Cataract Surgery Skill Assessment

Novel system for distant assessment of cataract surgical quality in rural China

“…Draping the surgical field was the most poorly performed step in the current study, with a mean score of only slightly >3. According to the published criteria of the OSCAR system for MSICS, a score of three for surgical draping indicates: ‘Drapes with minimal verbal instruction, incomplete lash coverage’ . Previous studies have showed that the patient's ocular adnexal flora are the most common infectious agents in postoperative endophthalmitis .…”

“…According to the published criteria of the OSCAR system for MSICS, a score of three for surgical draping indicates: 'Drapes with minimal verbal instruction, incomplete lash coverage'. 12 Previous studies have showed that the patient's ocular adnexal flora are the most common infectious agents in postoperative endophthalmitis. 13 It has been reported that careful draping to isolate the lashes from the field can reduce the risk of postoperative endophthalmitis.…”

“…The International Council of Ophthalmology has recently made available an assessment tool known as the Ophthalmology Surgical Competency Assessment Rubric: Small Incision Cataract Surgery (OSCAR: SICS) for the purpose of evaluating skill in MSICS surgery among trainees. 12 It consists of two parts: 13 step-specific grades, and a set of six global assessments, both anchored by a scoring rubric that exactly defines what is expected to achieve each grade at each step. Each of the global and taskspecific components is rated on a 4-point scale, with scores ranging from 2 (poor performance) to 5 (good performance).…”

Factors Influencing the Output of Rural Cataract Surgical Facilities in China: The SHARP Study

“…Videos were graded as previously described (Wang LH, et al, unpublished observations, 2015) by two independent expert trainers for each of 12 specific steps of surgery and 7 global assessments using a slightly-modified version of the Ophthalmology Surgical Competency Assessment Rubric: Small Incision Cataract Surgery (OSCAR: SICS) developed by the International Council of Ophthalmology (ICO). 16 Grades for each step ranged from 2 (poor performance) to 5 (good performance), with a score of 0 if the step was performed by trainers. The subscore ranged from 0 to 35 for the global portion, 0 to 60 for the task-specific portion, and 0 to 95 points for the total score.…”

Assessment principles and tools

“…Furthermore, it was subsequently shown to have inter-rater reliability 12. In a similar fashion internationally applicable assessment tools for extracapsular cataract surgery (ICO-OSCAR: ECCE),11 small incision cataract surgery (ICO-OSCAR: SICS),13 lateral tarsal strip surgery (ICO-OSCAR: LTS),14 and strabismus surgery (ICO-OSCAR: Strabismus)15 were developed. Additional ICO-OSCARS are being developed for panretinal photocoagulation, corneal transplant, vitrectomy, trabeculectomy and epiretinal membrane peeling.…”