The development of a virtual reality training programme for ophthalmology: repeatability and reproducibility (part of the International Forum for Ophthalmic Simulation Studies)
Purpose To evaluate the variability of performance among novice ophthalmic trainees in a range of repeated tasks using the Eyesi virtual reality (VR) simulator. Methods Eighteen subjects undertook three attempts of five cataract specific and generic three-dimensional tasks: continuous curvilinear ca...
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| Veröffentlicht in: | Eye (London) 2013-11, Vol.27 (11), p.1269-1274 |
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| creator | Saleh, G M Theodoraki, K Gillan, S Sullivan, P O'Sullivan, F Hussain, B Bunce, C Athanasiadis, I |
| description | Purpose
To evaluate the variability of performance among novice ophthalmic trainees in a range of repeated tasks using the Eyesi virtual reality (VR) simulator.
Methods
Eighteen subjects undertook three attempts of five cataract specific and generic three-dimensional tasks: continuous curvilinear capsulorhexis, cracking and chopping, cataract navigation, bimanual cataract training, anti-tremor. Scores for each attempt were out of a maximum of 100 points. A non-parametric test was used to analyse the data, where a
P
-value of |
| doi_str_mv | 10.1038/eye.2013.166 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3831124</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3126207741</sourcerecordid><originalsourceid>FETCH-LOGICAL-c450t-4ee03813c74aa3d33a56e66853f79c9a4fca0cf43f01b78ca00880f17283d3f13</originalsourceid><addsrcrecordid>eNptkl9rFDEUxYModq2--SwBXyp01mQyf30QpFgtFPrQCr6Fu5mb3ZTMZEwyC_ut_IhmZ7elik8h9_5yTnJzCHnL2ZIz0XzEHS5zxsWSV9UzsuBFXWVlURbPyYK1JcvyPP95Ql6FcM9YatbsJTnJRVszltcL8vtug7TDLVo39jhE6jQFujU-TmCpR7Am7mj0YAYzrOno3dpD3yPVzlM3buIGbO-sW-8-JXpEiLAy8xkYun3Fu25S5lg7G8HPFjG5Xg0R_QDRuCFZXTo_9bPqzVHVKHpr-snOBL2NU2cwfHhNXmiwAd8c11Py4_Lr3cX37Prm29XFl-tMFSWLWYGYhsOFqgsA0QkBZYVV1ZRC161qodAKmNKF0Iyv6iZtWNMwzeu8SbTm4pR8PuiO06rHTqXZeLBy9KYHv5MOjPy7M5iNXLutFI3gPC-SwNlRwLtfE4YoexMUWgsDuilIXpQtrxJZJfT9P-i9m9Jo7Ew1OS_rtknU-YFS3oXgUT9ehjO5j4JMUZD7KMgUhYS_e_qAR_jh7xOQHYCQWsMa_RPX_wn-AZbmw5Y</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1458215798</pqid></control><display><type>article</type><title>The development of a virtual reality training programme for ophthalmology: repeatability and reproducibility (part of the International Forum for Ophthalmic Simulation Studies)</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Saleh, G M ; Theodoraki, K ; Gillan, S ; Sullivan, P ; O'Sullivan, F ; Hussain, B ; Bunce, C ; Athanasiadis, I</creator><creatorcontrib>Saleh, G M ; Theodoraki, K ; Gillan, S ; Sullivan, P ; O'Sullivan, F ; Hussain, B ; Bunce, C ; Athanasiadis, I</creatorcontrib><description>Purpose
To evaluate the variability of performance among novice ophthalmic trainees in a range of repeated tasks using the Eyesi virtual reality (VR) simulator.
Methods
Eighteen subjects undertook three attempts of five cataract specific and generic three-dimensional tasks: continuous curvilinear capsulorhexis, cracking and chopping, cataract navigation, bimanual cataract training, anti-tremor. Scores for each attempt were out of a maximum of 100 points. A non-parametric test was used to analyse the data, where a
P
-value of <0.05 was considered statistically significant.
Results
Highly significant differences were found between the scores achieved in the first attempt and that during the second (
P
<0.0001) and third (
P
<0.0001) but not between the second and third attempt (
P
=0.65). There was no significant variability in the overall score between the users (
P
=0.1104) or in the difference between their highest and lowest score (
P
=0.3878). Highly significant differences between tasks were shown both in the overall score (
P
=0.0001) and in the difference between highest and lowest score (
P
=0.003).
