Trends in cataract surgery training curricula
Mona Lotfipour1, Ramunas Rolius1, Erik B Lehman1
1From the Department of Ophthalmology (Lotfipour, Rolius, Pantanelli, Scott) and Department of Public Health Sciences (Lehman, Scott), Pennsylvania State College of Medicine, Hershey, Pennsylvania, USA.
Ophthalmology residents now start cataract surgery training with phacoemulsification earlier in their residency. However, many programs still lack a formal cataract surgery curriculum, despite increased surgical experience.
Area of Science:
- Ophthalmology
- Medical Education
- Surgical Training
Background:
- Cataract surgery training has evolved significantly.
- Understanding current trends in resident surgical education is crucial.
Purpose of the Study:
- To evaluate trends in cataract surgery training curricula.
- To identify factors influencing resident participation as a primary surgeon.
Main Methods:
- Cross-sectional study utilizing anonymous survey results.
- Survey e-mailed to program directors of ACGME-accredited ophthalmology residency programs.
- 51 program directors completed the survey.
Main Results:
- Residents perform a mean of 2, 25, and 155 phacoemulsification surgeries in their first, second, and third years, respectively.
- Clear corneal phacoemulsification is the primary technique taught (91%).
- 71% of programs have structured curricula; however, 29% lack a formal cataract surgery curriculum.
Conclusions:
- Residents begin phacoemulsification earlier and perform more surgeries than previously required.
- Gaps persist in formal cataract surgery training curricula across residency programs.
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