J Cataract Refract Surg. 2013 Feb;39(2):279-84. doi: 10.1016/j.jcrs.2012.09.029.
A 43-question survey was e-mailed to all resident members of the American Society of Cataract and Refractive Surgery (ASCRS), ASCRS members in practice for 5 or fewer years, and residency program directors of 118 U.S. Accreditation Council for Graduate Medical Education-accredited ophthalmology programs (for distribution to their residents) in June 2010. Two hundred eighty-five of 2279 surveys sent were completed and returned, for a response rate of 12.5%. Most respondents (88.7%) had served as primary surgeon in more than 100 cataract surgeries. Fifty-two percent of respondents had not performed corneal relaxing incisions; 60% had no experience implanting a toric IOL. Twenty-two percent had experience implanting a presbyopia-correcting IOL. Over 75% had not performed any corneal refractive surgical procedures. Although basic cataract case numbers appear adequate, there are significant perceived deficiencies in current resident training models for surgical astigmatism management, implanting presbyopia-correcting IOLs, and corneal refractive surgery.
No author has a financial or proprietary interest in any material or method mentioned.
目的:向美国白内障与屈光手术学会(ASCRS)的全体住院医师会员、开业 5 年或以下的 ASCRS 会员,以及 118 家美国眼科住院医师规范化培训项目认证委员会(ACGME)认证的眼科项目主任(分发给他们的住院医师)发送了一份包含 43 个问题的电子邮件调查。
方法:2010 年 6 月,共向 2279 名调查对象发送了 285 份调查问卷,回收率为 12.5%。
结果:大多数受访者(88.7%)作为主刀医师完成了超过 100 例白内障手术。52%的受访者没有进行过角膜松解切口;60%的人没有植入散光矫正型人工晶状体的经验。22%的人有植入多焦点人工晶状体的经验。超过 75%的人没有进行任何角膜屈光手术。尽管白内障基本病例数量似乎足够,但目前住院医师培训模式在处理手术性散光、植入多焦点人工晶状体和角膜屈光手术方面仍存在明显不足。
结论:调查结果表明需要改进住院医师培训,以更好地准备他们处理手术性散光、植入多焦点人工晶状体和进行角膜屈光手术。