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

Nantes University Hospital (NUH)

Status: Enrolling

Conditions: Surgery-Complications; Cataract

Treatments: Other: Sleep deprivation; Other: Eyesi simulator

Study type: Interventional

Funder types: Other

Identifiers

NCT05722080

AP_JBD_001

Details and patient eligibility

About

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

Full 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

Enrollment: 40 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Novice resident in Ophthalmology (Axis 1)
• Experienced resident in Opthalmology (Axis 2 )

Exclusion criteria

• N/A

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

simulator Eyesi - new residents

Other group

Description:

Eyesi simulator learning curve for new ophthalmology residents

Treatment:

Other: Eyesi simulator

simulator Eyesi/sleep deprivation -confirmed residents

Other group

Description:

See how experienced residents perform after sleep deprivation using the Eyesi simulator

Treatment:

Other: Sleep deprivation