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Evaluation of the impact of short term manual small incision cataract surgery (MSICS) training program on trainees with varying prior surgical experience using international council of ophthalmology-ophthalmology surgical competency assessment rubrics (ICO-OSCAR).
Sankarananthan, R; Prasad, Senthil; Paul, Anu; Koshy, Tony Alex; Nagu, Kamatchi; Raman, Ramalakshmi; Shekhar, Madhu.
Afiliación
  • Sankarananthan R; Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India.
  • Prasad S; Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India.
  • Paul A; Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India.
  • Koshy TA; Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India.
  • Nagu K; Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India.
  • Raman R; Department of Biostatistics, Aravind Eye Care System, Madurai, India.
  • Shekhar M; Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India. madhushekhar93@gmail.com.
Int Ophthalmol ; 44(1): 336, 2024 Jul 24.
Article en En | MEDLINE | ID: mdl-39048844
ABSTRACT

PURPOSE:

To assess the learning curve of MSICS in three different groups of trainees with varying prior MSICS experience. To evaluate the effectiveness of ICO OSCAR for objective assessment of surgical skill transfer.

METHODS:

Ninety-five MSICS trainees were divided into three groups as 1st year resident, fellow and external trainee. Each group were evaluated for their surgical skill acquisition during one month MSICS training program using ICO-OSCAR. Each trainee performed an average of 19 surgeries. The progress in the learning curve of the three groups of trainees was analyzed by evaluating the mean scores in sets of five consecutive cases. Complications during the training period were also noted.

RESULTS:

The study evaluated a total of 1842 cases. The fellows and external trainees, with prior MSICS experience, had an initial mean score of 57.57 ± 16.16 and 56.86 ± 17.82 respectively, whereas the 1st year resident group had a relatively low initial mean score of 45.91(p = 0.009). The difference in mean scores between the 1st year resident group and other groups significantly reduced towards the end of training. The most common complications made by 1st year residents were in sclero-corneal tunnel construction. The external trainee group had statistically significant higher rates of zonular dialysis in the study.

CONCLUSIONS:

ICO-OSCAR is an effective tool for assessing MSICS training program. Structured short term MSICS surgical training program is effective in surgical skill transfer, especially in novice surgeons.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Oftalmología / Extracción de Catarata / Competencia Clínica / Educación de Postgrado en Medicina / Evaluación Educacional / Internado y Residencia Límite: Adult / Female / Humans / Male Idioma: En Revista: Int Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Oftalmología / Extracción de Catarata / Competencia Clínica / Educación de Postgrado en Medicina / Evaluación Educacional / Internado y Residencia Límite: Adult / Female / Humans / Male Idioma: En Revista: Int Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Países Bajos