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The Ophthalmology Surgical Competency Assessment Rubric for External Dacryocystorhinostomy Surgery
Valerie Juniat1, George M Saleh2, Milind Naik3
1Department of Ophthalmology, Royal Adelaide Hospital, Port Road, Australia.
Ophthalmic Plastic and Reconstructive Surgery
|July 4, 2020
Summary
A new assessment tool, the Ophthalmology Surgical Competency Assessment Rubrics (OSCAR) for external dacryocystorhinostomy (ExDCR), was developed. This skill-based rubric ensures international standards for training ophthalmic surgeons in ExDCR procedures.
Area of Science:
- Ophthalmology
- Surgical Education
- Medical Assessment
Background:
- The International Council of Ophthalmology (ICO) is creating standardized teaching tools called Ophthalmology Surgical Competency Assessment Rubrics (OSCARs) for ophthalmic procedures.
- Developing reliable assessment tools is crucial for surgical training.
Purpose of the Study:
- To develop an OSCAR specifically for external dacryocystorhinostomy (ExDCR).
- To create a validated tool for assessing competency in ExDCR surgery.
Main Methods:
- An international panel of experts developed the ExDCR OSCAR using online collaboration and a standardized template.
- Behavioral descriptors were created and refined through iterative review.
- Learner performance was assessed using a modified 4-point Dreyfus scale.
Main Results:
- The final OSCAR ExDCR tool aligns with ICO-OSCAR standards.
- Nineteen weighted assessment stems were finalized.
- The rubric demonstrated international agreement, face validity, and content validity.
Conclusions:
- The OSCAR ExDCR is a skill- and behavior-based assessment tool.
- It meets ICO standards and provides clear targets for surgical skill improvement.
- Further research may clarify its specific role in surgical education.

