Improvement of the Safety of Care in Cataract Surgery Teaching on Eyesi Simulator (E3CAPS)
- Conditions
- Surgery-ComplicationsCataract
- Interventions
- Other: Sleep deprivationOther: Eyesi simulator
- Registration Number
- NCT05722080
- Lead Sponsor
- Nantes University Hospital
- Brief Summary
The aim of this project is to reduce the risks of cataract surgery using the EyeSi simulator Axis 1: to model the learning curve of novice residents in Ophthalmology who follow the training program recommended by the "Collège des Ophtalmologistes niversitaires de France" (COUF) in order to help creating a "licence to operate" Axis 2: to evaluate the impact of sleep deprivation on the surgical performance of experienced residents in Ophthalmology
- Detailed Description
Axis 1 (15 residents): Learning curve Each resident will perform four 2-hour learning sessions, under the supervision of an experienced cataract surgery trainer. Each resident will perform a standardized assessment at the beginning of the first session with the collection of scores at each surgical stage and the calculation of an average score simulating a complete surgery. This standardized assessment will then be repeated at the end of each of the 4 training sessions. These five points of measurement will make it possible to produce a learning curve for each surgical stage and for the average score simulating a complete surgery.
Axis 2 (25 residents): Sleep deprivation
* 1st session: In order to include the "experienced" residents and to limit the bias related to the learning curve of the cognitive tests and the surgical procedure
* 3 normed assessments in autonomy to determine the average score for each resident
* 3 trials of the Test for Attentional Performance (TAP) with parallel versions to limit test-retest learning bias
* 2nd session: No sleep deprivation
* Sleep assessment by actimetry the night before the session (MotionWatch 8©, camntech®, validated as an alternative method to the reference method which is polysomnography)
* Epworth sleepiness score
* Visual Analogue Scale for Self-Rated Fatigue
* Attentional performance tests TAP
* 3 standardized evaluations on Eyesi in the morning and in the afternoon
* 3rd session: sleep deprivation (\< 7 hours) after a working day
* Sleep evaluation by actimetry the night before the session (MotionWatch 8©, camntech®)
* Epworth sleepiness score
* Self-rated visual analogue scale for fatigue
* Attentional performance tests TAP
* 3 Eyesi standardized evaluations in the morning and in the afternoon
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 40
- Novice resident in Ophthalmology (Axis 1)
- Experienced resident in Opthalmology (Axis 2 )
- N/A
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description simulator Eyesi/sleep deprivation -confirmed residents Sleep deprivation See how experienced residents perform after sleep deprivation using the Eyesi simulator simulator Eyesi - new residents Eyesi simulator Eyesi simulator learning curve for new ophthalmology residents
- Primary Outcome Measures
Name Time Method Scores on standardized simulator Eyesi assessments Change the score from Baseline at 1 year Average score of standardized evaluations on EyeSi simulator. The scale title is "EyeSi score". The scores range from 0 to 100, better outcome being positively correlated with a higher score
Scores on standardized simulator Eyesi assessments after sleep deprivation Change the score from Baseline at 1 year Average score of standardized evaluations on EyeSi simulator after sleep deprivation. The scale title is "EyeSi score". The scores range from 0 to 100, better outcome being positively correlated with a higher score
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
CHU Nantes
🇫🇷Nantes, France
CHU Tours
🇫🇷Tours, France