Perspective of ophthalmology residents in the United States about residency programs and competency in relation to the International Council of Ophthalmology guidelines

Abdelfattah, Nizar Saleh; Radwan, A. E.; Sadda, Srinivas R.

doi:10.1016/j.joco.2016.06.001

Cited by 23 publications

(17 citation statements)

References 17 publications

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“…For example, the overall satisfaction among ophthalmology residents was 34% in Jordan 3 and 36% in Iran. 6 However, the overall satisfaction in the current study is low compared with well-recognized international training programs in the United States 7 (93%) and Canada 4 (85%).…”

Section: Discussioncontrasting

confidence: 66%

Assessment of Ophthalmology Residency Programs in Saudi Arabia: A Trainee-Based Survey

Alenezi

Alfawaz

Owaifeer

et al. 2019

Journal of Medical Education and Curricular Development

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Purpose: To assess the satisfaction and competency of Saudi ophthalmology residents and compare their performance against International Council of Ophthalmology (ICO) standards. Methods: A cross-sectional web-based survey of senior ophthalmology residents (postgraduate years [PGY] 3-4) and recent graduates (from 2010 to 2015) assessed various aspects of training. The questionnaire was sent to the participants and was divided into 3 main domains: demographics, training program evaluation, and preparedness for board exams and clinical practice. Results: Out of the 145 invitees, 120 (82.8%) responded. Fifty percent of respondents reported an overall satisfaction with the program. Adequate clinical exposure was reported in most subspecialties except refraction and low vision rehabilitation with inadequate exposure reported by 55.8% and 95.8%, respectively. Surgical exposure was reported as adequate for phacoemulsification (58.3%) and strabismus surgery (68.3%) only. Eighty-nine percent of respondents reported performing less than 80 cases of phacoemulsification. Of the respondents who had graduated, most (89.7%) passed the final board exam at the first attempt. There were 73.5% of respondents who reported that residency training prepared them well for the board exam. Ongoing clinical and call duties were reported as having a negative impact on exam performance. Conclusions: Saudi ophthalmology residents demonstrate a high level of clinical competency. However, additional efforts should aim at improving surgical training to increase the level of satisfaction among residents and improve the quality of training to meet international standards.

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Section: Discussioncontrasting

confidence: 66%

Assessment of Ophthalmology Residency Programs in Saudi Arabia: A Trainee-Based Survey

Alenezi

Alfawaz

Owaifeer

et al. 2019

Journal of Medical Education and Curricular Development

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“…Great efforts have been made to develop regional standards of ophthalmic training, develop standardized curricula and post-graduate fellowship or board level-exams. This is less than a recent survey of residents in the USA which reported a 94% ‘highly satisfied’ rating 8 .…”

Section: Discussionmentioning

confidence: 58%

“…A number of ophthalmology trainee surveys have been conducted over the past ten years, including Nigeria 7 , the USA 8, 9 , Canada 10 , Jordan 11 , India 12 , and China 13 , but no international survey of the training programs in Eastern, Central, and Southern Africa has been published to understand the current training provision and experience as a whole.…”

Section: Introductionmentioning

confidence: 99%

Survey of ophthalmologists-in-training in Eastern, Central and Southern Africa: A regional focus on ophthalmic surgical education

Dean¹,

Gichuhi²,

Matende³

et al. 2019

Wellcome Open Res

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Background: There are 2.7 ophthalmologists per million population in sub-Saharan Africa, and a need to train more. We sought to analyse current surgical training practice and experience of ophthalmologists to inform planning of training in Eastern, Central and Southern Africa. Methods: This was a cross-sectional survey. Potential participants included all current trainee and recent graduate ophthalmologists in the Eastern, Central and Southern African region. A link to a web-based questionnaire was sent to all heads of eye departments and training programme directors of ophthalmology training institutions in Eastern, Central and Southern Africa, who forwarded to all their trainees and recent graduates. Main outcome measures were quantitative and qualitative survey responses. Results: Responses were obtained from 124 (52%) trainees in the region. Overall level of satisfaction with ophthalmology training programmes was rated as ‘somewhat satisfied’ or ‘very satisfied’ by 72%. Most frequent intended career choice was general ophthalmology, with >75% planning to work in their home country post-graduation. A quarter stated a desire to mainly work in private practice. Only 28% of junior (first and second year) trainees felt surgically confident in manual small incision cataract surgery (SICS); this increased to 84% among senior trainees and recent graduates. The median number of cataract surgeries performed by junior trainees was zero. 57% of senior trainees were confident in performing an anterior vitrectomy. Only 29% of senior trainees and 64% of recent graduates were confident in trabeculectomy. The mean number of cataract procedures performed by senior trainees was 84 SICS (median 58) and 101 phacoemulsification (median 0). Conclusion: Satisfaction with post-graduate ophthalmology training in the region was fair. Most junior trainees experience limited cataract surgical training in the first two years. Focused efforts on certain aspects of surgical education should be made to ensure adequate opportunities are offered earlier on in ophthalmology training.

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“…In contrast, studies conducted in North America,13,14,15,16,17 revealed that the residents were generally satisfied with didactic teaching, research activities and mentor-resident relationships because these activities were well delineated across the various residency programs according to the guidelines of the Accreditation Council for Graduate Medical Education. 18…”

Section: Discussionmentioning

confidence: 94%

Residency training in Ghana: the residents’ perspective

Newman-Nartey¹,

Nartey²,

Amoah³

et al. 2019

Ghana Medical Journal

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Summary Background Prior to 1973, West African citizens completed postgraduate medical and surgical training abroad, particularly in the United Kingdom. In 2003, the Ghana College of Physicians and Surgeons were established respectively and began to offer specialized training locally. The aim of this study was to obtain and evaluate the views of Medical and Surgical Residents of the GCPS on their training in Ghana. Method A descriptive cross-sectional study was undertaken whereby a 25 item, self-administered questionnaire, was distributed to 170 residents of Korle Bu and Komfo Anokye Teaching Hospitals in Ghana. Information regarding the residents' sociodemographic characteristics, level of residency, and satisfaction with the programs in terms of clinical supervision, didactic teaching, program duration and research training was collected. Results 117 residents completed the survey, yielding a response rate of 68.8%. 59.8% were males and 40.2% females. The age of the residents ranged from 25 to 40 years with a mean age of 32.7+1.4 years. Majority of residents (92.3%) were satisfied with the duration of the programs . Slightly more than half of the residents (50.4%) were satisfied with the clinical supervision, however only a third of the respondents (33.3%) were satisfied with the didactic teaching and an even smaller percentage (17.1%) with research training. Conclusion Whilst majority of residents were satisfied with the duration of the residency program, the perspective of the respondents was that trainees would benefit from additional didactic teaching and increased research exposure. Funding None

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Perspective of ophthalmology residents in the United States about residency programs and competency in relation to the International Council of Ophthalmology guidelines

Cited by 23 publications

References 17 publications

Assessment of Ophthalmology Residency Programs in Saudi Arabia: A Trainee-Based Survey

Assessment of Ophthalmology Residency Programs in Saudi Arabia: A Trainee-Based Survey

Survey of ophthalmologists-in-training in Eastern, Central and Southern Africa: A regional focus on ophthalmic surgical education

Residency training in Ghana: the residents’ perspective

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