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Saagar Patel, Ingrid U Scott, Christopher Weller; Ophthalmology Resident Surgical Aptitude and Performance of ACGME-Identified Core Oculofacial Procedures. Invest. Ophthalmol. Vis. Sci. 2021;62(8):3333.
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© ARVO (1962-2015); The Authors (2016-present)
To investigate qualitative and quantitative measures of ophthalmology resident perceptions and ability to perform ACGME-identified core oculofacial procedures at a single institution.
Prospective case series. Anonymous questionnaires analyzed residents’ perceptions of their knowledge and ability to perform steps of the ACGME-identified oculofacial procedures identified in Table 1. These were graded on a 1 to 5 scale. During an introductory suturing laboratory, an oculoplastics attending evaluated each resident’s ability to oppose wounds on a suturing pad with the following surgical knots: simple interrupted, simple running, horizontal mattress, vertical mattress, deep dermal. Scores were based on successful apposition of the wound, appropriate spacing of suture, appropriate knot formation, and efficiency.
Nine residents completed the survey and seven residents completed the introductory suturing lab. The mean score of all residents for the suturing lab was 56.1/100. The mean scores for residents’ perceived knowledge and perceived performance of each procedure are listed in Table 1. Scores trended upwards for each postgraduate year (PGY) in both knowledge and performance. No resident felt comfortable with independent performance of the following procedures: levator advancement, ectropion repair, entropion repair. All residents reported that “primary” surgical cases contributed to their skill set and believed that additional “primary” surgical cases and surgical wet labs would improve their surgical skills.
Residents’ perceived knowledge correlated with their perceived ability to perform ACGME-identified core oculofacial procedures (r = 0.96). Residents believed that additional “primary” surgeries and wet labs would improve their surgical skills. Residents’ perceived knowledge and perceived ability to perform the procedures increased with PGY level. Additional objective data via cadaver courses are upcoming.
This is a 2021 ARVO Annual Meeting abstract.
Residents’ mean perceived knowledge and performance of ACGME-identified core oculofacial procedures
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