Returning to cataract surgery after a hiatus: a UK survey report

Objectives Cataract surgeons may periodically take time away from operating which can lead to skills fade. There is a paucity of research investigating the experiences of returning cataract surgeons and how different individual circumstances impact on their return. Our aim was to investigate the sub...

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Published in:Eye (London) 2022-09, Vol.36 (9), p.1761-1766
Main Authors: Maubon, Laura, Nderitu, Paul, O’Brart, David P. S.
Format: Article
Language:English
Subjects:
692/308/174
706/648/160
706/703/559
Anxiety
Cataracts
Coronaviruses
COVID-19
Laboratory Medicine
Medical personnel
Medicine
Medicine & Public Health
Ophthalmology
Pharmaceutical Sciences/Technology
Sex differences
Surgeons
Surgery
Surgical Oncology
Surveys
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container_title Eye (London)
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creator Maubon, Laura
Nderitu, Paul
O’Brart, David P. S.
description Objectives Cataract surgeons may periodically take time away from operating which can lead to skills fade. There is a paucity of research investigating the experiences of returning cataract surgeons and how different individual circumstances impact on their return. Our aim was to investigate the subjective experiences of UK ophthalmologists simultaneously returning to surgery following the nationwide elective surgical hiatus due to the Covid-19 pandemic. Methods An online survey was nationally distributed between 01/09/2020 and 29/10/2020 to registered UK ophthalmologists. Participants indicating a surgical hiatus of 8 weeks or more were included. Results 232 of 264 responses were analysed. Covid-19 was the most frequent reason for a surgical hiatus (median 15 weeks). Perceived operating difficulties were found in 29.1%. Transient anxiety (51.7%), reduced confidence, and perceived increased surgical time were commonplace. Trainees and females were more likely to encounter negative experiences ( p  
doi_str_mv 10.1038/s41433-021-01717-5
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S.</creator><creatorcontrib>Maubon, Laura ; Nderitu, Paul ; O’Brart, David P. S.</creatorcontrib><description>Objectives Cataract surgeons may periodically take time away from operating which can lead to skills fade. There is a paucity of research investigating the experiences of returning cataract surgeons and how different individual circumstances impact on their return. Our aim was to investigate the subjective experiences of UK ophthalmologists simultaneously returning to surgery following the nationwide elective surgical hiatus due to the Covid-19 pandemic. Methods An online survey was nationally distributed between 01/09/2020 and 29/10/2020 to registered UK ophthalmologists. Participants indicating a surgical hiatus of 8 weeks or more were included. Results 232 of 264 responses were analysed. Covid-19 was the most frequent reason for a surgical hiatus (median 15 weeks). Perceived operating difficulties were found in 29.1%. Transient anxiety (51.7%), reduced confidence, and perceived increased surgical time were commonplace. Trainees and females were more likely to encounter negative experiences ( p  &lt; 0.001) and barriers to resource accessibility. Eyesi ® and online videos were the most available and accessed pre-return resources. Childcare was five times more likely to present as a barrier to resource access for females than males. Conclusions Technical skills fade such as capsulorhexis difficulties were commonly perceived by trainee surgeons in addition to transient anxiety, reported in more than half of all surgeons following a hiatus as short as 8 weeks. Eyesi ® simulation offers the potential to negate technical de-skilling. Few had formal return plans or awareness of RCOphth guidance. We believe there is scope for more specialised and targeted support for future returning cataract surgeons thereby optimising patient care.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/s41433-021-01717-5</identifier><identifier>PMID: 34363047</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/174 ; 706/648/160 ; 706/703/559 ; Anxiety ; Cataracts ; Coronaviruses ; COVID-19 ; Laboratory Medicine ; Medical personnel ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Sex differences ; Surgeons ; Surgery ; Surgical Oncology ; Surveys</subject><ispartof>Eye (London), 2022-09, Vol.36 (9), p.1761-1766</ispartof><rights>The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2021</rights><rights>The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-25c7897b50a60f65d05173e260208907328cb498e5323752e43c4d52cb40715d3</citedby><cites>FETCH-LOGICAL-c451t-25c7897b50a60f65d05173e260208907328cb498e5323752e43c4d52cb40715d3</cites><orcidid>0000-0001-8920-7638</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343362/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343362/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Maubon, Laura</creatorcontrib><creatorcontrib>Nderitu, Paul</creatorcontrib><creatorcontrib>O’Brart, David P. S.