Ophthalmology trainees' self-assessment of cataract surgery

The British Journal of Ophthalmology
Edward J CasswellDaniel G Ezra

Abstract

To investigate whether ophthalmology trainees are able to assess their own competence in cataract surgery and whether this judgement improves as they progress through training. A prospective, blinded, single-centre comparative study of ophthalmology trainee surgeons was performed. 16 junior trainees (150-499 cataract operations) and 16 senior trainees (>500 cataract operations) were recruited. They performed a single videotaped cataract operation and filled in the validated Objective Structured Assessment of Cataract Surgical Skill (OSACSS) assessment form. The videotapes were anonymised, randomised and then graded by a single expert reviewer using the OSACSS assessment. Trainees' OSACSS scores were compared with Mann-Whitney tests and inter-rater agreement between the assessor and the trainees was compared using Cohen's κ coefficient. Senior trainees performed statistically better than junior trainees at all task-specific and global OSACSS indices, apart from draping (p=0.23) and overall score (p=0.09). Overall, trainees were better at assessing their OSACSS performance in global indices such as tissue handling, iris protection and overall speed. They were worse at assessing their performance in task-specific indices, particul...Continue Reading

References

Feb 1, 1997·The British Journal of Surgery·J A MartinM Brown
Jun 1, 2005·Ophthalmology·Sandra Lora CremersBonnie An Henderson
Aug 17, 2005·Ophthalmology·Sandra Lora CremersZandra Karina Ferrufino-Ponce
May 16, 2006·Journal of Cataract and Refractive Surgery·Ian J Dooley, Paul D O'Brien
Mar 14, 2007·Archives of Ophthalmology·George M SalehLarry Benjamin
Jun 6, 2009·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Gaurav PrakashRasik B Vajpayee
Oct 15, 2013·Clinical Ophthalmology·Madeleine Selvander, Peter Asman
Mar 4, 2014·Journal of Cataract and Refractive Surgery·Sidharth Puri, Shameema Sikder

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Citations

Mar 20, 2019·Journal of Pediatric Ophthalmology and Strabismus·Akshay BadakereRamesh Kekunnaya
May 30, 2017·Journal of Ophthalmology·Tsunetomo IchihashiMiyuki Nagahara
Oct 5, 2019·Journal of Surgical Education·Sandeep K NayarRasiah Bharathan

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