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González-Andrades M, Fung SSM, Potic J, Chidambaram JD, Karimi A, Quigley C, Pontoppidan-Toms R, Scott A, Rasmussen MLR. Harmonizing ophthalmic residency surgical training across Europe: A proposed surgical curriculum. Eye (Lond) 2023; 37:3256-3262. [PMID: 36932160 PMCID: PMC10564786 DOI: 10.1038/s41433-023-02502-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 01/29/2023] [Accepted: 03/08/2023] [Indexed: 03/19/2023] Open
Abstract
BACKGROUND One of the core aims of the European Union of Medical Specialists is to harmonize training across Europe by creating European Training Requirements for all medical specialties including Ophthalmology. The theoretical part is already defined by the EBO, however as ophthalmology also includes surgical skills, we herein propose a surgical minimum curriculum for ophthalmology residents in Europe. METHODS National and international ophthalmic training curricula which are publicly available in English were reviewed and compared. The final proposal was created from 5 criteria: 1. Disease prevalence; 2. Patient safety; 3. Case-trainee ratio; 4. Skill transfer; and 5. Technical difficulty. RESULTS In total 7 different training curricula from across the world were compared. Among the surgical procedures, cataract surgery has the highest median number of procedures required to be completed during residency: 86 procedures (50-350). Followed by oculoplastics: 28 procedures (10-40) and panretinal photocoagulation: 27.5 procedures (10-49) Full procedural competence is proposed in 9 surgical skills, including YAG laser posterior capsulotomy, retinal argon laser, intravitreal injection, corneal foreign body removal, removal of corneal sutures, facial and periocular laceration repair, eyelid laceration repair, minor eyelid procedures, and punctal occlusion. These procedures are deemed essential and feasible for all ophthalmology residents in Europe to perform independently upon completion of their training. CONCLUSION This proposal should be regarded as a recommendation based on comparable surgical curricula in use worldwide to establish standards across European countries and may serve as valuable insight to those responsible for compiling ETRs for ophthalmology, or their national curriculums.
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Affiliation(s)
- Miguel González-Andrades
- Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Department of Ophthalmology, Reina Sofia University Hospital and University of Cordoba, Cordoba, Spain
| | - Simon S M Fung
- Department of Ophthalmology, University of California Los Angeles, Los Angeles, USA
| | - Jelena Potic
- Clinic for Eye Diseases, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia
- Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, Department of Ophthalmology, University of Lausanne, Lausanne, Switzerland
| | - Jaya D Chidambaram
- Division of Pharmacy & Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
| | - Ayesha Karimi
- Department of Ophthalmology, Frimley Park Hospital, Portsmouth Road, Frimley, GU16 7UJ, UK
| | - Clare Quigley
- Department of Ophthalmology, Royal Victoria Eye and Ear Hospital, Dublin, Ireland
| | | | | | - Marie Louise R Rasmussen
- Department of Ophthalmology, Rigshospitalet, Copenhagen and Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
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Collis S, Yung M, Parikh N. Evaluation of an Instructional Video and Simulation Model for Teaching Slit Lamp Examination to Medical Students. JOURNAL OF ACADEMIC OPHTHALMOLOGY (2017) 2023; 15:e215-e222. [PMID: 37766880 PMCID: PMC10522417 DOI: 10.1055/s-0043-1775577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 08/31/2023] [Indexed: 09/29/2023]
Abstract
Purpose This article assesses the efficacy of an instructional video and model eye simulation for teaching slit lamp exam to medical students as compared to traditional preceptor teaching. Methods First through 4th year students from the University of California, San Francisco School of Medicine were recruited via email to participate in the study. Students were randomized into two groups. The experimental "model eye" group watched an instructional video on slit lamp exam, spent 10 minutes practicing on the model eye, then practiced for 25 minutes with a student partner. The control "preceptor teaching" group received 25 minutes of in-person preceptor teaching on slit lamp exam, then spent 25 minutes practicing with a student partner. Students were objectively assessed by a blinded grader who scored their examination skills with a 31-item checklist. Qualtrics surveys that measured student perceptions were distributed before and after the intervention. Results Seventeen medical students participated in the study. Students in the model eye group achieved higher mean objective assessment scores than students in the preceptor teaching group on skills relating to slit lamp set up (1.75, standard deviation [SD] = 0.50 and 1.50, SD = 0.80 out of 2 points, p = 0.03) and on the total score (1.69, SD = 0.6 and 1.48, SD = 0.8 out of 2 points, p < 0.01). Both groups reported a significant increase in their understanding of what a slit lamp is used for ( p < 0.01) and in their confidence using a slit lamp ( p < 0.01). All students felt their skills improved with the workshop, 94% found the workshop to be useful, and 88% enjoyed the workshop, with no intergroup differences on these metrics. Conclusion An instructional video combined with a simulation model is as effective as traditional preceptor teaching of the slit lamp exam. Such a teaching module may be considered as an adjunct to traditional methods.
