Overview
The aim of this project is to reduce the risks of cataract surgery using the EyeSi simulator Axis 1: to model the learning curve of novice residents in Ophthalmology who follow the training program recommended by the "Collège des Ophtalmologistes niversitaires de France" (COUF) in order to help creating a "licence to operate" Axis 2: to evaluate the impact of sleep deprivation on the surgical performance of experienced residents in Ophthalmology
Description
Axis 1 (15 residents): Learning curve Each resident will perform four 2-hour learning sessions, under the supervision of an experienced cataract surgery trainer. Each resident will perform a standardized assessment at the beginning of the first session with the collection of scores at each surgical stage and the calculation of an average score simulating a complete surgery. This standardized assessment will then be repeated at the end of each of the 4 training sessions. These five points of measurement will make it possible to produce a learning curve for each surgical stage and for the average score simulating a complete surgery.
Axis 2 (25 residents): Sleep deprivation
- 1st session: In order to include the "experienced" residents and to limit the bias related to the learning curve of the cognitive tests and the surgical procedure
- 3 normed assessments in autonomy to determine the average score for each resident
- 3 trials of the Test for Attentional Performance (TAP) with parallel versions to limit test-retest learning bias
- 2nd session: No sleep deprivation
- Sleep assessment by actimetry the night before the session (MotionWatch 8©, camntech®, validated as an alternative method to the reference method which is polysomnography)
- Epworth sleepiness score
- Visual Analogue Scale for Self-Rated Fatigue
- Attentional performance tests TAP
- 3 standardized evaluations on Eyesi in the morning and in the afternoon
- 3rd session: sleep deprivation (< 7 hours) after a working day
- Sleep evaluation by actimetry the night before the session (MotionWatch 8©, camntech®)
- Epworth sleepiness score
- Self-rated visual analogue scale for fatigue
- Attentional performance tests TAP
- 3 Eyesi standardized evaluations in the morning and in the afternoon
Eligibility
Inclusion Criteria:
- Novice resident in Ophthalmology (Axis 1)
- Experienced resident in Opthalmology (Axis 2 )
Exclusion Criteria:
- N/A