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Surgical Education

Global Learning: an Orbis Virtual-platform Evaluation Study

Sponsored by Orbis

About this trial

Last updated 3 years ago

Study ID

FVR - 100177

Status

Completed

Type

Interventional

Phase

N/A

Placebo

No

Accepting

18-75 Years
All
All
All

Trial Timing

Ended 3 years ago

What is this trial about?

Currently, surgical training is often conducted using the traditional "apprentice model", where a trainee observes a qualified surgeon and learns from him/her, and then the surgeon supervises the trainee performing surgery on a patient. The investigators believe that this conventional model has substantial limitations and drawbacks, making surgical training less efficient and less safe. The investigators will test the hypothesis that intense virtual reality (VR) simulation-based ophthalmic surgical training improves initial acquisition of competence in key stages of manual small incision cataract surgery (MSICS). To do this, the investigators are proposing a randomized multi-country study. This mixed-method study will combine qualitative and quantitative data collection. Orbis International partnered with FundamentalVR to create a manual small incision cataract surgical (MSICS) simulator, using virtual reality software combined with existing gaming technology. The result is a VR simulator available at a fraction of the cost of products currently on the market. This VR simulator will be the subject of this study. All training within the 'educational intervention' of this study will be performed using simulation. There is no testing or surgical training on patients. Study Design: Prospective, investigator-masked education-intervention randomized controlled study of intensive virtual reality (VR) simulation-based surgical education of ophthalmologists in China, Ethiopia, India, Mongolia, Bangladesh, UK and USA. Construct validity study of assessment scores generated by the VR simulator for novices versus experts. Qualitative study of face validity of VR simulator, and acceptability questionnaire survey of users. Purposes of study: To investigate the efficacy of intensive VR simulation-based surgical education using the Orbis-FVR simulator. To examine whether it improves competence, is acceptable and has validity. To assess the construct validity of the VR simulator's assessment capacity.

What are the Participation Requirements?

VR Training Efficacy

Inclusion Criteria:

- Trainee ophthalmologist in collaborating institution.

- Agree to undertake simulation procedure assessments

- Agree to undertake and complete the intensive VR simulation training course.

- Performed 0 MSICS as primary surgeon and assisted or part-performed less than 10 MSICS
cases

Exclusion Criteria:

• Trainee who performed 1 or more MSICS cataract surgeries as primary surgeon and assisted
or part-performed 10 or more

Construct Validity

Inclusion Criteria

- The first cohort is novice MSICS surgeons having performed 0 MSICS procedures as
primary surgeon and assisted in less than 10.

- The second cohort is proficient MSICS surgeons having performed a minimum of 1000
MSICS procedures

Exclusion Criteria

• MSICS surgeons having performed 1 or more MSICS cataract surgeries as primary surgeon and
assisted or part-performed 10 or more; or MSICS surgeons who have performed less than 1000
MSICS procedures as primary surgeon.

Locations

Location

Status