Preclinical Training of Future Ocular Surgeons: a French Opinion-Based Study

Abstract

Purpose : To assess ophthalmology residents satisfaction regarding surgical training during residency in France. Methods : A questionnaire consisting of 28 questions was designed and sent to residents of ophthalmology across the 27 French regions. Results : A total of 30.3% of ophthalmology residents in France completed our questionnaire. All French regions participated. They rated 5,27/10 ± 2.42 the global surgical training during residency. They had performed at least one step of any type of ocular surgery for 93.4% of them, while 80.7% had completed at least one full cataract surgery, by the second half of the 3rd semester on average (Paris : 2.59 semesters ± 1.36 ; regions : 4.05 semesters ± 1.96, p < 0.0001). Only 48.9% identified a surgical mentor during their residency, but 82.2% did not clearly identify surgical goals & objectives during their training. Simulation was available for any type of ocular surgery to all residents in the Paris (Île-de-France) region and to 78.1% in other regions (p < 0.005). Residents who accessed drylabs and wetlabs gave a satisfaction score of 7.31/10±1.89 and 6.39/10±2.15 to it respectively. Simulation was a mandatory part of the curriculum for 35.2% of the resident. They commented on on reduced access to subspecialized surgery. They were willing for more access to simulation and surgery on real patients, as well for closer mentoring and clearly defined surgical goals within the curriculum. Conclusion : Ophthalmology residents seemed globally satisfied with their surgical training nationwide, although we observed disparities across region. They largely acknowledged a lack of standard procedures nationwide. They acclaimed simulation during the initial phase of residency, progressively switching towards surgery on real patients. An “operating license” during residency could be a viable way for the resident to demonstrate that they have acquired enough surgical abilities to perform surgery on real patients.