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The Effects of Distraction on Cataract Surgery Performance in Consultants and Trainees Using a Simulator

Adonis El Salloukh, Murad Khan, Patrick Watts, Phil Newton Orcid Logo, Gwyn Williams

Clinical Ophthalmology, Volume: 18, Pages: 3297 - 3312

Swansea University Author: Phil Newton Orcid Logo

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DOI (Published version): 10.2147/opth.s474806

Abstract

Purpose: Mental workload is a recognised concept in medicine, and cognitive overload may lead to complications in surgery, including cataract surgery. A better understanding of what factors contribute to this can potentially improve patient safety and decrease surgeon stress. Simulated cataract surg...

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Published in: Clinical Ophthalmology
ISSN: 1177-5467 1177-5483
Published: Informa UK Limited 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa68362
first_indexed 2024-11-27T19:46:37Z
last_indexed 2025-02-11T05:52:47Z
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Simulated cataract surgery is now an essential part of training and a safe environment for exploring the effects of cognitive load upon performance. We used the EyeSi cataract surgery simulator to assess the effects of distraction on surgical performance and on ophthalmology trainees and consultants undertaking cataract surgery. Patients and Methods: Consultant and trainee cataract surgeons undertook a simulated list of six cases each, of which half were allowed to proceed without extraneous cognitive load with distraction and half were not. Blood pressure and pulse measurements were taken at three intervals in each of the six cases, as well as surgical scores on the simulator recorded for each case. Results: Distraction did not statistically significantly affect the scores, blood pressure or pulse measurements of either the 10 trainees or 10 consultants. Consultants performed more poorly than trainees overall (P = 0.0229) and suffered more serious errors that returned a score of zero for an individual stage (P = 0.0074). Conclusion: Consultant cataract surgeons performed worse than trainees on the EyeSi simulator, raising questions over whether simulation is as true to reality as has been suggested. An important finding is that ophthalmic training curricula around the world have been adapted in order to include simulated cataract surgery as an essential component of training new ophthalmic surgeons.</abstract><type>Journal Article</type><journal>Clinical Ophthalmology</journal><volume>18</volume><journalNumber/><paginationStart>3297</paginationStart><paginationEnd>3312</paginationEnd><publisher>Informa UK Limited</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1177-5467</issnPrint><issnElectronic>1177-5483</issnElectronic><keywords>Simulation, cataract surgery, ophthalmology</keywords><publishedDay>18</publishedDay><publishedMonth>11</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-11-18</publishedDate><doi>10.2147/opth.s474806</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>External research funder(s) paid the OA fee (includes OA grants disbursed by the Library)</apcterm><funders>Roche Products Ltd. supported with funding for the article submission charges by a hands-off grant. Roche Products Ltd did not have any involvement in the preparation, drafting, or editing of this manuscript or in the choice of authors.</funders><projectreference/><lastEdited>2025-02-10T15:44:53.9840547</lastEdited><Created>2024-11-27T17:54:16.0302304</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Adonis El</firstname><surname>Salloukh</surname><order>1</order></author><author><firstname>Murad</firstname><surname>Khan</surname><order>2</order></author><author><firstname>Patrick</firstname><surname>Watts</surname><order>3</order></author><author><firstname>Phil</firstname><surname>Newton</surname><orcid>0000-0002-5272-7979</orcid><order>4</order></author><author><firstname>Gwyn</firstname><surname>Williams</surname><order>5</order></author></authors><documents><document><filename>68362__33138__5544f8d899a74cfb8e3c0274843d3917.pdf</filename><originalFilename>68362.VOR.pdf</originalFilename><uploaded>2024-12-13T15:24:14.6268394</uploaded><type>Output</type><contentLength>2241032</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2024 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by-nc/3.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2025-02-10T15:44:53.9840547 v2 68362 2024-11-27 The Effects of Distraction on Cataract Surgery Performance in Consultants and Trainees Using a Simulator 6e0a363d04c407371184d82f7a5bddc8 0000-0002-5272-7979 Phil Newton Phil Newton true false 2024-11-27 MEDS Purpose: Mental workload is a recognised concept in medicine, and cognitive overload may lead to complications in surgery, including cataract surgery. A better understanding of what factors contribute to this can potentially improve patient safety and decrease surgeon stress. Simulated cataract surgery is now an essential part of training and a safe environment for exploring the effects of cognitive load upon performance. We used the EyeSi cataract surgery simulator to assess the effects of distraction on surgical performance and on ophthalmology trainees and consultants undertaking cataract