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Nadia Rios-Acosta, Van C Lansingh, Magda Martinez; Characteristics of Ophthalmology residency training in a developing country. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5059.
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© ARVO (1962-2015); The Authors (2016-present)
There is no national standard on the training of the ophthalmology resident in Mexico. International organizations have proposed to standardize the basic knowledge and abilities that the ophthalmologists in training must achieve at the end of their training. We performed a cross sectional, survey based study to describe the academic and surgical training in Mexico and compare it to international standards.
We analyzed a sample of 56 anonymous surveys applied to ophthalmology residents on various stages of training. The following variables were assessed: current year of residency, type of institution (private or public), hours of theoretical class per week, days and hours of clinical duty, and surgeries performed at the time of the study stratified by subspecialty. The results were then analyzed with measures of frequency.
Of 56 residents, 32% were on their first year, 42 % were on their second year and 27% were on their last year of training. 55% of the total were training on a private hospital. About the time dedicated to theoretical lessons, 2% of the residents from public hospitals referred having less than 2 hours per week, 47% 2 to 5 hours and 47% stated having more than 5 hours per week. In private hospitals 6.5 % had less than 2 hours per week, 25.8% had between 2 and 5, and 68% had more than 5 hours per week. 60% of the residents reported working 6 days a week and up to 14% reported working 7 days a week, the rest reported working 5 days a week. 60% described working between 9 and 11 hours per day. As for surgical practice, the highest percentage of participation was for cataract surgery , even though 80% of the residents stated to have performed less than 40 surgeries at the moment of the survey. The lowest participation was in vitreorretinal surgeries were 93% of the residents declared to have performed less than 10 procedures. Of the total, only 7% of the residents performed at least 100 cataract surgeries.
Training of ophthalmology residents in this country is not achieving the desirable international standardized goals. Considering that 90% of avoidable blindness takes part in developing countries, having residents of the region finishing their training with poor surgical experience is an important public health issue. Causes for these training difficulties should be further researched.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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