A Comprehensive Surgical Curriculum Reduced Intra-operative Complication Rates of Resident-performed Cataract Surgeries

To evaluate the impact of a comprehensive cataract surgery curriculum on the incidence of intraoperative complications. We retrospectively compared the total number of cataract surgeries that the residents performed in all of the teaching sites, and the incidences of intraoperative complications (an...

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Veröffentlicht in:Journal of surgical education 2019-01, Vol.76 (1), p.150-157
Hauptverfasser: Borboli-Gerogiannis, Sheila, Jeng-Miller, Karen W., Koulisis, Nicole, Moustafa, Giannis A., Chang, Kenneth K., Chen, Sherleen H., Gardiner, Matthew F., Greenstein, Scott H., Luo, Zhonghui, Chen, Teresa C., Loewenstein, John I., Miller, Joan W., Haviland, Miriam J., Kloek, Carolyn E.
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Sprache:eng
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Zusammenfassung:To evaluate the impact of a comprehensive cataract surgery curriculum on the incidence of intraoperative complications. We retrospectively compared the total number of cataract surgeries that the residents performed in all of the teaching sites, and the incidences of intraoperative complications (anterior capsule tear, posterior capsule rent, vitreous loss, anterior vitrectomy, zonular dialysis, iris trauma, hemorrhage, dropped lens fragment, corneal wound burn, incorrect intraocular lens) for the surgeries performed at Massachusetts Eye & Ear by residents in the pre-intervention group (residents graduating in 2004 and 2005), before the implementation of a surgical curriculum, and the residents in the post-intervention group (residents graduating in 2014 and 2015). Ophthalmology residency program at a major academic institution. Residents graduating in 2004, 2005, 2014, and 2015. We reviewed 4373 charts. 2086 of those surgeries were performed at Massachusetts Eye & Ear. The incidence of posterior capsule rent/vitreous loss/anterior vitrectomy was lower in the post-intervention group (1.4% versus 7.7%, p 
ISSN:1931-7204
1878-7452
DOI:10.1016/j.jsurg.2018.07.009