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Affiliation(s)
- Sophia Collis
- University of California San Francisco School of Medicine, San Francisco, California
| | - Madeline Yung
- Department of Ophthalmology, University of California San Francisco, San Francisco, California
| | - Neeti Parikh
- Department of Ophthalmology, University of California San Francisco, San Francisco, California
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3
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Goel N, Saroya AS, Morya AK, Tejaswini A. What makes a resident a great resident? Indian J Ophthalmol 2023; 71:1045-1046. [PMID: 36872744 PMCID: PMC10229921 DOI: 10.4103/ijo.ijo_3051_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2023] Open
Affiliation(s)
- Nupur Goel
- Anterior segment and Oculoplasty, Icare Eye Hospital and PG Institute, Noida, Uttar Pradesh, India
| | - Arnav Singh Saroya
- Cataract, Cornea and Refractive Surgery, Dr Agarwals Eye Hospital, Chennai, Tamil Nadu, India
| | - Arvind Kumar Morya
- Cataract, Glaucoma, Refractive, Squint, Paediatric Ophthalmology and Medical Retina Services, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India
| | - Antarvedi Tejaswini
- Cataract, Glaucoma, Refractive, Squint, Paediatric Ophthalmology and Medical Retina Services, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India
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Bhullar PK, Venkateswaran N. Ophthalmology Residency in the United States: The Case for a National Curriculum. Semin Ophthalmol 2023; 38:167-177. [PMID: 36653736 DOI: 10.1080/08820538.2022.2152713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
To identify strategies for effective curriculum development and implementation in United States (US) ophthalmology residency training programs. A literature review was conducted for all English-language PubMed/Medline articles relating to ophthalmology residency education or curriculum/curricula. Despite ACGME-defined program requirements outlining curricular goals for US ophthalmology residency training programs, there is no comprehensive, national curriculum with detailed plans for instruction of necessary topics within the 36-month residency training period. Several articles identify a need for detailed curricula on various topics, propose ideas on how residency programs could create curricula, and explore ways of assessing resident competence. There is a paucity of literature evaluating how ophthalmology residents best learn various ophthalmology topics. We need to develop an intentional, comprehensive, and timely national curriculum for ophthalmology residency programs in the US, with detailed plans on how to meet curricular objectives and consideration of the most effective teaching strategies for different ophthalmology concepts.
