Trends in cataract surgery training curricula

Mona Lotfipour, Ramunas Rolius, Erik B. Lehman, Seth M. Pantanelli, Ingrid U. Scott

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose To evaluate trends in cataract surgery training curricula and factors affecting timing of resident participation as a primary surgeon. Setting Pennsylvania State College of Medicine, Hershey, Pennsylvania, USA. Design Cross-sectional study of anonymous survey results. Methods A description of the study and link to an online survey was e-mailed to program directors of each ophthalmology residency training program accredited by the Accreditation Council for Graduate Medical Education (ACGME). Results Fifty-one (44%) of the 116 program directors completed the survey. First-year, second-year, and third-year residents performed a mean of 2, 25, and 155 phacoemulsification surgeries, respectively, as a primary surgeon. Only 1 program (2%) required residents to perform extracapsular cataract extraction (ECCE) before performing phacoemulsification. Clear corneal phacoemulsification was the first technique taught to trainees at 91% of programs. More than two thirds (71%) of program directors indicated that their program had a cataract surgery training curriculum designed to transition residents gradually to the operating room. These curricula included structured wet laboratory (92%) and lecture (89%) components. Inadequate resident knowledge and surgical skill base (57%) and anticipation of increased surgical complication risk (37%) were the most commonly reported factors impeding earlier exposure to phacoemulsification in residency. Conclusions Results show that residents today begin surgical training with phacoemulsification rather than ECCE, perform a higher number of phacoemulsification surgeries than is required by the ACGME, and begin performing phacoemulsification as early as their first or second year of residency. Despite these evolutions, 29% of respondent ACGME-accredited ophthalmology residency programs reported not having a formal cataract surgery training curriculum.

Original languageEnglish (US)
Pages (from-to)49-53
Number of pages5
JournalJournal of Cataract and Refractive Surgery
Volume43
Issue number1
DOIs
StatePublished - Jan 1 2017

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Phacoemulsification
Curriculum
Cataract
Internship and Residency
Graduate Medical Education
Accreditation
Cataract Extraction
Ophthalmology
State Medicine
Operating Rooms
Cross-Sectional Studies
Education
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Surgery
  • Ophthalmology
  • Sensory Systems

Cite this

Lotfipour, Mona ; Rolius, Ramunas ; Lehman, Erik B. ; Pantanelli, Seth M. ; Scott, Ingrid U. / Trends in cataract surgery training curricula. In: Journal of Cataract and Refractive Surgery. 2017 ; Vol. 43, No. 1. pp. 49-53.
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abstract = "Purpose To evaluate trends in cataract surgery training curricula and factors affecting timing of resident participation as a primary surgeon. Setting Pennsylvania State College of Medicine, Hershey, Pennsylvania, USA. Design Cross-sectional study of anonymous survey results. Methods A description of the study and link to an online survey was e-mailed to program directors of each ophthalmology residency training program accredited by the Accreditation Council for Graduate Medical Education (ACGME). Results Fifty-one (44{\%}) of the 116 program directors completed the survey. First-year, second-year, and third-year residents performed a mean of 2, 25, and 155 phacoemulsification surgeries, respectively, as a primary surgeon. Only 1 program (2{\%}) required residents to perform extracapsular cataract extraction (ECCE) before performing phacoemulsification. Clear corneal phacoemulsification was the first technique taught to trainees at 91{\%} of programs. More than two thirds (71{\%}) of program directors indicated that their program had a cataract surgery training curriculum designed to transition residents gradually to the operating room. These curricula included structured wet laboratory (92{\%}) and lecture (89{\%}) components. Inadequate resident knowledge and surgical skill base (57{\%}) and anticipation of increased surgical complication risk (37{\%}) were the most commonly reported factors impeding earlier exposure to phacoemulsification in residency. Conclusions Results show that residents today begin surgical training with phacoemulsification rather than ECCE, perform a higher number of phacoemulsification surgeries than is required by the ACGME, and begin performing phacoemulsification as early as their first or second year of residency. Despite these evolutions, 29{\%} of respondent ACGME-accredited ophthalmology residency programs reported not having a formal cataract surgery training curriculum.",
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Trends in cataract surgery training curricula. / Lotfipour, Mona; Rolius, Ramunas; Lehman, Erik B.; Pantanelli, Seth M.; Scott, Ingrid U.

In: Journal of Cataract and Refractive Surgery, Vol. 43, No. 1, 01.01.2017, p. 49-53.

Research output: Contribution to journalArticle

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N2 - Purpose To evaluate trends in cataract surgery training curricula and factors affecting timing of resident participation as a primary surgeon. Setting Pennsylvania State College of Medicine, Hershey, Pennsylvania, USA. Design Cross-sectional study of anonymous survey results. Methods A description of the study and link to an online survey was e-mailed to program directors of each ophthalmology residency training program accredited by the Accreditation Council for Graduate Medical Education (ACGME). Results Fifty-one (44%) of the 116 program directors completed the survey. First-year, second-year, and third-year residents performed a mean of 2, 25, and 155 phacoemulsification surgeries, respectively, as a primary surgeon. Only 1 program (2%) required residents to perform extracapsular cataract extraction (ECCE) before performing phacoemulsification. Clear corneal phacoemulsification was the first technique taught to trainees at 91% of programs. More than two thirds (71%) of program directors indicated that their program had a cataract surgery training curriculum designed to transition residents gradually to the operating room. These curricula included structured wet laboratory (92%) and lecture (89%) components. Inadequate resident knowledge and surgical skill base (57%) and anticipation of increased surgical complication risk (37%) were the most commonly reported factors impeding earlier exposure to phacoemulsification in residency. Conclusions Results show that residents today begin surgical training with phacoemulsification rather than ECCE, perform a higher number of phacoemulsification surgeries than is required by the ACGME, and begin performing phacoemulsification as early as their first or second year of residency. Despite these evolutions, 29% of respondent ACGME-accredited ophthalmology residency programs reported not having a formal cataract surgery training curriculum.

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