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[法国的白内障手术培训:欧洲眼科委员会对法国队列调查结果的分析]

[Cataract surgery training in France: Analysis of the results of the European Board of Ophthalmology survey in the French cohort].

作者信息

Yaïci R, Sanogo M, Lefebvre F, Ní Dhubhghaill S, Aclimandos W, Asoklis R, Atilla H, Creuzot-Garcher C, Curtin D, Cvenkel B, Flanagan L, Kivelä T T, Maino A, Martínez-Costa R, Priglinger S, Prior Filipe H, Stopa M, Strong B, Sturmer J, Tassignon M-J, Ivekovic R, Bourges J-L, Rousseau A, Delyfer M-N, Mouriaux F, Bourcier T

机构信息

Service d'ophtalmologie, Nouvel Hôpital Civil, hôpitaux universitaires de Strasbourg, BP 426, 67091 Strasbourg, France.

Service d'ophtalmologie, Nouvel Hôpital Civil, hôpitaux universitaires de Strasbourg, BP 426, 67091 Strasbourg, France.

出版信息

J Fr Ophtalmol. 2025 Feb;48(2):104383. doi: 10.1016/j.jfo.2024.104383. Epub 2024 Dec 18.

Abstract

OBJECTIVE

This study aims to present and analyze the results of the French cohort in a European Board of Ophthalmology (EBO) survey on cataract surgical training in Europe, highlighting the particularities of French training.

MATERIALS AND METHODS

A 23-question electronic questionnaire was sent to interns applying for the EBO examination from 2018 to 2022. Responses from French participants were specifically collected and analyzed.

RESULTS

Of 122 responding French ophthalmologists, the mean age was 31.0±2.8 years with an equal distribution between men and women. The most frequent pre-patient training sessions were on virtual reality simulators (8.6±8.2 sessions). French respondents reported a higher average number of partial (124.1±94.8) and complete (96.4±93.1) surgeries, with increased confidence (0-10 scale) in performing simple (7.3±2.4) and complex (5.51±2.6) surgeries, as well as in managing posterior capsular ruptures (7.2±2.5) or performing corneal sutures (3.9±2.7).

DISCUSSION

Within the European landscape, French cataract surgery training is part of a model of "surgery for all", without gender disparity. Regional variations, however, mark the French landscape, in contrast to other European nations such as Spain and Germany. Standardization of pre-patient training sessions is proposed as a means of equalization.

CONCLUSION

To standardize cataract surgery training in Europe, it is advisable to establish recommendations and educational strategies, including the standardization of pre-patient training sessions to ensure validation of surgical skills.

摘要

目的

本研究旨在展示并分析欧洲眼科委员会(EBO)关于欧洲白内障手术培训调查中法国队列的结果,突出法国培训的特殊性。

材料与方法

向2018年至2022年申请EBO考试的实习生发送了一份包含23个问题的电子问卷。专门收集并分析了法国参与者的回复。

结果

在122名做出回应的法国眼科医生中,平均年龄为31.0±2.8岁,男女分布均衡。最常见的术前患者培训课程是在虚拟现实模拟器上进行(8.6±8.2节)。法国受访者报告的部分(124.1±94.8)和完整(96.4±93.1)手术的平均数量更高,在进行简单(7.3±2.4)和复杂(5.51±2.6)手术以及处理后囊破裂(7.2±2.5)或进行角膜缝合(3.9±2.7)方面的信心增强(0至10分制)。

讨论

在欧洲范围内,法国的白内障手术培训是“全民手术”模式的一部分,不存在性别差异。然而,与西班牙和德国等其他欧洲国家相比,地区差异在法国较为明显。建议将术前患者培训课程标准化作为一种均衡手段。

结论

为使欧洲白内障手术培训标准化,宜制定建议和教育策略,包括术前患者培训课程的标准化,以确保手术技能的验证。

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