Abstract:

Effective and safe use of ophthalmic lasers is a core competency for new ophthalmologists in the UK. Proficiency in YAG capsulotomy, peripheral iridotomy and selective laser trabeculoplasty (SLT) are mandatory skills within the current Royal College of Ophthalmologists training curriculum. We describe a blended learning training course designed to introduce these skills through structured online learning paired with supervised, simulation based practical teaching.

Ophthalmology trainees in their first two years of specialty training attended the course. Before the face-to-face session, participants completed e-learning modules and reviewed instructional videos. On the day, trainees practised the three laser procedures in pairs using live laser equipment on eye models under the supervision of a Consultant or Senior Trainee. Confidence levels were assessed before and after training using a 10-point Likert scale.

Across multiple course iterations, 54 trainees attended, of whom 47 were in their first year of surgical training. A total of 51 trainees responded completed the pre- and post-course feedback. Trainee confidence improved significantly across all procedures: confidence in YAG capsulotomy increased from 4.39 to 6.94; for peripheral iridotomy, from 2.55 to 7.93; and for SLT, from 2.18 to 7.04. For the most recent course iteration, the 12 respondents rated the course 8.92 out of 10 for improving procedural confidence, all would recommend it to a colleague, and they also rated the tutors as approachable and inviting of questions.

Blended online learning combined with simulation based practical teaching provides an effective and efficient method for introducing core laser skills to new ophthalmology trainees. This structure allows trainees to focus on hands on skill acquisition during the practical session while enabling real time personalised feedback due to a low trainee to faculty ratio. Our findings support a shift toward a simulation first training model, with the integration of digital and technology-based learning to complement and enhance practical skill development.

Keywords:

Technology, Simulation, Online learning, Ophthalmology.