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Evangelista CB, Larsen KL, Cervero RM, Samuel A. Corneal Laser Refractive Surgery Curriculum Development in the Military: Using the Nominal Group Technique. Mil Med 2023; 188:e145-e151. [PMID: 34191032 DOI: 10.1093/milmed/usab262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Revised: 06/13/2021] [Accepted: 06/18/2021] [Indexed: 01/11/2023] Open
Abstract
INTRODUCTION Corneal laser refractive surgery (CRS) has emerged over the past three decades as a surgical method for correcting or improving vision. In the military, CRS helps warfighters achieve weapon grade vision, which offers a tactical advantage in the deployed environment. As refractive surgery has become more prevalent in both the military and civilian sector, more ophthalmologists need to learn about treatment options as well as management of complications in order to meet increasing patient demand. Currently, little is known about the most effective curriculum for teaching refractive surgery in training programs, and a standardized curriculum does not exist. Since unification of training programs is a Defense Health Agency priority, this study aimed to collect expert consensus on a standardized curriculum for CRS training in the military. MATERIALS AND METHODS To achieve this goal, the Nominal Group Technique (NGT) was used wherein a panel of experts, currently practicing refractive surgeons involved in military refractive surgery training programs, arrived at consensus on a standardized CRS curriculum. The framework for developing this curriculum is based on Kern's Six-Step Approach to Curriculum Development. The International Council of Ophthalmology refractive surgery curriculum, National Curriculum for Ophthalmology Residency Training, Accreditation Council for Graduate Medical Education competencies and surgical minimums, and American Academy of Ophthalmology Refractive Surgery Preferred Practice Guidelines were used as the starting materials from which panelists' consensus was drawn. This consensus-building method allowed for equal representation of experts' ideas and fostered collaboration to aid in the creation of a robust and standardized curriculum for refractive surgery training programs in the military. RESULTS The panelist experts from this NGT were able to reach consensus on the components of a standardized military refractive surgery curriculum to include generalized and targeted needs assessment, goals and objectives, educational strategies, and curriculum implementation. CONCLUSION A standardized CRS curriculum is warranted in military training programs. This NGT achieved expert consensus on the goals, objectives, educational methods, and implementation strategies for a standardized CRS curriculum in military ophthalmology residency.
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Affiliation(s)
- Charisma B Evangelista
- Department of Ophthalmology, Wilford Hall Eye Center, Joint Base San Antonio Lackland, TX 78236, USA
| | - Kelsey L Larsen
- School of Politics, Security, and International Affairs, University of Central Florida, Orlando, FL 32816, USA
| | - Ronald M Cervero
- Center for Health Professions Education, Uniformed Services University, Bethesda, MD 20814, USA
| | - Anita Samuel
- Center for Health Professions Education, Uniformed Services University, Bethesda, MD 20814, USA
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Sud R, Khanduja S. Implementing competency-based medical education in post-graduate ophthalmology training: Understanding key concepts and methodologies and overcoming challenges. Indian J Ophthalmol 2022; 70:3701-3706. [PMID: 36190077 PMCID: PMC9789853 DOI: 10.4103/ijo.ijo_417_22] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The National Medical Council (NMC) has mandated that all post-graduate training shall be competency-based, following the principles of Competency. Based Medical Education (CBME). This aims to serve the dual purpose of standardizing ophthalmology post-graduate training and to overcome the shortcomings of the traditional curriculum by employing innovative and interactive teaching-learning and assessment techniques to produce competent ophthalmologists well equipped with clinical, surgical, and professional skills relevant to current times. CBME marks a paradigm shift from traditional curriculum methodologies and involves the introduction of several new concepts. This article aims to highlight the key principles of CBME and the various teaching-learning and assessment technique methodologies which can be employed for post-graduate training. It also highlights the various challenges that are likely to be faced in its implementation and measures to overcome them.
