Unknown

Dataset Information

0

Residency Evaluation and Adherence Design Study III: Ophthalmology residency training in India: Then and now-Improving with time?


ABSTRACT:

Purpose

To gauge the differences in ophthalmology residency training, academic, clinical and surgical, in the last three decades of the 20th century and the first decade of the 21st century.

Methods

A survey was conducted by the Academic and Research Committee of the All India Ophthalmological Society, in 2014-2016, using a prevalidated questionnaire, which was circulated to ophthalmologists to gauge the practicality of the teaching protocols of clinical and surgical skills during postgraduate residency program.

Results

Of the 1005 respondents, 320 ophthalmologists who completed residency between 1967 and 2002 (20th century trained) and 531 who completed a residency in 2003-2012 (21st century trained) fulfilled the inclusion criteria. The average age was 49.2 years (standard deviation [SD] 4) and 32.6 years (SD 4), respectively. Twenty-first century trained ophthalmologists rated their training significantly better than the 20th century trained ophthalmologists for slit lamp examination (P = 0.001), indirect ophthalmoscopy, gonioscopy, automated perimetry, optical coherence tomography, and fundus photography (all having P < 0.001), while the 20th century trained rated their teaching of refraction, synoptophore, diplopia charting better (all P < 0.001). The range of grading was 0-10 in all categories. The median number of surgeries performed independently by 20th century and 21st century trained (during their training period) were: intracapsular cataract extraction (ICCE) 10, 0; extracapsular cataract extraction (ECCE) 43, 18; small incision cataract surgery (SICS) 5, 55; phacoemulsification (Phaco) 0, 1; pterygium excision 20, 15; dacryocystectomy 11, 4; dacryocystorhinostomy 11, 2; chalazion 35, 30; trabeculectomies 5, 0; strabismus correction 0, 0; vitrectomy 0, 0; keratoplasty 0, 0; eyelid surgery 6, 2; and ocular emergencies 18, 20.

Conclusion

Teaching of many clinical skills had improved over decades. Cataract surgery training has shifted from ICCE and ECCE to SICS and Phaco, but other surgeries were still taught sparingly. There was an enormous variation across the country in residency training which needs immediate attention.

SUBMITTER: Biswas P 

PROVIDER: S-EPMC5989498 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

altmetric image

Publications

Residency Evaluation and Adherence Design Study III: Ophthalmology residency training in India: Then and now-Improving with time?

Biswas Partha P   Gogate Parikshit Madhav PM   Maskati Quresh Badr QB   Natarajan Sundaram S   Verma Lalit L   Bansal Payal K PK  

Indian journal of ophthalmology 20180601 6


<h4>Purpose</h4>To gauge the differences in ophthalmology residency training, academic, clinical and surgical, in the last three decades of the 20<sup>th</sup> century and the first decade of the 21<sup>st</sup> century.<h4>Methods</h4>A survey was conducted by the Academic and Research Committee of the All India Ophthalmological Society, in 2014-2016, using a prevalidated questionnaire, which was circulated to ophthalmologists to gauge the practicality of the teaching protocols of clinical and  ...[more]

Similar Datasets

| S-EPMC10002549 | biostudies-literature
| S-EPMC5870798 | biostudies-literature
| S-EPMC3679975 | biostudies-literature
| S-EPMC6950953 | biostudies-literature
| S-EPMC7068667 | biostudies-literature
| S-EPMC5508454 | biostudies-literature
| S-EPMC6879160 | biostudies-literature
| S-EPMC6688075 | biostudies-literature
2024-06-01 | GSE262739 | GEO
| S-EPMC4992122 | biostudies-literature