Validating the Efficacy of a Stepwise Video Module for Conjunctival Closure

Area of Science:

• Ophthalmology
• Surgical Education
• Medical Simulation

Background:

• Ophthalmology trainees require effective methods to build confidence and manage stress during surgical procedures like conjunctival closure.
• Traditional training methods may not always provide sufficient opportunities for repetitive practice in a controlled environment.

Purpose of the Study:

• To describe a novel, cost-effective, and portable surgical training module for ophthalmology trainees.
• To evaluate the module's effectiveness in enhancing confidence and reducing stress associated with conjunctival closure.

Main Methods:

• A cohort of 29 ophthalmology trainees (medical students and residents) participated in the training module.
• Pre- and post-module questionnaires assessed confidence and stress levels regarding conjunctival closure using a 1-10 Likert scale.

Main Results:

• Average confidence in conjunctival suturing significantly increased from 2.6 to 5.6 (p < 0.001).
• Average stress levels during conjunctival closure decreased significantly from 7.5 to 5.6 (p < 0.001).
• PGY2 residents showed a significant decrease in stress, while both PGY1 residents and medical students reported increased confidence.

Conclusions:

• The developed surgical training module is an effective tool for ophthalmology trainees.
• It successfully increases confidence and decreases stress related to performing conjunctival closure.
• The module offers a valuable, reusable, and inexpensive platform for practicing essential surgical techniques.