Remote corneal suturing wet lab: microsurgical education during the COVID-19 pandemic.
J Cataract Refract Surg
; 46(12): 1667-1673, 2020 12.
Article
in English
| MEDLINE | ID: covidwho-706624
ABSTRACT
PURPOSE:
To study the feasibility and efficacy of a new remote wet lab for microsurgical education using a corneal suturing task.SETTING:
Department of Ophthalmology, University of California San Francisco, San Francisco, California, USA.DESIGN:
Prospective randomized controlled study.METHODS:
Ten ophthalmology residents were stratified by postgraduate year and randomized to perform a corneal suturing task consisting of placing the 4 cardinal sutures for a penetrating keratoplasty in porcine eyes with or without remote ophthalmology attending feedback. Subsequently, both groups repeated the same task without remote feedback to test whether initial remote feedback affected subsequent performance. Finally, the group without feedback was crossed over to repeat the same corneal suturing task with remote feedback. The effectiveness of the remote wet lab was assessed subjectively by survey and objectively by grading each suture pass.RESULTS:
Resident-reported comfort with corneal suturing improved significantly after the remote wet lab for all residents. Residents and attendings rated the remote wet lab as equally or more effective compared with previous in-person wet labs and overall effective in corneal suturing. Attendings rated the remote wet lab as effective in multiple domains of microsurgical education using a modified microsurgical global rating scale. Objective corneal suturing performance was similar for both groups.CONCLUSIONS:
The remote wet lab was feasible and effective for training ophthalmology residents in corneal suturing. This represents a new social distancing compliant platform for microsurgical education during the COVID-19 pandemic.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Suture Techniques
/
Keratoplasty, Penetrating
/
Cornea
/
Education, Distance
/
SARS-CoV-2
/
COVID-19
/
Internship and Residency
/
Microsurgery
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adult
/
Animals
/
Female
/
Humans
/
Male
Language:
English
Journal:
J Cataract Refract Surg
Journal subject:
Ophthalmology
Year:
2020
Document Type:
Article
Affiliation country:
J.jcrs.0000000000000374
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