United Kingdom national cataract training survey

Alexander, Philip; Matheson, David; Baxter, Julia; Tint, Naing L.

doi:10.1016/j.jcrs.2011.12.024

Cited by 13 publications

(13 citation statements)

References 11 publications

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“…A national survey of 950 UK-based ophthalmologists found that 83% of the respondents had received no formal training in how to teach cataract surgery. 15 Given the diverse role surgical educators play in resident surgical education, residency programs may, therefore, consider organizing specific sessions and structured curriculums for educating the educators, with increased emphasis toward surgeons at the beginning of their teaching career. Furthermore, implementation of certain educational resources, including lectures and case-based discussions where faculty and learners can reflect on their experiences, collaborate on teaching and learning activities, support each other through successes and mistakes, and model reciprocal feedback should, be considered.…”

Section: Discussionmentioning

confidence: 99%

Learning Curve of a Surgical Educator: Resident Cataract Surgery Outcomes under the Supervision of One Attending Surgeon over 5 Years

et al. 2020

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Background The main purpose of this article is to determine the trend of intraoperative complications of resident-performed cataract surgery under the supervision of one attending surgeon during the initial 5 years of surgical teaching. Methods A retrospective chart review was conducted at the Wilmer Eye Institute for all postgraduate year 4 resident-performed cataract surgeries between July 2013 and June 2018 that were supervised by one attending surgeon who was directly out of fellowship training. Recorded data included patient demographics, presence of preoperative risk factors (small pupil, dense cataract, history of ocular trauma, pseudoexfoliation syndrome, postvitrectomy, pre-existing zonular weakness, and high myopia), and intraoperative complications (posterior capsule tear resulting in vitreous loss and zonular dehiscence resulting in vitreous loss and/or loss of sulcus support). A generalized estimating equation model was constructed to determine factors associated with intraoperative complications. Results A total of 1,253 resident cataract surgeries involving 988 patients were included. The overall complication rate was 3.6% (n = 45/1253), with a decreasing trend observed in the rate of intraoperative complications across the study years. Multivariate analysis found that complications during cataract surgery were more likely to occur in earlier years of the supervising surgeon's career (p = 0.01), at the beginning of the academic year (p = 0.03), in eyes with preoperative risk factors (p < 0.001), black patients (p = 0.02), and left eyes (p = 0.02). Conclusion A learning curve exists for novice attending surgeons during their initial years of resident cataract surgery supervision. Residency programs should consider resources to educate novice surgical educators, especially on how to effectively supervise resident-performed complex cases.

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Section: Discussionmentioning

confidence: 99%

Learning Curve of a Surgical Educator: Resident Cataract Surgery Outcomes under the Supervision of One Attending Surgeon over 5 Years

et al. 2020

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“…There is no data on which phaco technique is easier to learn. However, a UK survey of educators showed that 72.9% of respondents preferred to teach divide and conquer to trainees, but only 49.7% preferred divide and conquer as their personal operating technique [15]. Hesitation to teach the chop technique is likely due to the difficulty of the chop maneuvers.…”

Section: Introductionmentioning

confidence: 99%

Rotary Chop: A New Technique for Teaching Chop and Tackling Mature Cataracts

2020

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Introduction: Here we describe a new cataract chop technique that is most valuable for two groups of ophthalmologists: (1) experienced surgeons encountering challenging nuclear fragmentation due to mature cataracts or zonulopathies, and (2) inexperienced surgeons wishing to develop skills necessary for chopping techniques. Methods: We have termed this new method ''rotary chop,'' since the partial thickness pilot holes created by the phacoemulsification (phaco) tip around the periphery of the nucleus produce a rotary phone dial appearance on the surface of the cataract. By creating these pilot holes, the surgeon is able to easily place the chopper deep into the body of the nucleus, avoiding the need to apply vertical piercing force to the nucleus. Results: The patient in the technical video had a 4? nuclear sclerosis cataract. The preoperative vision in this eye was counting fingers at 2 feet with no improvement with refraction. On postoperative day 1, visual acuity had improved to 20/80. By postoperative week 1, best-corrected visual acuity was 20/20 (20/25-2 uncorrected). Conclusion: This method avoids unnecessary zonular stress. Additionally, inexperienced surgeons using this technique during routine cataract surgery are able to quickly master the movements necessary for both vertical and horizontal chop in a safer environment.

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“…Step 4 (phacoemulsification) is performed using various chopping techniques or ‘divide and conquer’ – the latter being the most common approach, especially for novice surgeons (Alexander et al. ; Sorensen et al. ).…”

Section: Introductionmentioning

confidence: 99%

Intraocular surgery – assessment and transfer of skills using a virtual‐reality simulator

Thomsen

2017

Acta Ophthalmologica

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United Kingdom national cataract training survey

Abstract: No author has a financial or proprietary interest in any material or method mentioned.

Cited by 13 publications

References 11 publications

Learning Curve of a Surgical Educator: Resident Cataract Surgery Outcomes under the Supervision of One Attending Surgeon over 5 Years

Learning Curve of a Surgical Educator: Resident Cataract Surgery Outcomes under the Supervision of One Attending Surgeon over 5 Years

Rotary Chop: A New Technique for Teaching Chop and Tackling Mature Cataracts

Intraocular surgery – assessment and transfer of skills using a virtual‐reality simulator

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