surgery. Patients and Methods: Consultant and trainee cataract surgeons undertook a simulated list of six cases each, of which half were allowed to proceed without extraneous cognitive load with distraction and half were not. Blood pressure and pulse measurements were taken at three intervals in each of the six cases, as well as surgical scores on the simulator recorded for each case. Results: Distraction did not statistically significantly affect the scores, blood pressure or pulse measurements of either the 10 trainees or 10 consultants. Consultants performed more poorly than trainees overall (P = 0.0229) and suffered more serious errors that returned a score of zero for an individual stage (P = 0.0074). Conclusion: Consultant cataract surgeons performed worse than trainees on the EyeSi simulator, raising questions over whether simulation is as true to reality as has been suggested. An important finding is that ophthalmic training curricula around the world have been adapted in order to include simulated cataract surgery as an essential component of training new ophthalmic surgeons. Journal Article Clinical Ophthalmology 18 3297 3312 Informa UK Limited 1177-5467 1177-5483 Simulation, cataract surgery, ophthalmology 18 11 2024 2024-11-18 10.2147/opth.s474806 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University External research funder(s) paid the OA fee (includes OA grants disbursed by the Library) Roche Products Ltd. supported with funding for the article submission charges by a hands-off grant. Roche Products Ltd did not have any involvement in the preparation, drafting, or editing of this manuscript or in the choice of authors. 2025-02-10T15:44:53.9840547 2024-11-27T17:54:16.0302304 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Adonis El Salloukh 1 Murad Khan 2 Patrick Watts 3 Phil Newton 0000-0002-5272-7979 4 Gwyn Williams 5 68362__33138__5544f8d899a74cfb8e3c0274843d3917.pdf 68362.VOR.pdf 2024-12-13T15:24:14.6268394 Output 2241032 application/pdf Version of Record true © 2024 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. true eng https://creativecommons.org/licenses/by-nc/3.0/
title The Effects of Distraction on Cataract Surgery Performance in Consultants and Trainees Using a Simulator
spellingShingle The Effects of Distraction on Cataract Surgery Performance in Consultants and Trainees Using a Simulator
Phil Newton
title_short The Effects of Distraction on Cataract Surgery Performance in Consultants and Trainees Using a Simulator
title_full The Effects of Distraction on Cataract Surgery Performance in Consultants and Trainees Using a Simulator
title_fullStr The Effects of Distraction on Cataract Surgery Performance in Consultants and Trainees Using a Simulator
title_full_unstemmed The Effects of Distraction on Cataract Surgery Performance in Consultants and Trainees Using a Simulator
title_sort The Effects of Distraction on Cataract Surgery Performance in Consultants and Trainees Using a Simulator
author_id_str_mv 6e0a363d04c407371184d82f7a5bddc8
author_id_fullname_str_mv 6e0a363d04c407371184d82f7a5bddc8_***_Phil Newton
author Phil Newton
author2 Adonis El Salloukh
Murad Khan
Patrick Watts
Phil Newton
Gwyn Williams
format Journal article
container_title Clinical Ophthalmology
container_volume 18
container_start_page 3297
publishDate 2024
institution Swansea University
issn 1177-5467
1177-5483
doi_str_mv 10.2147/opth.s474806
publisher Informa UK Limited
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
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description Purpose: Mental workload is a recognised concept in medicine, and cognitive overload may lead to complications in surgery, including cataract surgery. A better understanding of what factors contribute to this can potentially improve patient safety and decrease surgeon stress. Simulated cataract surgery is now an essential part of training and a safe environment for exploring the effects of cognitive load upon performance. We used the EyeSi cataract surgery simulator to assess the effects of distraction on surgical performance and on ophthalmology trainees and consultants undertaking cataract surgery. Patients and Methods: Consultant and trainee cataract surgeons undertook a simulated list of six cases each, of which half were allowed to proceed without extraneous cognitive load with distraction and half were not. Blood pressure and pulse measurements were taken at three intervals in each of the six cases, as well as surgical scores on the simulator recorded for each case. Results: Distraction did not statistically significantly affect the scores, blood pressure or pulse measurements of either the 10 trainees or 10 consultants. Consultants performed more poorly than trainees overall (P = 0.0229) and suffered more serious errors that returned a score of zero for an individual stage (P = 0.0074). Conclusion: Consultant cataract surgeons performed worse than trainees on the EyeSi simulator, raising questions over whether simulation is as true to reality as has been suggested. An important finding is that ophthalmic training curricula around the world have been adapted in order to include simulated cataract surgery as an essential component of training new ophthalmic surgeons.
published_date 2024-11-18T05:22:22Z
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