Intensive cataract training: a novel approach

Purpose To evaluate the safety of an intensive cataract surgery training programme. Methods An intensive cataract surgery training programme was implemented in August 2010 for year 3 ophthalmology trainees in the East Midlands Deanery North Rotation (United Kingdom). Trainees participated in extra-o...

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Bibliographic Details
Published in:Eye (London) 2013-06, Vol.27 (6), p.742-746
Main Authors: Baxter, J M, Lee, R, Sharp, J A H, Foss, A J E
Format: Article
Language:English
Subjects:
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Adult
Cataract Extraction - adverse effects
Cataract Extraction - education
Cataract Extraction - statistics & numerical data
Clinical Study
Computer Simulation
Curriculum
Education, Medical, Continuing - methods
Humans
Laboratory Medicine
Medicine
Medicine & Public Health
Ophthalmology
Pharmaceutical Sciences/Technology
Posterior Capsular Rupture, Ocular - epidemiology
Program Evaluation
Surgery
Surgical Oncology
Teaching - methods
United Kingdom
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Summary:Purpose To evaluate the safety of an intensive cataract surgery training programme. Methods An intensive cataract surgery training programme was implemented in August 2010 for year 3 ophthalmology trainees in the East Midlands Deanery North Rotation (United Kingdom). Trainees participated in extra-ocular surgery and 50 h of virtual reality cataract surgery simulator training over a 2-year period. Their third year comprised 6 months of intensive phacoemulsification training in a tertiary centre followed by a 6-month period of consolidation in a district general hospital. The complication rates and case numbers were evaluated after the first 2 years of implementation. Results At 2 years, three trainees had completed a full year of intensive training. In the first 6 months of training, Trainee 1 completed 156 cases, Trainee 2 completed 194 cases, and Trainee 3 completed 151 full cases as primary surgeons with an average rate of posterior capsule rupture (PCR) of 1%. At 12 months, Trainee 1 completed 291, Trainee 2 completed 318, and Trainee 3 completed 294 cases, with an average PCR rate of 0.66%. The trainees required 84 lists on average to complete 150 full cataract procedures. Conclusion The combination of simulation and the new intensive training programme is safer than the traditional programme for cataract surgery training.
ISSN:0950-222X
1476-5454
DOI:10.1038/eye.2013.54