Training and proficiency level in endoscopic sinus surgery change residents' eye movements.

Niederhauser, Laura; Gunser, Sandra; Waser, Manuel; Mast, Fred W; Caversaccio, Marco; Anschuetz, Lukas (2023). Training and proficiency level in endoscopic sinus surgery change residents' eye movements. Scientific Reports, 13(1), p. 79. Nature Publishing Group 10.1038/s41598-022-25518-2

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Nose surgery is challenging and needs a lot of training for safe and efficient treatments. Eye tracking can provide an objective assessment to measure residents' learning curve. The aim of the current study was to assess residents' fixation duration and other dependent variables over the course of a dedicated training in functional endoscopic sinus surgery (FESS). Sixteen residents performed a FESS training over 18 sessions, split into three surgical steps. Eye movements in terms of percent fixation on the screen and average fixation duration were measured, in addition to residents' completion time, cognitive load, and surgical performance. Results indicated performance improvements in terms of completion time and surgical performance. Cognitive load and average fixation duration showed a significant change within the last step of training. Percent fixation on screen increased within the first step, and then stagnated. Results showed that eye movements and cognitive load differed between residents of different proficiency levels. In conclusion, eye tracking is a helpful objective measuring tool in FESS. It provides additional insights of the training level and changes with increasing performance. Expert-like gaze was obtained after half of the training sessions and increased proficiency in FESS was associated with increased fixation duration.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)
07 Faculty of Human Sciences > Institute of Psychology
07 Faculty of Human Sciences > Institute of Psychology > Cognitive Psychology, Perception and Methodology

UniBE Contributor:

Niederhauser, Laura, Gunser, Sandra, Waser, Manuel Nicola, Mast, Fred, Caversaccio, Marco, Anschütz, Lukas Peter

Subjects:

600 Technology > 610 Medicine & health
100 Philosophy > 150 Psychology

ISSN:

2045-2322

Publisher:

Nature Publishing Group

Language:

English

Submitter:

Pubmed Import

Date Deposited:

11 Jan 2023 14:50

Last Modified:

15 Jan 2023 02:18

Publisher DOI:

10.1038/s41598-022-25518-2

PubMed ID:

36596830

BORIS DOI:

10.48350/176792

URI:

https://boris.unibe.ch/id/eprint/176792

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