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Author Notes:

Corresponding author: spantanelli@pennstatehealth.psu.edu

Disclosures: None to report.

Subjects:

Research Funding:

Drs. Callahan, Chen, and Papachristou report nonfinancial support from Alcon and from Bausch & Lomb during the conduct of the study.

Dr. Pantanelli reports nonfinancial support from Alcon and from Bausch & Lomb during the conduct of the study, as well as personal fees from Carl Zeiss Meditec outside the submitted work.

Keywords:

  • Cataract Surgery
  • Manual Small Incision Cataract Surgery
  • Ophthalmology
  • Phacoemulsification
  • Wet Lab

Wet Lab-Based Cataract Surgery Training Curriculum for the PGY 2/PGY 3 Ophthalmology Resident.

Tools:

Journal Title:

MedEdPORTAL

Volume:

Volume 14

Publisher:

, Pages 10782-10782

Type of Work:

Article | Final Publisher PDF

Abstract:

Introduction: Studies have shown that structured cataract surgery training curricula are beneficial for resident surgeons-in-training, yet nearly one-third of US training programs do not have one, and public dissemination of said curricula are lacking. Methods: We created a microsurgical simulation center and accompanying structured training curriculum. Weekly lectures focused on the steps of cataract surgery, variations on technique, and complications. Each didactic was followed by a 1.5- to 2-hour time block with faculty supervision in the wet lab. Finally, to demonstrate proficiency, residents submitted a recorded video illustrating their competency within 1 week of the lecture. We reviewed videos and provided written feedback via a standardized form. Curriculum effectiveness was evaluated through formative feedback on the course itself and complication rates for resident-performed cataract surgery before and after implementation of the curriculum. Results: The course was implemented in 4 consecutive academic years, allowing time for nine junior residents to participate in the course at least once before operating as a senior. The incidence of posterior capsule tears for senior residents decreased from 3.07% in the 4 years preceding curriculum implementation to 1.13% for the senior residents who completed the course at least once as juniors (p = .0571). Supervised wet lab sessions and submitted videos allowed faculty to identify surgically struggling residents early. Discussion: Implementation of a cataract surgery training curriculum for junior ophthalmology residents provides a safe and effective environment to practice surgical techniques. Such a curriculum may decrease the complication rates of beginner surgeons.

Copyright information:

© 2018 Pantanelli et al.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (http://creativecommons.org/licenses/by-nc-sa/4.0/).

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