</creatorcontrib><title>Returning to cataract surgery after a hiatus: a UK survey report</title><title>Eye (London)</title><addtitle>Eye</addtitle><description>Objectives Cataract surgeons may periodically take time away from operating which can lead to skills fade. There is a paucity of research investigating the experiences of returning cataract surgeons and how different individual circumstances impact on their return. Our aim was to investigate the subjective experiences of UK ophthalmologists simultaneously returning to surgery following the nationwide elective surgical hiatus due to the Covid-19 pandemic. Methods An online survey was nationally distributed between 01/09/2020 and 29/10/2020 to registered UK ophthalmologists. Participants indicating a surgical hiatus of 8 weeks or more were included. Results 232 of 264 responses were analysed. Covid-19 was the most frequent reason for a surgical hiatus (median 15 weeks). Perceived operating difficulties were found in 29.1%. Transient anxiety (51.7%), reduced confidence, and perceived increased surgical time were commonplace. Trainees and females were more likely to encounter negative experiences ( p  &lt; 0.001) and barriers to resource accessibility. Eyesi ® and online videos were the most available and accessed pre-return resources. Childcare was five times more likely to present as a barrier to resource access for females than males. Conclusions Technical skills fade such as capsulorhexis difficulties were commonly perceived by trainee surgeons in addition to transient anxiety, reported in more than half of all surgeons following a hiatus as short as 8 weeks. Eyesi ® simulation offers the potential to negate technical de-skilling. Few had formal return plans or awareness of RCOphth guidance. We believe there is scope for more specialised and targeted support for future returning cataract surgeons thereby optimising patient care.</description><subject>692/308/174</subject><subject>706/648/160</subject><subject>706/703/559</subject><subject>Anxiety</subject><subject>Cataracts</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Laboratory Medicine</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Sex differences</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Surveys</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9UUtLAzEQDqLYWv0Dnha8eFmdTJLNrgdRii8sCGLBW0jTtN3S7tYkW-i_N3WLogeZQ4Z8D2bmI-SUwgUFll96TjljKSBNgUoqU7FHupTLLBVc8H3ShUJAiojvHXLk_RwgghIOSYdxljHgsktuXm1oXFVW0yTUidFBO21C4hs3tW6T6EmwLtHJrNSh8VexGz5vwbXdJM6uaheOycFEL7w92b09Mry_e-s_poOXh6f-7SA1XNCQojAyL-RIgM5gkokxCCqZxQwQ8gIkw9yMeJFbwZBJgZYzw8cC4ydIKsasR65b31UzWtqxsVVweqFWrlxqt1G1LtVvpCpnalqvVR6XZRlGg_Odgas_GuuDWpbe2MVCV7ZuvEIhCs54hjxSz_5Q53U8UlxPoQROMVYWWdiyjKu9d3byPQwFtQ1ItQGpGJD6CkiJKGKtyEdyFW_8Y_2P6hPqko-o</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Maubon, Laura</creator><creator>Nderitu, Paul</creator><creator>O’Brart, David P. 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S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-25c7897b50a60f65d05173e260208907328cb498e5323752e43c4d52cb40715d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>692/308/174</topic><topic>706/648/160</topic><topic>706/703/559</topic><topic>Anxiety</topic><topic>Cataracts</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Laboratory Medicine</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Sex differences</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Surveys</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maubon, Laura</creatorcontrib><creatorcontrib>Nderitu, Paul</creatorcontrib><creatorcontrib>O’Brart, David P. 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S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Returning to cataract surgery after a hiatus: a UK survey report</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><date>2022-09-01</date><risdate>2022</risdate><volume>36</volume><issue>9</issue><spage>1761</spage><epage>1766</epage><pages>1761-1766</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract>Objectives Cataract surgeons may periodically take time away from operating which can lead to skills fade. There is a paucity of research investigating the experiences of returning cataract surgeons and how different individual circumstances impact on their return. Our aim was to investigate the subjective experiences of UK ophthalmologists simultaneously returning to surgery following the nationwide elective surgical hiatus due to the Covid-19 pandemic. Methods An online survey was nationally distributed between 01/09/2020 and 29/10/2020 to registered UK ophthalmologists. Participants indicating a surgical hiatus of 8 weeks or more were included. Results 232 of 264 responses were analysed. Covid-19 was the most frequent reason for a surgical hiatus (median 15 weeks). Perceived operating difficulties were found in 29.1%. Transient anxiety (51.7%), reduced confidence, and perceived increased surgical time were commonplace. Trainees and females were more likely to encounter negative experiences ( p  &lt; 0.001) and barriers to resource accessibility. Eyesi ® and online videos were the most available and accessed pre-return resources. Childcare was five times more likely to present as a barrier to resource access for females than males. Conclusions Technical skills fade such as capsulorhexis difficulties were commonly perceived by trainee surgeons in addition to transient anxiety, reported in more than half of all surgeons following a hiatus as short as 8 weeks. Eyesi ® simulation offers the potential to negate technical de-skilling. Few had formal return plans or awareness of RCOphth guidance. We believe there is scope for more specialised and targeted support for future returning cataract surgeons thereby optimising patient care.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>34363047</pmid><doi>10.1038/s41433-021-01717-5</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-8920-7638</orcidid><oa>free_for_read</oa></addata></record>
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source Open Access: PubMed Central; Springer Nature
subjects 692/308/174
706/648/160
706/703/559
Anxiety
Cataracts
Coronaviruses
COVID-19
Laboratory Medicine
Medical personnel
Medicine
Medicine & Public Health
Ophthalmology
Pharmaceutical Sciences/Technology
Sex differences
Surgeons
Surgery
Surgical Oncology
Surveys
title Returning to cataract surgery after a hiatus: a UK survey report
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