Assessment of resident training and preparedness for cataract surgery

Puri, Sidharth; Srikumaran, Divya; Prescott, Christina; Tian, Jing; Sikder, Shameema

doi:10.1016/j.jcrs.2016.12.032

Cited by 17 publications

(13 citation statements)

References 3 publications

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“…Practice labs are one such example, of an educational resource that can be used to provide residents with hands-on training in a low-stress environment and help develop their surgical skill set, while promoting surgical confidence. Multiple studies have, in fact, reported on the utility of such training in preparing residents for the OR 9. A similar trend was also observed in our study.…”

Section: Discussionsupporting

confidence: 91%

“…Recent years have seen a rapid growth in surgical teaching resources available to ophthalmology residency programs. Utilization of these training resources has been shown to correlate with increased levels of resident preparedness and competence for cataract surgery 9. We believe that the proper use of these resources can similarly help residents prepare for open globe repair.…”

Section: Introductionmentioning

confidence: 87%

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<p>Self-perceived preparedness and competence among ophthalmology residents for open globe repair</p>

Zafar

Chen

Woreta

et al. 2019

OPTH

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Purpose To assess which surgical training resources residents find most useful for open globe repair. Methods A nationwide, survey-based, cross-sectional analysis of ophthalmology residents enrolled in accredited training programs in the United States was performed to determine the association of surgical training methods with self-perceived resident preparedness and competence for open globe repair. The survey was developed at the Wilmer Eye Institute, Johns Hopkins Hospital. Results The individual response rate in our study was 38.6% (118/306 participant responses from 24 programs). Pre-operative surgical planning, in the form of review of patient charts and case discussion with senior faculty, was associated with higher self-perceived levels of both preparedness and competence for several different steps of globe repair. Both supervised and independent lab practice on animal or synthetic eyes were also found to be significantly associated with increased levels of self-perceived competence, especially for steps that involved scleral and limbal reapproximation. Conclusion Open globe repair is an important skill that all ophthalmologists must learn to master. To improve surgical training, residency programs must focus on developing a structured surgical curriculum that incorporates training for managing ocular trauma and open globes. Possible components can include implementation of pre-operative briefings and case discussion with faculty as well as, encouraging regular utilization of practice labs in a distributed pattern to consolidate learning among residents.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 87%

<p>Self-perceived preparedness and competence among ophthalmology residents for open globe repair</p>

Zafar

Chen

Woreta

et al. 2019

OPTH

Self Cite

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“…This concept was corroborated by two of our trainees having radial extensions of their CCC when eye movements were introduced. Several studies have shown improved performance of junior ophthalmologists in the operating room after practicing on the Eyesi [12][13][14][15][16][17][18][19][20][21][22]; in particular, the rates of errant CCC are significantly reduced [17, 19,]. One of the limitations of the Eyesi in preparing trainees for real cataract surgery, however, is lack of intraoperative eye movement during the exercises.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative head drift and eye movement: two under addressed challenges during cataract surgery

Brogan

Dawar

Lockington

et al. 2018

Eye

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“…12 Finally, Puri et al highlighted increased selfperceived competency among residents with access to either VRS or wet laboratory training in a large cohort spanning numerous training programs. 25 Simulation as an Assessment Tool (►Table 3)…”

Section: Qualitative Assessment Of Satisfaction and Preparednessmentioning

confidence: 99%

“…Rather, they found the element of faculty supervision, discussion, and feedback to be most integral to development of proper techniques and comfort level. 25…”

Section: Negative Findingsmentioning

confidence: 99%

The Utility of Virtual Reality Simulation in Cataract Surgery Training: A Systematic Review

Winebrake

McMahon

Sun

2020

Journal of Academic Ophthalmology

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Introduction Cataract surgery is a fundamental intraocular procedure with a steep learning curve. Virtual reality simulation offers opportunity to streamline this aspect of ophthalmic education by exposing trainees to operative techniques in a controlled setting. Materials and Methods A systematic review of the PubMed database was conducted through December 2019 for English language studies reporting on use of virtual reality simulation in cataract surgery training to assess usefulness. Studies meeting inclusion criteria were examined for pertinent data: study design, number of subjects and live cases, simulator model, training regimen, surgical skills assessed, and overall outcomes. Results Of the 41 analyzed studies, 15 investigated the impact of virtual reality simulation-based training on performance in live surgery or wet laboratories; 20 used simulation as a device for direct assessment of operative proficiency; 6 explored simulation-based training's effect on performance in simulated surgery. Thirty-seven studies employed an iteration of the Eyesi simulator, though methodologies varied widely with a few randomized trials available. The literature endorsed validity of simulator-based assessment and benefits of structured training on live complication rates, operative times, and self- and faculty-perceived competency, particularly in novice surgeons. Discussion The literature surrounding simulation in cataract surgery training is characterized by significant heterogeneity in design. However, most works describe advantages that may outweigh the costs of implementation into training curricula. Collaborative efforts at establishing a structured, proficiency-based cataract surgery curriculum built around virtual reality and wet laboratory simulation have the potential to improve outcomes and enhance future surgical training.

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Assessment of resident training and preparedness for cataract surgery

Abstract: Educational resources, such as surgical simulators and supervised wet labs, tended to be associated with greater resident-perceived competency for steps in cataract surgery.

Cited by 17 publications

References 3 publications

<p>Self-perceived preparedness and competence among ophthalmology residents for open globe repair</p>

<p>Self-perceived preparedness and competence among ophthalmology residents for open globe repair</p>

Intraoperative head drift and eye movement: two under addressed challenges during cataract surgery

The Utility of Virtual Reality Simulation in Cataract Surgery Training: A Systematic Review

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