Conclusion
This study, which is the first to quantify reproducibility of performance in entry level trainees using a VR tool, demonstrated significant intra-novice variability. The cohort of subjects performed equally overall in the range of tasks (no inter-novice variability) but each showed that performance varies significantly with the complexity of the task when using this high-fidelity instrument.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2013.166</identifier><identifier>PMID: 23970027</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>706/648/160 ; Capsulorhexis - education ; Cataract Extraction - education ; Clinical Study ; Computer Simulation ; Computer-Assisted Instruction - methods ; Computer-Assisted Instruction - standards ; Education, Medical, Graduate - methods ; Education, Medical, Graduate - standards ; Educational Measurement ; Humans ; Laboratory Medicine ; Medicine ; Medicine & Public Health ; Ophthalmology ; Ophthalmology - education ; Pharmaceutical Sciences/Technology ; Prospective Studies ; Reproducibility of Results ; Statistics, Nonparametric ; Surgery ; Surgical Oncology</subject><ispartof>Eye (London), 2013-11, Vol.27 (11), p.1269-1274</ispartof><rights>Royal College of Ophthalmologists 2013</rights><rights>Copyright Nature Publishing Group Nov 2013</rights><rights>Copyright © 2013 Royal College of Ophthalmologists 2013 Royal College of Ophthalmologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-4ee03813c74aa3d33a56e66853f79c9a4fca0cf43f01b78ca00880f17283d3f13</citedby><cites>FETCH-LOGICAL-c450t-4ee03813c74aa3d33a56e66853f79c9a4fca0cf43f01b78ca00880f17283d3f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3831124/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3831124/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23970027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saleh, G M</creatorcontrib><creatorcontrib>Theodoraki, K</creatorcontrib><creatorcontrib>Gillan, S</creatorcontrib><creatorcontrib>Sullivan, P</creatorcontrib><creatorcontrib>O'Sullivan, F</creatorcontrib><creatorcontrib>Hussain, B</creatorcontrib><creatorcontrib>Bunce, C</creatorcontrib><creatorcontrib>Athanasiadis, I</creatorcontrib><title>The development of a virtual reality training programme for ophthalmology: repeatability and reproducibility (part of the International Forum for Ophthalmic Simulation Studies)</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Purpose
To evaluate the variability of performance among novice ophthalmic trainees in a range of repeated tasks using the Eyesi virtual reality (VR) simulator.
Methods
Eighteen subjects undertook three attempts of five cataract specific and generic three-dimensional tasks: continuous curvilinear capsulorhexis, cracking and chopping, cataract navigation, bimanual cataract training, anti-tremor. Scores for each attempt were out of a maximum of 100 points. A non-parametric test was used to analyse the data, where a
P
-value of <0.05 was considered statistically significant.
Results
Highly significant differences were found between the scores achieved in the first attempt and that during the second (
P
<0.0001) and third (
P
<0.0001) but not between the second and third attempt (
P
=0.65). There was no significant variability in the overall score between the users (
P
=0.1104) or in the difference between their highest and lowest score (
P
=0.3878). Highly significant differences between tasks were shown both in the overall score (
P
=0.0001) and in the difference between highest and lowest score (
P
=0.003).
Conclusion
This study, which is the first to quantify reproducibility of performance in entry level trainees using a VR tool, demonstrated significant intra-novice variability. The cohort of subjects performed equally overall in the range of tasks (no inter-novice variability) but each showed that performance varies significantly with the complexity of the task when using this high-fidelity instrument.</description><subject>706/648/160</subject><subject>Capsulorhexis - education</subject><subject>Cataract Extraction - education</subject><subject>Clinical Study</subject><subject>Computer Simulation</subject><subject>Computer-Assisted Instruction - methods</subject><subject>Computer-Assisted Instruction - standards</subject><subject>Education, Medical, Graduate - methods</subject><subject>Education, Medical, Graduate - standards</subject><subject>Educational Measurement</subject><subject>Humans</subject><subject>Laboratory Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Ophthalmology - education</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Statistics, Nonparametric</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkl9rFDEUxYModq2--SwBXyp01mQyf30QpFgtFPrQCr6Fu5mb3ZTMZEwyC_ut_IhmZ7elik8h9_5yTnJzCHnL2ZIz0XzEHS5zxsWSV9UzsuBFXWVlURbPyYK1JcvyPP95Ql6FcM9YatbsJTnJRVszltcL8vtug7TDLVo39jhE6jQFujU-TmCpR7Am7mj0YAYzrOno3dpD3yPVzlM3buIGbO-sW-8-JXpEiLAy8xkYun3Fu25S5lg7G8HPFjG5Xg0R_QDRuCFZXTo_9bPqzVHVKHpr-snOBL2NU2cwfHhNXmiwAd8c11Py4_Lr3cX37Prm29XFl-tMFSWLWYGYhsOFqgsA0QkBZYVV1ZRC161qodAKmNKF0Iyv6iZtWNMwzeu8SbTm4pR8PuiO06rHTqXZeLBy9KYHv5MOjPy7M5iNXLutFI3gPC-SwNlRwLtfE4YoexMUWgsDuilIXpQtrxJZJfT9P-i9m9Jo7Ew1OS_rtknU-YFS3oXgUT9ehjO5j4JMUZD7KMgUhYS_e_qAR_jh7xOQHYCQWsMa_RPX_wn-AZbmw5Y</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Saleh, G