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Residency Program Characteristics Associated with Higher Cataract Surgery Volume.

Praneeth Kalva1, Akash Kakkilaya2, Taimur Hasan2

  • 1Department of Ophthalmology, University of Texas at Southwestern Medical Center, Dallas, TX, US.

Seminars in Ophthalmology
|June 12, 2023
PubMed
Summary
This summary is machine-generated.

Ophthalmology residency programs with Veteran Affairs (VA) training sites and more fellowship positions had higher cataract surgery volumes per resident. These factors can help improve surgical education and guide program selection.

Keywords:
Cataract surgerygraduate medical educationophthalmology resident educationveterans affairs

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Area of Science:

  • Ophthalmology
  • Medical Education
  • Surgical Training

Background:

  • Cataract surgery competency improves with experience beyond the Accreditation Council for Graduate Medical Education (ACGME) minimum of 86 cases.
  • Cataract surgery volume is a key metric for ophthalmology residency programs.
  • Understanding program characteristics influencing resident surgical volume can enhance education and aid applicant choices.

Purpose of the Study:

  • To identify ophthalmology residency program characteristics associated with higher mean resident cataract surgery volume.
  • To provide insights for improving resident surgical education and informing residency program selection.

Main Methods:

  • Retrospective analysis of the San Francisco Match Program Profile Database for 113 ophthalmology residency programs.
  • Data from 2018-2021 used to assess program characteristics.
  • Multiple linear regression analysis to determine associations with mean cataract surgery volume per graduating resident (CSV/GR).

Main Results:

  • 109 programs were included; mean CSV/GR was 195.9 cases.
  • Veteran Affairs (VA) training sites (β=38.8, P=.005) and number of approved fellows per year (β=2.9, P=.026) were positively correlated with higher CSV/GR.
  • Programs with VA sites had significantly higher mean CSV/GR (204.1 cases) compared to those without (166.7 cases).

Conclusions:

  • All programs met or exceeded ACGME cataract surgery requirements.
  • VA training sites and increased fellowship positions are linked to higher resident cataract surgery volumes.
  • Programs should consider enhancing these areas for surgical education; applicants may use this data for program evaluation.