Impact of Video Describing Cataract Surgical Simulator Training on Patients' Perceptions of Resident Involvement in Cataract Surgery

Abstract

Purpose The aim of this article is to investigate the impact of a 1-minute video describing resident training with a cataract surgical simulator on patients' perceptions regarding resident involvement in cataract surgery and to identify factors associated with patient willingness to have cataract surgery performed by a resident.

Design Cross-sectional survey.

Methods An anonymous Likert-style survey was conducted among 430 consecutive adult patients who presented for eye examination at the Penn State Health Eye Center. The survey included questions regarding demographics, understanding of the medical training hierarchy, and patient willingness to have a resident perform their cataract surgery. There were six questions regarding patient willingness to have residents perform their cataract surgery and the second question in this set informs the patient that residents are supervised by an experienced cataract surgeon. Patients were randomly assigned to one of two groups: patients in Group 1 completed the survey only, while patients in Group 2 watched a 1-minute video describing resident training with a cataract surgical simulator prior to completing the survey.

Results Four hundred fourteen of the 430 patients (96.3%) completed the survey. Overall, 24.7% (n = 102) of respondents expressed willingness to allow an ophthalmology resident to perform their cataract surgery, and that proportion increased to 54.0% (n = 223) if the patient was informed that the resident would be supervised by an experienced cataract surgeon. Patients in Group 2 were twice as likely compared with patients in Group 1 to express willingness to allow an ophthalmology resident to perform their cataract surgery (odds ratio 1.92 [1.18–3.11], p = 0.009).

Conclusions A thorough informed consent process including information regarding attending supervision and a brief video detailing resident training with a cataract surgery simulator may increase patient willingness to allow resident participation in cataract surgery.

Keywords

cataract surgical simulator - cataract surgery simulator - virtual reality - cataract surgery training - ophthalmology resident training

Disclosure

Presented in part at the Association for Research in Vision and Ophthalmology annual meeting, May 3–7, 2015, Denver, Colorado.

None of the authors reports any financial or proprietary interest in the information presented.

Publication History

Received: 26 October 2020

Accepted: 02 February 2021

Article published online:
22 November 2021

• References

• 1 Klein BEK, Howard KP, Lee KE, Klein R. Changing incidence of lens extraction over 20 years: the Beaver Dam eye study. Ophthalmology 2014; 121 (01) 5-9
• 2 Accreditation Council for Graduate Medical Education. Required minimum number of procedures for graduating residents in ophthalmology: review committee for ophthalmology, 2013. Accessed March 8, 2021 at: https://www.acgme.org/Portals/0/PFAssets/ProgramResources/240_Oph_Minimum_Numbers.pdf
• 3 Lotfipour M, Rolius R, Lehman EB, Pantanelli SM, Scott IU. Trends in cataract surgery training curricula. J Cataract Refract Surg 2017; 43 (01) 49-53
• 4 Accreditation Council for Graduate Medical Education. Required minimum number of procedures for graduating residents in ophthalmology, 2014. Accessed March 8, 2021 at: https://www.acgme.org/Portals/0/PFAssets/ProgramResources/240_Oph_Minimum_Numbers.pdf?ver=2015-11-06-120652-043
• 5 Daly MK, Gonzalez E, Siracuse-Lee D, Legutko PA. Efficacy of surgical simulator training versus traditional wet-lab training on operating room performance of ophthalmology residents during the capsulorhexis in cataract surgery. J Cataract Refract Surg 2013; 39 (11) 1734-1741
• 6 Belyea DA, Brown SE, Rajjoub LZ. Influence of surgery simulator training on ophthalmology resident phacoemulsification performance. J Cataract Refract Surg 2011; 37 (10) 1756-1761
• 7 Bergqvist J, Person A, Vestergaard A, Grauslund J. Establishment of a validated training programme on the Eyesi cataract simulator. A prospective randomized study. Acta Ophthalmol 2014; 92 (07) 629-634
• 8 McCannel CA, Reed DC, Goldman DR. Ophthalmic surgery simulator training improves resident performance of capsulorhexis in the operating room. Ophthalmology 2013; 120 (12) 2456-2461
• 9 Pokroy R, Du E, Alzaga A. et al. Impact of simulator training on resident cataract surgery. Graefes Arch Clin Exp Ophthalmol 2013; 251 (03) 777-781
• 10 Roohipoor R, Yaseri M, Teymourpour A, Kloek C, Miller JB, Loewenstein JI. Early performance on eye surgery simulator predicts subsequent resident surgical performance. J Surg Educ 2017; 74 (06) 1105-1115
• 11 Nguyen TN, Silver D, Arthurs B. Consent to cataract surgery performed by residents. Can J Ophthalmol 2005; 40 (01) 34-37
• 12 Gan KD, Rudnisky CJ, Weis E. Discussing resident participation in cataract surgery. Can J Ophthalmol 2009; 44 (06) 651-654
• 13 Sharda RK, Sher JH, Chan BJ, Kobetz LE, Mann KD. A comparison of techniques: informed consent for resident involvement in cataract surgery. Can J Ophthalmol 2012; 47 (02) 113-117
• 14 Wisner DM, Quillen DA, Benderson DM, Green MJ. Patient attitudes toward resident involvement in cataract surgery. Arch Ophthalmol 2008; 126 (09) 1235-1239
• 15 Corwin AM, Rajkumar JN, Markovitz BJ. et al. Association of preoperative disclosure of resident roles with informed consent for cataract surgery in a teaching program. JAMA Ophthalmol 2019; 137 (09) 1045-1051