Dataset Information

Trans-scleral Cyclophotocoagulation Curriculum: Lecture and Skills Practice.

ABSTRACT:

Introduction

Trans-scleral cyclophotocoagulation (TS-CPC) is a laser procedure that is often used in the treatment of end-stage glaucoma and glaucoma that is refractory to medical and surgical treatments. However, formal teaching in proper indications and techniques for TS-CPC can be improved in many institutions. In an effort to standardize TS-CPC teaching, a TS-CPC lecture curriculum and a skills practice session were introduced.

Methods

The lecture and the wet-lab curriculum were developed at the University of Washington to formally teach first- and second-year ophthalmology residents the indications and techniques for TS-CPC. A global rating scale of procedural performance was also developed to assist in evaluating the trained residents on their first three TS-CPC procedures.

Results

Since its introduction in 2017, the course has been highly rated by seven residents (five PGY-2 and two PGY-3), with an increase in pre- versus posttest scores, as well as an increase in pre- versus postcurriculum scores for three survey questions regarding curriculum objectives.

Discussion

We feel that this course is valuable in improving learner knowledge of and confidence in performing TS-CPC. Knowledge about indications and technical aspects of TS-CPC improved on testing following the curriculum, as did the self-assessed confidence levels of the residents. Furthermore, there were a number of positive descriptive comments made by the residents. We plan to hold this training session every year at our institution.

SUBMITTER: Wen JC

PROVIDER: S-EPMC6354719 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Publications

Trans-scleral Cyclophotocoagulation Curriculum: Lecture and Skills Practice.

Wen Joanne C JC Banitt Michael R MR

MedEdPORTAL : the journal of teaching and learning resources 20170816

<h4>Introduction</h4>Trans-scleral cyclophotocoagulation (TS-CPC) is a laser procedure that is often used in the treatment of end-stage glaucoma and glaucoma that is refractory to medical and surgical treatments. However, formal teaching in proper indications and techniques for TS-CPC can be improved in many institutions. In an effort to standardize TS-CPC teaching, a TS-CPC lecture curriculum and a skills practice session were introduced.<h4>Methods</h4>The lecture and the wet-lab curriculum we ...[more]

PMID: 30800821

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Project description:ObjectiveTo assess the efficacy of an intern surgical skills curriculum involving a boot camp for core open and laparoscopic skills, self-guided practice with positive and negative incentives, and semiannual performance evaluations.DesignLongitudinal cohort study.SettingAcademic tertiary care center.ParticipantsIntervention group (n = 15): residents who completed the intern surgical skills curriculum and had performance evaluations in fall of intern year, spring of intern year, and fall of second year. Control group (n = 8): second-year residents who were 1 year ahead of the intervention group in the same residency program, did not participate in the curriculum, and had performance evaluations in fall of second year.ResultsIn fall of second year of residency, the intervention group had better performance (presented as median values with interquartile ranges) than the control group on one-hand ties (left hand: 9.1 [6.3-10.1] vs 14.6 [13.5-15.4] seconds, p = 0.007; right hand: 8.7 [8.5-9.6] vs 11.5 [9.9-16.8] seconds, p = 0.039). The intervention group also had better performance on all open suturing skills, including mattress suturing (vertical: 33.4 [30.0-40.0] vs 55.8 [50.0-67.6] seconds, p = 0.001; horizontal: 28.7 [27.3-39.9] vs 52.7 [40.7-57.8] seconds, p = 0.003), and a water-filled glove clamp, divide, and ligate task (28.0 [25.0-31.0] vs 59.1 [53.0-93.0] seconds, p < 0.001). Finally, the intervention group had better performance on all laparoscopic skills, including peg transfer (66.0 [59.0-82.0] vs 95.2 [87.5-101.5] seconds, p = 0.018), circle cut (82.0 [69.0-124.0] seconds vs 191.8 [155.5-231.5] seconds, p = 0.002), and intracorporeal suturing (195.0 [117.0-200.0] seconds vs 359.5 [269.0-450.0] seconds, p = 0.002).ConclusionsImplementation of a comprehensive surgical skills curriculum was associated with improved performance on core open and laparoscopic skills. Further research is needed to understand and optimize motivational factors for deliberate practice and surgical skill acquisition.

Dataset Information

Trans-scleral Cyclophotocoagulation Curriculum: Lecture and Skills Practice.

Introduction

Methods

Results

Discussion

Publications

Trans-scleral Cyclophotocoagulation Curriculum: Lecture and Skills Practice.

Similar Datasets

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