Axis 1 (15 residents): Learning curve Each resident will perform four 2-hour learning sessions, under the supervision of an experienced cataract surgery trainer. Each resident will perform a standardized assessment at the beginning of the first session with the collection of scores at each surgical stage and the calculation of an average score simulating a complete surgery. This standardized assessment will then be repeated at the end of each of the 4 training sessions. These five points of measurement will make it possible to produce a learning curve for each surgical stage and for the average score simulating a complete surgery.~Axis 2 (25 residents): Sleep deprivation~1st session: In order to include the experienced residents and to limit the bias related to the learning curve of the cognitive tests and the surgical procedure~3 normed assessments in autonomy to determine the average score for each resident~3 trials of the Test for Attentional Performance (TAP) with parallel versions to limit test-retest learning bias~2nd session: No sleep deprivation~Sleep assessment by actimetry the night before the session (MotionWatch 8©, camntech®, validated as an alternative method to the reference method which is polysomnography)~Epworth sleepiness score~Visual Analogue Scale for Self-Rated Fatigue~Attentional performance tests TAP~3 standardized evaluations on Eyesi in the morning and in the afternoon~3rd session: sleep deprivation (< 7 hours) after a working day~Sleep evaluation by actimetry the night before the session (MotionWatch 8©, camntech®)~Epworth sleepiness score~Self-rated visual analogue scale for fatigue~Attentional performance tests TAP~3 Eyesi standardized evaluations in the morning and in the afternoon
The aim of this project is to reduce the risks of cataract surgery using the EyeSi simulator Axis 1: to model the learning curve of novice residents in Ophthalmology who follow the training program recommended by the Collège des Ophtalmologistes niversitaires de France (COUF) in order to help creating a licence to operate Axis 2: to evaluate the impact of sleep deprivation on the surgical performance of experienced residents in Ophthalmology