Parental Understanding of the Role of Trainees in the Ophthalmic Care of Their Children

Zeller, Michelle P.; Perruzza, Enza; Austin, Latoya; Vohra, Sunita; Stephens, Derek; Abdolell, Mohamed; McKneally, Martin F.; Levin, Alex V.

doi:10.1016/j.ophtha.2006.06.019

Cited by 18 publications

(11 citation statements)

References 13 publications

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“…In addition, employment status had a considerable impact on the level of knowledge. Similar findings were observed in other surveys as well [ 10 , 27 ]. A similar relationship was found with numerous other aspects of health literacy [ 20 ].…”

Section: Discussionsupporting

confidence: 92%

Public Awareness regarding the Differences between Ophthalmologists and Optometrists among Saudi Adults Living in Riyadh: A Quantitative Study

Aldebasi

Alsobaie

Aldayel

et al. 2018

Journal of Ophthalmology

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Awareness of the patients to the differences between ophthalmologists and optometrists has been recognized as an important factor influencing patient utilization of available eye care services. This study aimed at assessing the public's knowledge of the differences between ophthalmologists and optometrists among the residents of Riyadh, Saudi Arabia. An online questionnaire was administered to adults in Riyadh, Saudi Arabia, from January to February in 2018. The number of the respondents was 1579. Results show that 50% (n=789) of the participants had fair knowledge of the differences between ophthalmologists and optometrists, while 32% (n=505) had poor knowledge. After multivariate logistic regression analysis, there was a significant association between satisfactory knowledge and visiting an optometrist (odds ratio (OR): 0.75, 95% CI: 0.57–0.98), age older than 26 (OR: 1.73, 95% CI: 1.17–1.19), higher level of education (OR: 1.92, 95% CI: 1.54–2.4), and wearing spectacles (OR: 0.57, 95% CI: 0.45–0.73). Given the low level of public knowledge regarding the differences in the duties between ophthalmologist and optometrists among a Saudi population, there is great potential for general population education through awareness campaign and social media regarding eye care provider's duties and practices.

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Section: Discussionsupporting

confidence: 92%

Public Awareness regarding the Differences between Ophthalmologists and Optometrists among Saudi Adults Living in Riyadh: A Quantitative Study

Aldebasi

Alsobaie

Aldayel

et al. 2018

Journal of Ophthalmology

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“…[12][13][14][15][16][17][18][19] Some possible patient concerns have been previously delineated, but studies have demonstrated that patients are typically willing to have physicians-intraining participate in their care, a finding confirmed by our survey. [14][15][16][17][18]20 While patients are typically willing to have trainees participate in their medical care, they desire explicit knowledge of the role that students and residents will have in that care. 16,20,21 However, in ophthalmology, patients have limited knowledge of medical student and resident roles, and patient expectations of what occurs in the operating room in other surgical arenas are often incongruent with reality.…”

Section: Commentmentioning

confidence: 99%

Patient Attitudes Toward Resident Involvement in Cataract Surgery

Wisner

Quillen²,

Benderson

et al. 2008

Arch Ophthalmol

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To assess how patients in an academic ophthalmology practice feel regarding the involvement of residents in their cataract surgery. Methods: Using an anonymous survey, we asked patients with cataracts about issues related to resident involvement in cataract surgery, including informed consent, how likely they were to agree to resident involvement in their surgery, and the likelihood that they would seek care elsewhere if residents were to be involved in their surgery. Results: Participants indicated they should be asked in advance if a resident may assist in (83%) or perform (96%) their surgery. The person asking permission should be

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“…13,14 This was also seen in parental consent regarding their children, a situation which one might think even more sensitive. 4 Gan et al 21 reported 95.3% of their patients consented to resident cataract surgery. The higher rate reported may in part be owing to the design: resident participation was presented as a hypothetical option, rather than an actual event to take place.…”

Section: Box 2 Example Statements For Qualitative Themes Regarding Cmentioning

confidence: 99%

Association of Preoperative Disclosure of Resident Roles With Informed Consent for Cataract Surgery in a Teaching Program

et al. 2019

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IMPORTANCE Cataract surgery is the most commonly performed intraocular surgery. Academic centers have mandates to train the next surgeon generation, but resident roles are often hidden in the consent process. OBJECTIVE To investigate associations of full preoperative disclosure of the resident role with patient consent rates and subjective experience of the consent process. DESIGN, SETTING, AND PARTICIPANTS Full scripted disclosure of residents' roles in cataract surgery was delivered by the attending surgeon. Qualitative analysis was conducted from recorded interviews of patients postoperatively regarding consent process experience and choice of whether to allow resident participation. Associations were sought regarding demographic characteristics and consent rates. Patients were recruited though a private community office. Surgery was performed at a single hospital where resident training was routinely conducted. The study included systemically well patients older than 18 years with surgical cataract. They had no previous eye surgery, English fluency, and ability to engage in informed consent decision-making and postsurgery interview. Patients were ineligible if they had monocular cataracts, required additional simultaneous procedures, had history of ocular trauma, or had cataracts that were surgically technically challenging beyond the usual resident skill level. INTERVENTIONS Eligible patients received an informed consent conversation by the attending physician in accordance with a script describing projected resident involvement in their cataract surgery. Postoperatively, patients were interviewed and responses were analyzed with a quantitative and thematic qualitative approach. MAIN OUTCOMES AND MEASURES Consent rates to resident participation and qualitative experience of full disclosure process. RESULTS Ninety-six patients participated. Participants were between ages 50 and 88 years, 53 were men (55.2%), and 75 were white (85.2%). A total of 54 of 96 participants (56.3%; 95% CI, 45.7%-66.4%) agreed to resident involvement. There were no associations between baseline characteristics and consent to resident involvement identified with any confidence, including race/ethnicity (60% [45 of 75] in white patients vs 30.8% [4 of 13] in nonwhite patients; difference, 29.2%; 95% CI, −0.7% to 57.3%; Fisher exact P = .07). Thematically, those who agreed to resident involvement listed trust in the attending surgeon, contributing to education, and supervision as contributing factors. Patients who declined stated fear and perceived risk as reasons. CONCLUSIONS AND RELEVANCE Our results suggest 45.7% to 66.4% of community private practice patients would consent to resident surgery. Consent rates were not associated with demographic factors. Because residents are less often offered the opportunity to do surgery on private practice patients vs academic center patients, this may represent a resource for resident education.

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Parental Understanding of the Role of Trainees in the Ophthalmic Care of Their Children

Cited by 18 publications

References 13 publications

Public Awareness regarding the Differences between Ophthalmologists and Optometrists among Saudi Adults Living in Riyadh: A Quantitative Study

Public Awareness regarding the Differences between Ophthalmologists and Optometrists among Saudi Adults Living in Riyadh: A Quantitative Study

Patient Attitudes Toward Resident Involvement in Cataract Surgery

Association of Preoperative Disclosure of Resident Roles With Informed Consent for Cataract Surgery in a Teaching Program

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