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Resident glaucoma surgical training in United States residency programs
Richard P Golden1, Rohit Krishna, Peter W DeBry
1Eye Foundation of Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri 64108, USA.
Journal of Glaucoma
|May 5, 2005
Summary
Glaucoma surgery training for residents is comprehensive, with most learning various procedures from fellowship-trained surgeons. However, pediatric glaucoma surgery experience is notably limited for residents.
Area of Science:
- Ophthalmology
- Surgical Education
- Glaucoma Management
Background:
- Glaucoma surgery is a critical skill for ophthalmologists.
- Understanding current trends in resident surgical training is essential for curriculum development.
Purpose of the Study:
- To assess the current state of glaucoma surgical training in US ophthalmology residency programs.
- To identify trends in resident exposure to different glaucoma surgical procedures and techniques.
Main Methods:
- A national survey was distributed to directors of all ACGME-accredited ophthalmology residency programs.
- Data collected included the number and types of glaucoma procedures performed by residents, surgical techniques, use of adjuncts, and exposure to specific devices.
Main Results:
- Residents complete a median of 8 trabeculectomies, 4 combined trabeculectomy/phacoemulsification, and 2 tube-shunts.
- Most residents gain primary surgeon experience in trabeculectomy by their third year.
- Fellowship-trained glaucoma surgeons predominantly teach glaucoma surgery, with high utilization of antimetabolites and specific tube-shunt devices.
Conclusions:
- Glaucoma surgical training begins early, involves diverse procedures, and is led by fellowship-trained surgeons.
- Residents receive minimal exposure to pediatric glaucoma surgery.
- All surveyed programs met minimum requirements for glaucoma filtering surgery education.
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