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Affiliation(s)
- Rouli Sud
- Department of Ophthalmology, Kalpana Chawla Government Medical College and Hospital, Karnal, Haryana, India
| | - Sumeet Khanduja
- Department of Ophthalmology, Kalpana Chawla Government Medical College and Hospital, Karnal, Haryana, India,Correspondence to: Dr. Sumeet Khanduja, Department of Ophthalmology, Kalpana Chawla Government Medical College and Hospital, Karnal, Haryana, India. E-mail:
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Mishra D, Kaur K, Gurnani B, Heda A, Dwivedi K. Clinical and diagnostic color-coding in ophthalmology - An indispensable educational tool for ophthalmologists. Indian J Ophthalmol 2022; 70:3191-3197. [PMID: 36018086 DOI: 10.4103/ijo.ijo_442_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Schematic diagrams have been important tools in Ophthalmology for ages. These are vital tools to document ocular pathologies, assist in the comparison of clinical records on follow-up visits, serve as standardized means of communication between ophthalmologists, educating trainees and postgraduates, and helping in the easy follow-up of disease course over a period. There are standardized color codes for depicting different pathologies in the anterior and posterior segments. The understanding of these guidelines allows proper documentation of findings and helps in standardizing ophthalmic care. This method of documentation is beneficial as this is a less expensive tool, provides immediate records at a glance, allows distinctive marking of clinical findings not possible to document with clinical photographs, and can help in medico-legal cases as well. This article focuses on highlighting the standard guidelines that will be useful for training ophthalmologists. This article primarily focuses on various color-codings for anterior and posterior segment schematic representations, along with a brief touch on the importance of color-coding in glaucoma and standardized eye drop (vials) color codes as per the American Academy of Ophthalmology guidelines. We believe this can be taken as a template for future reference by all trainees, postgraduates, fellows, and clinician ophthalmologists in their day-to-day clinical practice.
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Affiliation(s)
- Deepak Mishra
- Regional Institute of Ophthalmology, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - Kirandeep Kaur
- Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital, Pondicherry, India
| | - Bharat Gurnani
- Cornea and Refractive Services, Aravind Eye Hospital, Pondicherry, India
| | - Aarti Heda
- Department of Ophthalmology, KK Eye Hospital, Pune, Maharashtra, India
| | - Kshama Dwivedi
- Regional Institute of Ophthalmology, MLN Medical College, Allahabad, India
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Ramani S, Pradeep TG, Sundaresh DD. An update on the novel approaches towards skills assessment of ophthalmology residents in the Indian scenario. Indian J Ophthalmol 2022; 70:1092-1098. [PMID: 35325993 PMCID: PMC9240543 DOI: 10.4103/ijo.ijo_1034_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
An essential part of the teaching-learning paradigm is assessment. It is one of the ways to achieve feedback for the various methods that have been used to impart a particular skill. This is true of ophthalmology training, where various clinical and surgical skills are learned as part of the residency program. In preparation for residents to become proficient ophthalmologists, both formative and summative assessments are of paramount importance. At present, assessment is primarily summative in the form of a university examination, including theory and practical examinations that are conducted at the end of the three years of residency. A formative assessment can make course corrections early on, allowing for an improved understanding of the subject and the acquisition of clinical and surgical skills. Formative assessments also allow us to customize the teaching methodology considering individual residents’ learning capabilities. In addition, formative assessments have the advantage of alleviating the stress of a “final” examination, which could sometimes result in a less-than-optimum performance by the residents. The COVID-19 pandemic has forced us to adopt new teaching methods, which has led to the adoption of changes in assessment. In this regard, we discuss the different assessment tools available, their pros and cons, and how best these tools can be made applicable in the setting of an ophthalmology residency program.
