From the School of Medicine (Yen) and the Department of Ophthalmology (Ramanathan), University of California, San Francisco, California, USA.
From the School of Medicine (Yen) and the Department of Ophthalmology (Ramanathan), University of California, San Francisco, California, USA.
J Cataract Refract Surg. 2017 Oct;43(10):1350-1355. doi: 10.1016/j.jcrs.2017.10.014.
This study examined resident exposure to and competency in new techniques for cataract removal and intraocular lens (IOL) implantation. A questionnaire was sent to 116 United States ophthalmology program directors and completed by 71. In response to the questionnaire, program directors reported that 95.3% of their graduating seniors were competent to select and implant toric IOLs and 52.3% were competent to implant capsular tension rings (CTRs). Divide and conquer (56.6%) and stop and chop (25.4%) dominated phacoemulsification teaching. Femtosecond laser-assisted cataract surgery was performed by residents in 44.1% of programs. In 25.4%, residents observed but did not perform the procedure; in 35.6%, they received didactic-only training; and in 22.0%, they received no exposure. Most programs (73.2%) had virtual-reality simulators for cataract surgery, but wet-lab practice (91.1%), didactic training (82.1%), and watching videos (82.1%) were the primary curricular tools used to teach advanced technologies.
本研究考察了住院医师在白内障摘除和人工晶状体（IOL）植入新技术方面的接触和能力。向 116 名美国眼科项目主任发送了一份问卷，并由 71 名主任完成。根据问卷，项目主任报告说，他们的 95.3%的应届毕业生有能力选择和植入散光人工晶状体，52.3%的人有能力植入囊袋张力环（CTR）。分而治之（56.6%）和停切（25.4%）主导着超声乳化教学。飞秒激光辅助白内障手术在 44.1%的项目中由住院医师完成。在 25.4%的项目中，住院医师观察但未进行该手术；在 35.6%的项目中，他们只接受了理论培训；在 22.0%的项目中，他们没有接触过该手术。大多数项目（73.2%）都有白内障手术的虚拟现实模拟器，但湿实验室练习（91.1%）、理论培训（82.1%）和观看视频（82.1%）是教授先进技术的主要课程工具。
