{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T03:44:10Z","timestamp":1764906250515,"version":"3.40.5"},"reference-count":33,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare Manual Small Incision Cataract Surgery (MSICS) microsurgical performance in course participants who received virtual reality simulation\u2010based training by either a surgical expert or a non\u2010ophthalmologist instructor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Copenhagen Academy for Medical Education and Simulation, Copenhagen, Denmark.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Residents and specialists in ophthalmology with no prior MSICS experience were included to receive virtual reality simulation training in MSICS using the HelpMeSee simulator. The participants were randomly allocated to receive training from either an experienced MSICS surgeon or a non\u2010ophthalmologist, also known as near\u2010peer teaching. The performances of the participants were evaluated at baseline and post\u2010training using a MSICS proficiency\u2010based test with evidence of validity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty participants were included in the study and 29 completed the course. There was no significant difference in final test score between the two groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.13). The performance score of both groups of participants increased significantly after receiving the training (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). All participants passed the proficiency\u2010based test after receiving the training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found no significant difference in surgical proficiency\u2010level whether the participants were trained by a surgical expert or a non\u2010ophthalmologist instructor for MSICS in a virtual\u2010reality based setting. The findings of this study suggest that near\u2010peer teaching within microsurgical performance potentially could be applied with teaching outcomes comparable to a surgical expert\u2010instructor.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.16719","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T11:49:04Z","timestamp":1717156144000},"page":"906-913","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparing the impact of surgical expert versus non\u2010ophthalmologist instructors on virtual\u2010reality surgical performance: A randomized controlled trial"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4111-2857","authenticated-orcid":false,"given":"Lars Christian","family":"Boberg\u2010Ans","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Rigshospitalet\u2010Glostrup  Glostrup Denmark"},{"name":"Copenhagen Academy for 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