Improvement of the Safety of Care in Cataract Surgery Teaching on Eyesi Simulator (E3CAPS)

Study Overview
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Brief Summary
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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
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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

Official Title
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E3CAPS: Improvement of the Safety of Care in Cataract Surgery Teaching on Eyesi Simulator: Learning Curve and Impact of Sleep Deprivation on Residents in Ophthalmology

Conditions
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Surgery-Complications, Cataract

Intervention / Treatment
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* Other: Eyesi simulator
* Other: Sleep deprivation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Novice resident in Ophthalmology (Axis 1) Experienced resident in Opthalmology (Axis 2 ) Exclusion Criteria: N/A

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: First arm to model the learning curve of opthalmologist residents Second arm to show the impact of sleep deprivation on the surgical performance of experienced opthalmologist residents
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: simulator Eyesi - new residents<br>Eyesi simulator learning curve for new ophthalmology residents | Other: Eyesi simulator<br>* Eyesi simulator learning curve for new ophthalmology residents<br>|
| Other: simulator Eyesi/sleep deprivation -confirmed residents<br>See how experienced residents perform after sleep deprivation using the Eyesi simulator | Other: Sleep deprivation<br>* See how experienced residents perform after sleep deprivation using the Eyesi simulator<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scores on standardized simulator Eyesi assessments | 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 | Change the score from Baseline at 1 year | 
| Scores on standardized simulator Eyesi assessments after sleep deprivation | 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 | Change the score from Baseline at 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ophthalmologic Surgical Procedures, Cataract, simulation training, Eyesi simulator, learning curve, sleep, deprivation, professionalism