Oetting Thomas A
University of Iowa Hospital and Clinics, Iowa City, Iowa 52242, USA.
Curr Opin Ophthalmol. 2009 Jan;20(1):56-60. doi: 10.1097/icu.0b013e328319914f.
To review the literature for recent work that will help educators develop programs to produce residents who are competent cataract surgeons.
Medical educators feel increasing pressure from the Accreditation Council for Graduate Medical Education (ACGME) to emphasize competence in our residency program graduates. Residency program director and resident graduate surveys show problems in our ability to produce cataract surgeons competent in all areas. The resident surgery learning curve increases the risk of complications in early cases. Several recent papers address curriculum development, which may be of interest to cataract teachers and program directors. Assessment of surgical skill continues to be an area of interest and has prompted some interesting work. The use of simulation with wet laboratories and computer devices is of increasing interest in an effort to hasten the learning curve.
An organized surgical curriculum with defined expectations using simulation and assessment tools will help residency programs meet ACGME mandates. A competent resident in cataract surgery will have to develop skills in all of the six ACGME competencies. Several recent articles address these issues.
回顾近期文献，这些文献有助于教育工作者制定培养合格白内障外科住院医师的项目。
医学教育工作者感受到来自毕业后医学教育认证委员会（ACGME）越来越大的压力，要求在住院医师培训项目毕业生中强调能力培养。住院医师培训项目主任和住院医师毕业生调查显示，我们培养在各个领域都合格的白内障外科医生的能力存在问题。住院医师的手术学习曲线增加了早期病例出现并发症的风险。最近的几篇论文讨论了课程开发，这可能会引起白内障教师和项目主任的兴趣。手术技能评估仍然是一个受关注的领域，并促使了一些有趣的研究工作。使用模拟湿实验室和计算机设备来加速学习曲线的做法越来越受到关注。
使用模拟和评估工具的有组织的外科课程，明确期望，将有助于住院医师培训项目满足ACGME的要求。一名合格的白内障外科住院医师必须在ACGME规定的所有六项能力方面都培养技能。最近的几篇文章讨论了这些问题。
