Factors Affecting Ophthalmology Trainees to Pursue Vitreoretinal Surgery Fellowship

Area of Science:

• Ophthalmology
• Medical Education
• Surgical Training

Background:

• Vitreoretinal surgery (VRS) is a subspecialty within ophthalmology.
• Understanding factors influencing fellowship choices is crucial for specialty training.
• Ophthalmology trainees' perceptions of VRS fellowship training are not fully understood.

Purpose of the Study:

• To identify factors influencing ophthalmology trainees' decisions to pursue vitreoretinal surgery (VRS) fellowship training.
• To compare the perceptions of residents pursuing VRS with those not pursuing it.
• To explore potential interventions to increase interest in VRS.

Main Methods:

• Prospective observational survey study.
• Surveys distributed to PGY-4 ophthalmology residents and surgical retina fellows in the US.
• Responses collected using a 5-point Likert scale.

Main Results:

• Male gender, prior retina research, enjoyment of procedures and outcomes, working with VRS surgeons, perception of prestige, residency program strength, financial prospects, and mentorship were associated with pursuing VRS.
• Trainees not pursuing VRS often disagreed with enjoying patient outcomes.
• Female residents not pursuing VRS indicated a desire for female mentors.

Conclusions:

• Longer retina rotations, research opportunities, and mentorship, particularly for female trainees by female specialists, may enhance interest in VRS fellowship.
• Addressing perceived patient outcomes and mentorship gaps could improve recruitment into VRS.