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Affiliation(s)
- Soumya Ramani
- Department of Ophthalmology, M.S. Ramaiah Medical College, Bangalore, Karnataka, India
| | - Thanuja G Pradeep
- Department of Ophthalmology, M.S. Ramaiah Medical College, Bangalore, Karnataka, India
| | - Divya D Sundaresh
- Department of Ophthalmology, M.S. Ramaiah Medical College, Bangalore, Karnataka, India
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Nayak B. Commentary: Enhancement of cognitive and surgical skills of phacoemulsification in residency or fellowship program: A multiapproach training. Indian J Ophthalmol 2021; 69:3702-3703. [PMID: 34827026 PMCID: PMC8837278 DOI: 10.4103/ijo.ijo_2019_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Bhagabat Nayak
- Department of Ophthalmology, AIIMS, Bhubaneswar, Odisha, India
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Kaushik J, Chaitanya YVK, Kumar A, Jakhar P, Shetty R, Singhal A, Parihar JKS, Singh A. Prevalence and effectiveness of innovative techniques in ophthalmic surgical training during COVID-19 pandemic in India. Indian J Ophthalmol 2021; 69:3704-3708. [PMID: 34827027 PMCID: PMC8837362 DOI: 10.4103/ijo.ijo_1886_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Purpose: This study aimed to determine the various innovative surgical training techniques prevalent among ophthalmology residents in India during the COVID-19 pandemic. Methods: This was a prospective cross-sectional study. An online survey questionnaire was completed by ophthalmology residents from different parts of the country. The survey consisted of questions related to the impact of the pandemic on training, innovative training techniques adapted during the pandemic and their effectiveness, and COVID-19 duty-related information. Results: A total of 147 responses were obtained. The mean age was 29.3 years (range: 24–40 years, SD: ±3.82). Of which, 87 (59.2%) respondents were females. A total of 61 (41.5%) respondents reported practicing steps of ocular surgeries on goat eye, 69 (46.9%) on model eye/vegetables/fruits, 30 (20.4%) on surgical simulators, and 26 (17.7%) utilized 3-D virtual images and videos. In addition, 22 (15%) respondents reported never using any such techniques. Furthermore, 130 (88.4%) respondents reported practicing steps of cataract surgery, 52 (35.4%) practiced steps of open globe repair, and steps of trabeculectomy were reported by 24 (16.3%). The steps that were reported to be practiced most are incision or tunnel construction by 108 (73.5%), suturing by 92 (62.6%), capsulorrhexis by 91 (61.9%), primary wound repair by 82 (55.8%), and conjunctival peritomy by 75 (51%). Conclusion: The present study demonstrates that residents across the country are adapting to the present scenario by utilizing several innovative methods to sharpen their surgical acumen. The current pandemic situation can serve as an impetus to emphasize upon the institutes and medical regulatory bodies to appropriately remodel the residency curriculum.
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Affiliation(s)
- Jaya Kaushik
- Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Y V K Chaitanya
- Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Ashok Kumar
- Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Pushpendra Jakhar
- Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Rakesh Shetty
- Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Aanchal Singhal
- Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India
| | - J K S Parihar
- Department of Ophthalmology and Post Graduate Training and Education, Centre for Sight, New Delhi, India
| | - Ankita Singh
- Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India
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Sinha S, Nishant P, Azad R. Residents' proficiency in diagnostics with all ophthalmic equipment - Need of the hour. Indian J Ophthalmol 2021; 69:1966-1967. [PMID: 34146074 PMCID: PMC8374780 DOI: 10.4103/ijo.ijo_980_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Sony Sinha
- Department of Ophthalmology, Patna Medical College, Patna, Bihar, India
| | - Prateek Nishant
- Department of Ophthalmology, All India Institute of Medical Sciences, Patna, Bihar, India
| | - Rajvardhan Azad
- Vitreoretinal Services, Regional Institute of Ophthalmology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
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Gogate PM, Biswas P, Honavar SG, Sharma N, Sinha R, Sachdev MS, Verma L, Nayak BK, Natarajan S. Ophthalmology residency trainers' perspective on standardization of residency training in India. Indian J Ophthalmol 2021; 69:836-841. [PMID: 33727442 PMCID: PMC8012940 DOI: 10.4103/ijo.ijo_2358_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Purpose The aim of this study was to study the perception of residency trainers about an optimum residency program. Methods A survey, using a pre-validated questionnaire, was conducted by the Academic and Research Committee of the All India Ophthalmological Society, in 2019-20 with questions directed to teachers in medical colleges and national board of examination's ophthalmology residency programs on demography, teaching experience, imparting clinical and surgical skills, ideal academic schedule and dissertation in the post-graduate residency program. Results The response rate in the survey was 47.6%. Valid responses were obtained from 309 residency trainers. Of these, 132 of 309 (42.7%) were females. The mean age was 45.3 ± 9.5 years, range 26-68 years. The trainers believed that on a scale of 0-10, clinical skills teaching should be taught, mean ± SD: slit lamp 9.8 ± 0.7; indirect ophthalmoscopy 9.3 ± 1.3; gonioscopy 9.2 ± 1.5; perimetry 8.9 ± 1.5; OCT 8.4 ± 1.9; applanation tonometry 9.5 ± 1.2 and orthoptic evaluation 8.1 (±1.9). A resident should ideally perform independently surgeries (median, inter-quartile range IQR): SICS 50 (IQR 40-100); phaco 50 (20-60); pterygium excision 20 (10-40); DCR 10 (5-20); chalazion 20 (10-50), trabeculectomy 7 (5-15); strabismus 5 (2-10), LASIK and retinal detachment 0. Ideally there should be four lectures, four seminars, four case presentations, five journal clubs and four wet labs every month. Conclusion Teachers expected their wards to become competent professionals. There was near unanimity about the content of clinical skills training, non-medical skills and academics, but there was a significant variation on extent of surgical training that should be imparted to the residents.
