欧洲白内障手术培训：欧洲眼科委员会调查。

Cataract surgical training in Europe: European Board of Ophthalmology survey.

机构信息

From the Department of Ophthalmology, Antwerp University and University Hospital of Antwerp, Antwerp, Belgium (Ní Dhubhghaill, Tassignon); Department of Ophthalmology, Strasbourg University Hospital, NHC, FMTS, University of Strasbourg, Strasbourg, France (Sanogo, Bourcier); Department of Biostatistics, Strasbourg University Hospital, Civil Hospital, FMTS, University of Strasbourg, Strasbourg, France (Lefebvre); King's College Hospital, London, United Kingdom (Aclimandos); Department of Ophthalmology, Center of Eye Diseases, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania (Asoklis); Department of Ophthalmology, Ankara University, School of Medicine, Ankara, Turkey (Atilla); Department of Ophthalmology, Dijon University Hospital, University of Dijon, Dijon, France (Creuzot-Garcher); Consultant Ophthalmologist, Clinical Lecturer, Royal College of Surgeons in Ireland, Dublin, Ireland (Curtin); Department of Ophthalmology, University Medical Centre Ljubljana, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia (Cvenkel); EBO Secretariat Office, Agenda Communications and Conference Services, Ltd., Dublin, Ireland (Flanagan, Strong); Department of Ophthalmology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland (Kivelä); Manchester Royal Eye Hospital, Manchester, United Kingdom (Maino); Department of Ophthalmology, Hospital Universitario y Politécnico La Fe, University of Valencia, Valencia, Spain (Martinez Costa); Department of Ophthalmology, LMU Munich, Germany (Priglinger); Department of Ophthalmology, West Lisbon Hospitals Center, Hospital Egas Moniz, Portugal (Prior Filipe); Department of Ophthalmology, Poznan University Hospital, Poznan University of Medical Sciences, Poland (Stopa); Department of Ophthalmology, Cantonal Hospital Winterthur, University of Zurich, Switzerland (Sturmer); Department of Ophthalmology, University Medical Centre Sestre Milosrdnice, Zagreb, Croatia (Ivekovic).

出版信息

J Cataract Refract Surg. 2023 Nov 1;49(11):1120-1127. doi: 10.1097/j.jcrs.0000000000001280.

DOI:10.1097/j.jcrs.0000000000001280

PMID:37867285

Abstract

PURPOSE

To survey recently graduated European ophthalmologists concerning cataract surgery (CS) training opportunities.

SETTING

Countries affiliated to the European Board of Ophthalmology (EBO).

DESIGN

Cross-sectional study of anonymous survey results.

METHODS

A 23-question online survey was emailed to candidates who sat the EBO Diploma Examination as residents between 2018 and 2022.

RESULTS

821 ophthalmologists from 30 countries completed the survey. The mean residency duration was 4.73 (SD 0.9) years. The mean reported number of entire CS procedures performed was 80.7 (SD 100.6) at the end of residency, but more than 25% of respondents (n = 210) had received no live CS training during their residency. The self-confidence (scale, 1 to 10) to perform a simple case or challenging case, manage posterior capsular rupture, and realize a corneal stitch were rated 4.1, 3.2, 4.2, 2.4, respectively. We observed extensive variation in clinical exposure to CS and self-reported confidence to perform CS between European trainees. Females reported a mean of 18% fewer entire procedures than their male colleagues and were also less confident in their surgical skills (P < .05). Trainees in residency programs longer than 5 years performed fewer procedures and were less confident than trainees in residences of shorter duration (P < .001). The importance of fellowships to complete surgical education was rated 7.7 out of 10.

CONCLUSIONS

CS training across European countries lacks harmony. Female ophthalmology trainees continue, as in other specialties, to experience apparent gender bias. European level recommendations seem necessary to raise and harmonize competency-based CS training programs and promote post-residency fellowship training programs.

摘要

目的

调查最近毕业的欧洲眼科医生在白内障手术（CS）培训方面的机会。

背景

欧洲眼科委员会（EBO）附属国家。

设计

对匿名调查结果进行的横断面研究。

方法

向 2018 年至 2022 年期间作为住院医师参加 EBO 文凭考试的候选人发送了一份 23 个问题的在线调查。

结果

来自 30 个国家的 821 名眼科医生完成了调查。住院医师的平均持续时间为 4.73（SD 0.9）年。报告的在住院医师期间完成的整个 CS 手术数量的平均值为 80.7（SD 100.6），但超过 25%的受访者（n=210）在住院期间没有接受过活体 CS 培训。执行简单病例或复杂病例、管理后囊破裂和实现角膜缝线的自我信心（1 到 10 分制）分别评为 4.1、3.2、4.2、2.4。我们观察到欧洲学员在 CS 临床暴露和自我报告的 CS 手术信心方面存在广泛差异。女性报告的整个手术数量比男性同事少 18%，并且对自己的手术技能也不太有信心（P<0.05）。住院时间超过 5 年的住院医师执行的手术较少，且比住院时间较短的住院医师缺乏信心（P<0.001）。完成外科教育的研究员培训的重要性被评为 10 分中的 7.7 分。