ArticleBMC medical education2024
Learning curves of novice residents on cataract surgery simulator: the E3CAPS pedagogic study.
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05722080 (E3CAPS), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of extended reality (XR) simulation on ophthalmology training outcomes: an updated systematic review and meta-analysis.Frontiers in medicine · 2026Pooled it
- Ten Years of Lumbar Transforaminal Epidural Steroid Injections in a Tertiary Referral Center: Trends in Clinical Indications and Outcomes.Pain practice : the official journal of World Institute of Pain · 2026Article
- Teaching ophthalmic microsurgical skills: conventional microscopy versus heads-up visualization.BMC medical education · 2026Article
- Advances in the application of virtual reality technology in ophthalmic surgical skills training.International journal of ophthalmology · 2026Review
- Fine motor and sensory proficiency: implications for simulator-based surgical assessments.BMC medical education · 2025Observational
- Cardiac Simulator Technologies and Design for Medical Education and Auscultation Training: A Systematic Review.Bioengineering (Basel, Switzerland) · 2025Review
- Governing Self-Directed Adoption of New Ophthalmic Procedures.Journal of current ophthalmologyArticle
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Authors and funding
20 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTraining novice ophthalmology residents on the EyeSi
methodsThis prospective multicentric pedagogic study was conducted with French novice residents. Each resident completed the recommended four two-hour training sessions and performed a standardized assessment simulating standard cataract surgery before the first session (A0), at the end of the first (A1), second (A2), third (A3) and fourth (A4) sessions. For each surgical step of each attempt, the following data were collected: score, odometer, completion time, posterior capsular rupture and cumulative energy delivered (ultrasounds) during phacoemulsification. A performance threshold was set at a score of 80/100 for each surgical step, 400/500 for the overall procedure. Only descriptive statistics were employed.
resultsSixteen newly nominated ophthalmology residents were included. Median score progressively increased from 95 [IQR 53; 147]) at A0 to 425 [IQR 411; 451] at A4. Despite a significant progression, the "emulsification" step had the lowest A4 scores 86 [IQR 60; 94] without reduction in completion time, odometer or ultrasounds delivered. The rate of posterior capsular rupture decreased linearly from 75% at A0 to 13% at A4 during "emulsification" and from 69 to 0% during "irrigation and aspiration". At A4, only 25% [8; 53] of residents had > 80 at each step and only 75% [47; 92] had > 400/500 overall.
conclusionA training program consisting of four two-hour sessions on the EyeSi simulator over four consecutive days effectively enhances the surgical skills of novice ophthalmology residents. Undergoing more training sessions may improve scores and decrease the incidence of surgical complications, particularly at the emulsification step of cataract surgery. The learning curves presented here can reassure residents who are progressing normally and help identify those who need a further personalized training program.
trial registrationClinicalTrials registration number: NCT05722080 (first submitted 22/12/2022, first posted 10/02/2023).
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