncbi.nlm.nih.gov/pubmed/35140330 http://dx.doi.org/10.1038/s41433-022-01962-2 |
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