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819), leadership (α = 0.859), decision making (α = 0.753), situational awareness (α = 0.84 and professionalism (α = 0.89. In all, 92.8% (n = 13) rated HUFOES as specific for use, 85.7% (n = 12) agreed it contains appropriate assessment measures, 92.8% (n = 13) agreed that training with HUFOES would enhance preparation for PCR management and 78.6% (n = 11) declared HUFOES as the preferable training system for NTS in intraoperative ophthalmic emergencies when compared with the current gold standard. CONCLUSIONS HUFOES has been develo