Do Ophthalmology Residents Benefit from a Strabismus Surgery Course?
Aldo Vagge; Kammi Gunton; Bruce M. Schnall
Wills Eye Hospital
Introduction: The purpose of this study is to determine if an eye muscle surgery course is beneficial to ophthalmology residents.
Methods: Prospective cohort study. First- and second-year ophthalmology residents were invited to participate in a 2-hour strabismus surgery course. A didactic session was followed by a wet laboratory session. The wet laboratory session used a model constructed of chicken breast followed by partial-thickness scleral suture passes in pig eyes. A structured self-assessment evaluation form and a questionnaire in the validated Ophthalmology Surgical Competency Assessment Rubric approved by the International Council of Ophthalmology (ICO-OSCAR:strabismus) were used to assess the effectiveness of the course.
Results: A total of 12 residents, 8 (67%) first-year and 4 (33%) second-year, were enrolled for this survey. Following the course, most residents felt less anxious (73%). The residents gave significantly higher ratings on questions of subjective experience, knowledge of steps, and understanding of potential complication after the course (P < .029). The change in the modified ICO-OSCAR: strabismus assessment’s mean score was statistically significant (P = .038) before and after training (28.2 vs. 35.4, respectively). All residents responded that the course was helpful or somewhat helpful in preparation for strabismus surgery.
Discussion: Following a strabismus surgery course most residents felt less anxious, more knowledgeable of the steps and complications of strabismus, with an improvement in their strabismus surgical skills.
Conclusion: A strabismus course can play an important role in preparing residents for strabismus surgery.
References: Golnik KC, Motley WW, Atilla H, et al. The ophthalmology surgical competency assessment rubric for strabismus surgery. J AAPOS. 2012 Aug; 16(4):318-21