Expanding surgical training access: A phacoemulsification course via Orbis Cybersight

Fatma Shakarchi, Ayorinde Cooley, Curtis R Martin, Traeson Brandenburg, Nicolas Zaunbrecher, Christopher L Shelby, Stephen A LoBue, Wyche T Coleman III
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Abstract

Purpose

To highlight the potential of openly accessible online surgical courses in strengthening global ophthalmic education. We demonstrate a case study focusing on a basic phacoemulsification training course published on Orbis Cybersight, designed to support early surgical learning for ophthalmologists worldwide.

Methods

We developed a one-hour, self-paced online course on the basics of phacoemulsification, split into six narrated modules: Incisions, Capsulorhexis, Hydrodissection, Nucleus Removal, Cortex Removal, and IOL Insertion & Wound Closure. We included quizzes for self-testing in every module. We published the course on Orbis Cybersight, a global telemedicine and training platform, and made it freely available on demand. We analyzed engagement patterns and gathered informal feedback from trainees and educators across different regions.

Results

The course was accessed by over 5,000 participants based in 162 countries across all seven continents, including Antarctica, working in diverse high-, middle-, and low-income settings. Most participants were ophthalmologists (2,238; 44.4 %), ophthalmology residents (837; 16.6 %), and optometrists (484; 9.6 %), while nearly 20 % (963) represented a variety of other professions, including drivers, teachers, medical students, and security guards. Approximately 1,340 participants (26.6 %) completed the course, while 2,709 (53.6 %) marked it as “in progress.” On average, participants made about five access attempts and spent a mean of 83.63 minutes to complete the course. The optional pre- and post-course quizzes showed a 39.5 % increase in participation and a 35 % relative increase in knowledge acquisition after completing the course.

Conclusions

Open-access platforms like Orbis Cybersight can play a key role in delivering foundational surgical education. These platforms help bridge gaps in training and promote equity in surgical education. They are impactful for sharing complex cases and essential foundational learning, without adding a financial burden for trainees globally. Our case study offers a scalable, low-cost way to help global trainees gain exposure to essential surgical steps and concepts.
扩大手术训练机会:透过Orbis Cybersight进行超声乳化术课程
目的强调开放的外科在线课程在加强全球眼科教育方面的潜力。我们展示了一个案例研究,重点是在Orbis Cybersight上发布的基础超声乳化术培训课程,旨在支持全球眼科医生的早期手术学习。方法:我们开发了一小时的超声乳化基础知识在线课程,分为六个讲解模块:切口、撕囊、水解剖、去核、去皮层和人工晶状体植入;伤口关闭。我们在每个模块中都包含了自测的小测验。我们将课程发布在全球远程医疗和培训平台Orbis Cybersight上,并按需免费提供。我们分析了参与模式,并收集了来自不同地区的学员和教育工作者的非正式反馈。结果来自包括南极洲在内的七大洲162个国家的5000多名学员参加了该课程,他们在不同的高、中、低收入环境中工作。大多数参与者是眼科医生(2238人;44.4% %),眼科住院医师(837;16.6 %),验光师(484;9.6 %),而近20 %(963)代表了各种其他职业,包括司机、教师、医科学生和保安。大约1340名参与者(26.6 %)完成了课程,而2709名参与者(53.6 %)将其标记为“进行中”。参与者平均进行了五次尝试,平均花费83.63分钟完成课程。选修的课前和课后测验显示,完成课程后,参与者的参与度增加了39.5% %,知识获取的相对增长了35% %。结论Orbis Cybersight等开放获取平台在外科基础教育中发挥着重要作用。这些平台有助于弥合培训差距,促进外科教育的公平性。它们在分享复杂案例和基本基础学习方面具有影响力,同时不会给全球受训人员增加经济负担。我们的案例研究提供了一种可扩展的、低成本的方式,帮助全球学员了解基本的外科步骤和概念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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