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Affiliation(s)
- Parikshit Madhav Gogate
- Community Eye Care Foundation, Dr. Gogate's Eye Clinic, Pune; Department of Ophthalmology, D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India; School of Medicine, Dentistry and Biomedical Engineering, Queens University, Belfast, United Kingdom
| | | | | | - Namrata Sharma
- Cornea & Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Rajesh Sinha
- Cornea, Lens and Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | | | - Lalit Verma
- Retina Services, Centre for Sight, New Delhi, India
| | - Barun Kumar Nayak
- Department of Ophthalmology, P. D. Hinduja Hospital and Research Centre, Mumbai, Maharashtra, India
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Farooqui JH, Mathur U, Pahwa RR, Singh A, Vasavada V, Chaudhary RM. Training Indian ophthalmologists in phacoemulsification surgery: Nine-year results of a unique two-week multicentric training program. Indian J Ophthalmol 2021; 69:1391-1397. [PMID: 34011707 PMCID: PMC8302294 DOI: 10.4103/ijo.ijo_2785_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Purpose: To assess the outcome of 2 weeks phacoemulsification training program that is a unique collaboration between premier ophthalmic training institutes of India and Alcon Inc. initiated 10 years ago. Methods: Cataract surgeons eager to adopt phacoemulsification surgery as the primary treatment modality were enrolled in an intensive 2 weeks training program across seven premier ophthalmic institutes in India. These surgeons performed supervised phacoemulsification surgery under the guidance of expert faculty. Simultaneously didactic lectures, postoperative video discussions, and wet laboratory training were conducted. To assess improvement in the surgical skills each surgery was scored using the International Council of Ophthalmology-Ophthalmology Surgical Competency Assessment Rubrics (ICO-OSCAR). Phaco Development Specialist supported these surgeons for minimum duration of 1 year and maximum of 9 years and 2 months. In this multicentric study, surgical data of the participants enrolled between June 2010 to August 2018 was retrospectively analyzed. Results: Nine hundred 89 ophthalmologists across 27 Indian states and 4 Union Territories were trained between June 2010 and August 2018. The mean age of participants was 40.6 (+ 8.2 years) and 64.8% were males. After completing their training they performed 1,022,508 phacoemulsification surgeries in 9 years and 2 months. At follow-up, 92.11% and 88.77% of the surgeons were performing phacoemulsification at the end of 1 year and final follow-up, respectively. Conclusion: This program highlights how partnership model between industry and ophthalmologists can go hand in hand for training and skill development of doctors contributing to much-needed improvement in patient care across societies.
