The Ophthalmology Surgical Competency Assessment Rubric (OSCAR) for Open Globe Surgical Management

Area of Science:

• Ophthalmology
• Surgical Education
• Medical Assessment

Background:

• Assessing surgical competency is crucial for effective training.
• Standardized tools are needed for objective evaluation of open globe repair skills.

Purpose of the Study:

• To develop an internationally recognized rubric for assessing surgical competency in open globe management.
• To establish a standardized tool for evaluating proficiency in open globe repair.

Main Methods:

• An international expert panel of ophthalmologist educators developed a competency-based rubric.
• The rubric outlines steps for open globe repair and defines competency levels based on a modified Dreyfus model.
• The tool underwent vetting by a second panel of ophthalmologists to ensure face and content validity.

Main Results:

• The study established key steps and global indices for open globe repair.
• Descriptive wording for each surgical step and competency level (novice to competent) was defined.
• Expert feedback was integrated to ensure the rubric's validity.

Conclusions:

• A standardized rubric for evaluating resident competency in open globe repair has been developed.
• This tool, based on a modified Dreyfus model, offers a non-biased, objective, and simple assessment of surgical skills.
• The rubric is recommended for global use in surgical training programs.