Department of Ophthalmology, Government Medical College, Surat, Gujarat, India.
Department of Community Medicine, Government Medical College, Surat, Gujarat, India.
Indian J Ophthalmol. 2022 Mar;70(3):814-819. doi: 10.4103/ijo.IJO_2007_21.
The International Council of Ophthalmology-Small Incision Cataract Surgery (ICO-SICS) rubric is a tool to grade SICS steps from novice to competent. The study aimed to evaluate the progress of residents' surgical skills by using the ICO-SICS rubric and the perceptions of residents and faculties about its use.
This prospective educational interventional study, done in the Ophthalmology department between September 2019 and February-2020 included 14 residents and five faculties. Faculties scored residents' SICS by ICO-SICS-rubric (four sessions/resident) and helped them identify three steps as "area of focus" to work upon. Feedback was taken using a semi-structured pretested questionnaire. Focus group discussion was done for residents. Data were entered in MS Excel and analyzed using SPSS. Perception analysis presented as percentage of written responses.
Step-wise rubric score showed improvement for initial SICS steps and wound closure (P < 0.05). Critical surgical steps and scores for three areas of focus steps showed no statistically significant improvement. Three steps as an area of focus changed partly for 11 residents and completely for three residents at the end of 6 months. Perception analysis of faculty and residents showed that the ICO-SICS rubric is a good tool to record surgical performance, identify steps needing improvement and provide structured feedback hence opined to continue it. Residents considered it as an effective learning and assessment tool.
ICO-SICS rubric is a good teaching tool and helps to assess the progress of surgical skills. Identification of areas of poor performance and feedback given motivates them to focus on those areas leading to continuous professional development, resulting in competent surgeons performing SICS surgery independently at the end of the residency.
国际眼科理事会-小切口白内障手术（ICO-SICS）评分标准是一种从新手到熟练的 SICS 步骤分级工具。本研究旨在通过 ICO-SICS 评分标准评估住院医师手术技能的进展，并评估住院医师和教员对其使用的看法。
这项前瞻性教育干预研究于 2019 年 9 月至 2020 年 2 月在眼科进行，共纳入 14 名住院医师和 5 名教员。教员使用 ICO-SICS 评分标准（每位住院医师四次）对住院医师的 SICS 进行评分，并帮助他们确定三个步骤作为“重点领域”进行工作。使用半结构化预测试问卷收集反馈。对住院医师进行焦点小组讨论。数据输入 MS Excel 并使用 SPSS 进行分析。感知分析以书面答复的百分比表示。
逐步评分标准显示初始 SICS 步骤和伤口闭合的评分有所提高（P < 0.05）。关键手术步骤和三个重点领域步骤的评分没有统计学意义上的改善。6 个月结束时，11 名住院医师中有 3 名住院医师的三个重点领域中的三个步骤部分改变，完全改变了 3 名住院医师的三个步骤。教员和住院医师的感知分析表明，ICO-SICS 评分标准是一种记录手术表现、确定需要改进的步骤并提供结构化反馈的良好工具，因此建议继续使用。住院医师认为它是一种有效的学习和评估工具。
ICO-SICS 评分标准是一种很好的教学工具，有助于评估手术技能的进展。识别表现不佳的领域并提供反馈可以激励他们专注于这些领域，从而促进持续的专业发展，最终使住院医师在住院医师培训结束时能够独立进行 SICS 手术。