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Affiliation(s)
- Javed Hussain Farooqui
- Department of Cornea, Cataract and Refractive Surgery, Dr. Shroff's Charity Eye Hospital, Kedarnath Marg, Daryaganj, New Delhi, India
| | - Umang Mathur
- Department of Cornea, Cataract and Refractive Surgery, Dr. Shroff's Charity Eye Hospital, Kedarnath Marg, Daryaganj, New Delhi, India
| | - Rashmi Rani Pahwa
- Phaco Development - India and West ASIA, Alcon Laboratories (India) Private Ltd, Bangalore, Karnataka, India
| | - Aditi Singh
- Phaco Development - India and West ASIA, Alcon Laboratories (India) Private Ltd, Bangalore, Karnataka, India
| | - Vaishali Vasavada
- Department of Cataract Surgery, Raghudeep Eye Hospital, Ahmedabad, Gujarat, India
| | - Reena M Chaudhary
- Cataract and Glaucoma Services, ICARE Eye Hospital and Post Graduate Institute, Noida, Uttar Pradesh, India
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14
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Gurnani B, Kaur K. Comments on: Senior residency: An opportunity missed? Indian J Ophthalmol 2021; 69:458-459. [PMID: 33463614 PMCID: PMC7933858 DOI: 10.4103/ijo.ijo_3306_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Bharat Gurnani
- Cornea and Refractive Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India
| | - Kirandeep Kaur
- Pediatric and Squint Fellow, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India
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Pradeep TG, Sundaresh DD, Ramani S. Adoption of newer teaching methods to overcome challenges of training in ophthalmology residency during the COVID-19 pandemic. Indian J Ophthalmol 2021; 69:1292-1297. [PMID: 33913881 PMCID: PMC8186639 DOI: 10.4103/ijo.ijo_3063_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has disrupted training programs across all specialties. Surgical specialties, such as ophthalmology, that need continued microsurgical training are affected the most. The pandemic has resulted in ophthalmology residents being taken off their regular duties in ophthalmology and inducted into COVID duties. The focus on COVID care has de-emphasized training in ophthalmology. We highlight the challenges that teachers face in continuing the training programs of theory, clinical skill, and surgical skill transfer. Embracing technology is the need of the hour. We discuss the multiple options available to enable continued training programs and emphasize the need for all training institutes to include technology as an additional component of their training curricula.
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Affiliation(s)
- Thanuja G Pradeep
- Department of Ophthalmology, Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India
| | - Divya Dabir Sundaresh
- Department of Ophthalmology, Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India
| | - Soumya Ramani
- Department of Ophthalmology, Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India
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Grover AK. COVID-19 crisis and residency education: A moment to seize the opportunity and create a new road map! Indian J Ophthalmol 2020; 68:959-960. [PMID: 32461405 PMCID: PMC7508148 DOI: 10.4103/ijo.ijo_1498_20] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
- Ashok Kumar Grover
- Chairman, Vision Eye Centres, Siri Fort Road & West Patel Nagar, Department of Ophthalmology, Sir Ganga Ram Hospital, New Delhi, India
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Pandey SK, Sharma V. Ophthalmology training and teaching in India: How these young ophthalmologists can become leaders of tomorrow? Indian J Ophthalmol 2018; 66:1517-1518. [PMID: 30249860 PMCID: PMC6173040 DOI: 10.4103/ijo.ijo_898_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Suresh K Pandey
- SuVi Eye Institute and Lasik Laser Center, Kota, Rajasthan, India,John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA,Department of Ophthalmology, Save Sight Institute, University of Sydney, Sydney, Australia,Correspondence to: Dr. Suresh K Pandey, Director, SuVi Eye Institute and Lasik Laser Center, C 13 Talwandi, Kota - 324 005, Rajasthan, India. E-mail:
| | - Vidushi Sharma
- SuVi Eye Institute and Lasik Laser Center, Kota, Rajasthan, India
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Affiliation(s)
- Santosh G Honavar
- Editor, Indian Journal of Ophthalmology, Editorial Office: Centre for Sight, Hyderabad - 500 034, Telangana, India
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Prajna V. Take time to sharpen the saw. Indian J Ophthalmol 2018; 66:784. [PMID: 29785983 PMCID: PMC5989497 DOI: 10.4103/ijo.ijo_739_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Venkatesh Prajna
- Department of Cornea and Refractive Surgery, Aravind Eye Hospital, Madurai, Tamil Nadu, India
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Affiliation(s)
- Bruce E Spivey
- Chairman, Pacific Vision Foundation, San Francisco, CA, USA
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