强化白内障培训：一种新方法。
Intensive cataract training: a novel approach.
机构信息
Department of Ophthalmology, Queen's Medical Centre, Nottingham, UK.
出版信息
Eye (Lond). 2013 Jun;27(6):742-6. doi: 10.1038/eye.2013.54. Epub 2013 Apr 19.
PURPOSE
To evaluate the safety of an intensive cataract surgery training programme.
METHODS
An intensive cataract surgery training programme was implemented in August 2010 for year 3 ophthalmology trainees in the East Midlands Deanery North Rotation (United Kingdom). Trainees participated in extra-ocular surgery and 50 h of virtual reality cataract surgery simulator training over a 2-year period. Their third year comprised 6 months of intensive phacoemulsification training in a tertiary centre followed by a 6-month period of consolidation in a district general hospital. The complication rates and case numbers were evaluated after the first 2 years of implementation.
RESULTS
At 2 years, three trainees had completed a full year of intensive training. In the first 6 months of training, Trainee 1 completed 156 cases, Trainee 2 completed 194 cases, and Trainee 3 completed 151 full cases as primary surgeons with an average rate of posterior capsule rupture (PCR) of 1%. At 12 months, Trainee 1 completed 291, Trainee 2 completed 318, and Trainee 3 completed 294 cases, with an average PCR rate of 0.66%. The trainees required 84 lists on average to complete 150 full cataract procedures.
CONCLUSION
The combination of simulation and the new intensive training programme is safer than the traditional programme for cataract surgery training.
目的
评估强化白内障手术培训计划的安全性。
方法
2010 年 8 月，在英国东米德兰兹教务会北轮转（英国）为第 3 年眼科受训者实施强化白内障手术培训计划。受训者在 2 年内接受了额外的眼部手术和 50 小时虚拟现实白内障手术模拟器培训。他们的第 3 年包括在三级中心进行 6 个月的强化超声乳化训练，然后在地区综合医院进行 6 个月的巩固。实施后的头 2 年评估了并发症发生率和病例数量。
结果
2 年后，有 3 名受训者完成了一整年的强化培训。在培训的前 6 个月，受训者 1 完成了 156 例手术，受训者 2 完成了 194 例手术，受训者 3 完成了 151 例作为主刀医生的全病例，后囊破裂（PCR）率平均为 1%。在 12 个月时，受训者 1 完成了 291 例，受训者 2 完成了 318 例，受训者 3 完成了 294 例，PCR 率平均为 0.66%。受训者平均需要 84 个列表才能完成 150 例全白内障手术。
结论
模拟与新强化培训计划的结合比白内障手术培训的传统计划更安全。
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