M</creator><creator>Theodoraki, K</creator><creator>Gillan, S</creator><creator>Sullivan, P</creator><creator>O'Sullivan, F</creator><creator>Hussain, B</creator><creator>Bunce, C</creator><creator>Athanasiadis, I</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>The development of a virtual reality training programme for ophthalmology: repeatability and reproducibility (part of the International Forum for Ophthalmic Simulation Studies)</title><author>Saleh, G M ; Theodoraki, K ; Gillan, S ; Sullivan, P ; O'Sullivan, F ; Hussain, B ; Bunce, C ; Athanasiadis, I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-4ee03813c74aa3d33a56e66853f79c9a4fca0cf43f01b78ca00880f17283d3f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>706/648/160</topic><topic>Capsulorhexis - education</topic><topic>Cataract Extraction - education</topic><topic>Clinical Study</topic><topic>Computer Simulation</topic><topic>Computer-Assisted Instruction - methods</topic><topic>Computer-Assisted Instruction - standards</topic><topic>Education, Medical, Graduate - methods</topic><topic>Education, Medical, Graduate - standards</topic><topic>Educational Measurement</topic><topic>Humans</topic><topic>Laboratory Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Ophthalmology - education</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Statistics, Nonparametric</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saleh, G M</creatorcontrib><creatorcontrib>Theodoraki, K</creatorcontrib><creatorcontrib>Gillan, S</creatorcontrib><creatorcontrib>Sullivan, P</creatorcontrib><creatorcontrib>O'Sullivan, F</creatorcontrib><creatorcontrib>Hussain, B</creatorcontrib><creatorcontrib>Bunce, C</creatorcontrib><creatorcontrib>Athanasiadis, I</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saleh, G M</au><au>Theodoraki, K</au><au>Gillan, S</au><au>Sullivan, P</au><au>O'Sullivan, F</au><au>Hussain, B</au><au>Bunce, C</au><au>Athanasiadis, I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The development of a virtual reality training programme for ophthalmology: repeatability and reproducibility (part of the International Forum for Ophthalmic Simulation Studies)</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>27</volume><issue>11</issue><spage>1269</spage><epage>1274</epage><pages>1269-1274</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract>Purpose
To evaluate the variability of performance among novice ophthalmic trainees in a range of repeated tasks using the Eyesi virtual reality (VR) simulator.
Methods
Eighteen subjects undertook three attempts of five cataract specific and generic three-dimensional tasks: continuous curvilinear capsulorhexis, cracking and chopping, cataract navigation, bimanual cataract training, anti-tremor. Scores for each attempt were out of a maximum of 100 points. A non-parametric test was used to analyse the data, where a
P
-value of <0.05 was considered statistically significant.
Results
Highly significant differences were found between the scores achieved in the first attempt and that during the second (
P
<0.0001) and third (
P
<0.0001) but not between the second and third attempt (
P
=0.65). There was no significant variability in the overall score between the users (
P
=0.1104) or in the difference between their highest and lowest score (
P
=0.3878). Highly significant differences between tasks were shown both in the overall score (
P
=0.0001) and in the difference between highest and lowest score (
P
=0.003).
Conclusion
This study, which is the first to quantify reproducibility of performance in entry level trainees using a VR tool, demonstrated significant intra-novice variability. The cohort of subjects performed equally overall in the range of tasks (no inter-novice variability) but each showed that performance varies significantly with the complexity of the task when using this high-fidelity instrument.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>23970027</pmid><doi>10.1038/eye.2013.166</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0950-222X |
| ispartof | Eye (London), 2013-11, Vol.27 (11), p.1269-1274 |
| issn | 0950-222X 1476-5454 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3831124 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | 706/648/160 Capsulorhexis - education Cataract Extraction - education Clinical Study Computer Simulation Computer-Assisted Instruction - methods Computer-Assisted Instruction - standards Education, Medical, Graduate - methods Education, Medical, Graduate - standards Educational Measurement Humans Laboratory Medicine Medicine Medicine & Public Health Ophthalmology Ophthalmology - education Pharmaceutical Sciences/Technology Prospective Studies Reproducibility of Results Statistics, Nonparametric Surgery Surgical Oncology |
| title | The development of a virtual reality training programme for ophthalmology: repeatability and reproducibility (part of the International Forum for Ophthalmic Simulation Studies) |
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