Mahmud Hamidah, Ahmad Tessnim R, Pasricha Neel D, Parikh Neeti, Ramanathan Saras
School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.
J Acad Ophthalmol (2017). 2024;16(2).
To report the results of a national survey soliciting residency programs' microsurgical curricula for ophthalmology interns, and the efficacy of a single institution's intern microsurgical wet lab curriculum.
Mixed methods study including a national survey and a prospective trial.
Department of Ophthalmology, University of California San Francisco, San Francisco, California, USA. Tertiary care institution.
In this two-part study, an electronic survey soliciting intern microsurgical curricula was distributed to all accredited ophthalmology residency programs nationwide. Additionally, interns at the study institution (n = 10) were evaluated on speed and quality of a corneal suturing task prior to and following completion of an eight-session microsurgical curriculum. Post-curriculum intern performance was also compared to the performance of first-year ophthalmology residents (n = 5) without an internship microsurgical curriculum.
Twenty-four percent of programs responded (n = 27). All programs had a microsurgical wet lab but only five (19%) had a structured curriculum for interns. Most programs described little emphasis on intern microsurgical training and a need for increased guidance on incorporating intern instruction. Interns (n = 10) showed significant improvement in time to task completion (P = 0.002, 95% CI: 0.76 to 1.51) and technical performance (P = 0.02, 95% CI: 0.44 to 3.21) after curriculum completion. Compared to PGY-2 (curriculum-naïve) residents, interns were faster and performed better, but these differences were not statistically significant.
Few ophthalmology residency programs offer microsurgical training during internship. Our structured microsurgical curriculum significantly improved intern microsurgical skills. Nationwide integration of the internship year into ophthalmology residency provides a valuable opportunity to commence microsurgical training.
报告一项全国性调查的结果，该调查旨在征集眼科住院医师培训项目针对眼科实习生的显微外科课程，以及单一机构的实习生显微外科实操课程的效果。
混合方法研究，包括全国性调查和前瞻性试验。
美国加利福尼亚州旧金山的加利福尼亚大学旧金山分校眼科。三级医疗机构。
在这项两部分的研究中，向全国所有经认可的眼科住院医师培训项目发放了一份征集实习生显微外科课程的电子调查问卷。此外，对研究机构的实习生（n = 10）在完成八节显微外科课程之前和之后的角膜缝合任务的速度和质量进行了评估。课程结束后的实习生表现也与没有实习显微外科课程的一年级眼科住院医师（n = 5）的表现进行了比较。
24%的项目做出了回应（n = 27）。所有项目都有显微外科实操实验室，但只有五个（19%）有针对实习生的结构化课程。大多数项目表示对实习生显微外科培训的重视程度较低，并且需要在纳入实习生教学方面增加指导。实习生（n = 10）在课程完成后，任务完成时间（P = 0.002，95%可信区间：0.76至1.51）和技术表现（P = 0.02，95%可信区间：0.44至3.21）有显著改善。与第二年住院医师（未接受该课程）相比，实习生速度更快且表现更好，但这些差异无统计学意义。
很少有眼科住院医师培训项目在实习期间提供显微外科培训。我们的结构化显微外科课程显著提高了实习生的显微外科技能。将实习年纳入眼科住院医师培训在全国范围内提供了开展显微外科培训的宝贵机会。
