Objective:

To evaluate the effect of 2 days of wet-lab training on confidence levels, specifically measuring self-reported confidence in the management of open-globe injury (OGI) and endophthalmitis.

Approach:

Key Findings:

• Confidence in corneal suturing improved from a median of 1 (IQR = 1) to 7 (IQR = 3) immediately after training (p < 0.001), then to 3 (IQR = 2) at 6 months (p = 0.001).
• Scleral suturing confidence improved from a median of 1 (IQR = 1) to 7 (IQR = 2) immediately after training (p < 0.001), then to 3 (IQR = 3) at 6 months (p = 0.001).
• Confidence in endophthalmitis treatment improved from a median of 5 (IQR = 5) to 8 (IQR = 4) immediately after training (p < 0.001), remaining at 8 (IQR = 2) at 6 months (p = 0.012).

Interpretation:

Wet-lab training effectively increased participants’ confidence in managing OGI, with significant retention of confidence over 6 months, highlighting the need for ongoing training to maintain and improve surgical skills.

Limitations:

• The study did not assess the validity and reliability of the confidence questionnaire used, which may introduce bias.
• The sample size was limited to 24 participants, which may affect the generalizability of the findings.

Conclusion:

The positive effect of wet-lab training on confidence in managing OGI and endophthalmitis remained significant after 6 months, indicating a potential for further improvement in surgical skills through continued training.

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