HelpMeSee Centre of Excellence, Supreme Business Park, Powai Hiranandani, Mumbai; Ophthalmic Plastic and Ocular Oncology Services, Advanced Eye Hospital and Institute, A Unit of Dr. Agarwal's Eye Hospitals, Navi Mumbai; Aditya Jyot Eye Hospital, Wadala, Mumbai; R Jhunjhunwala Sankara Eye Hospital, Panvel, Navi Mumbai, Maharashtra, India.
Regional Institute of Ophthalmology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Indian J Ophthalmol. 2023 Mar;71(3):743-749. doi: 10.4103/ijo.IJO_1935_22.
To assess the quantum of cataract surgical training opportunities for trainees enrolled in ophthalmology residency programs in India.
An anonymous online survey was sent across to resident ophthalmologists across India through various social media platforms. The results were tabulated and analyzed.
A total of 740 resident ophthalmologists participated in the survey. In all, 40.1% (297/740) were independently performing cataract surgeries. Of those who were not performing independent cataract surgeries, 62.5% (277/443) were in the third year of residency. A significantly higher proportion of trainees who were not operating independent cataract surgeries were enrolled in MD/MS programs as compared with DNB courses (65.6% vs. 43.7%; P < 0.0001). Of those who were operating independent cases; 97.1% had exposure to manual small incision cataract surgery (MSICS), whereas only 14.1% performed phacoemulsification. It was noted that 31.3% of residents reported that on an average a trainee in their training program performed less than 100 independent cataract surgeries throughout the residency. Apart from cataract surgery, the most performed surgeries by residents were pterygium excision (85.3%), followed by enucleation/evisceration (68.1%). When it came to training aids, 47.2% (349/740) of the respondents reported no access to wet lab, animal/cadaver eyes, or surgical simulators for training.
The amount of surgical exposure in terms of cataract surgery across residency programs in India is low with most of the ophthalmology residents who participated in this survey not operating cataracts independently; even in their final year of residency. Exposure to phacoemulsification in residency programs is very limited across the country. Although some programs do provide well-rounded surgical exposure to trainees, such centers are scarce; the stark variations in infrastructure, training opportunities, and surgical numbers warrant an overhaul in the structure and curriculum of residency programs in India.
评估印度眼科住院医师培训计划中受训者白内障手术培训机会的数量。
通过各种社交媒体平台向全印度的住院眼科医生发送匿名在线调查。对结果进行制表和分析。
共有 740 名住院眼科医生参与了这项调查。共有 40.1%（297/740）的人独立进行白内障手术。在那些没有进行独立白内障手术的人中，62.5%（277/443）处于住院医师培训的第三年。与 DNB 课程相比，未进行独立白内障手术的受训者中，有更多人参加 MD/MS 课程（65.6%对 43.7%；P<0.0001）。在那些进行独立手术的人中，97.1%的人接触过手动小切口白内障手术（MSICS），而只有 14.1%的人进行过超声乳化术。有 31.3%的住院医生报告说，在他们的培训计划中，平均每个受训者在整个住院医师培训期间进行的独立白内障手术不到 100 例。除白内障手术外，住院医生最常进行的手术是翼状胬肉切除术（85.3%），其次是眼球摘除术/眼内容物剜除术（68.1%）。在培训辅助工具方面，740 名受访者中有 47.2%（349/740）表示无法获得湿实验室、动物/尸体眼球或手术模拟器进行培训。
印度住院医师培训计划中白内障手术的手术暴露量较低，大多数参与这项调查的眼科住院医生没有独立进行白内障手术；即使在住院医师培训的最后一年也是如此。全国范围内住院医师培训计划中接触超声乳化术的机会非常有限。尽管一些计划确实为受训者提供了全面的手术暴露，但这样的中心很少；基础设施、培训机会和手术数量的巨大差异，要求对印度住院医师培训计划的结构和课程进行全面改革。
