Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs

Purpose The aim of the study is to assess the state of glaucoma surgical training in United States ophthalmology residency programs, including experience with microinvasive glaucoma surgery (MIGS). Design The design of the study is anonymous, internet-based national survey. Par...

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Autores principales:	Kevin M. Halenda, Tae Jin Lee, Ashok Sharma, Amy J. Estes, Kathryn E. Bollinger
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical Publishers, Inc. 2021
Materias:	glaucoma microinvasive glaucoma surgery residents surgical experience Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/caf1b41669a14d6e9a2228d5065a7986
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spelling	oai:doaj.org-article:caf1b41669a14d6e9a2228d5065a79862021-11-10T23:30:41ZSurvey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs2475-475710.1055/s-0040-1721072https://doaj.org/article/caf1b41669a14d6e9a2228d5065a79862021-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1721072https://doaj.org/toc/2475-4757Purpose The aim of the study is to assess the state of glaucoma surgical training in United States ophthalmology residency programs, including experience with microinvasive glaucoma surgery (MIGS). Design The design of the study is anonymous, internet-based national survey. Participants Current United States ophthalmology residents of residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Methods An anonymous survey link was emailed to all 120 accredited United States ophthalmology residency programs inviting residents to participate in an assessment of residency glaucoma surgical experience. Survey responses were collected between January 21, 2019 and March 4, 2019 and analyzed using descriptive statistics. Main Outcome Measures The main outcomes of the study are demographic information, practice intentions, and anticipated primary surgical experience with ACGME-required glaucoma procedures and MIGS procedures, as self-reported by U.S. ophthalmology residents. Results Of the estimated 1,479 U.S. ophthalmology residents, 161 residents participated (10.9%). A total of 118 residents (73.2%) reported any degree of anticipated MIGS primary surgical experience during residency, with the iStent being the most familiar technique. The likelihood of any anticipated MIGS experience during residency was not significantly different by geographic region (p = 0.16), however, anticipated volume varied significantly (p = 0.037). Of the 113 respondents who reported an intention to manage glaucoma surgically in their eventual practice, 25 (22.1%) reported no anticipated primary MIGS experience during residency. 73.3% of residents anticipating MIGS experience anticipated 0 to 10 cases, with 42.9% anticipating less than 5 cases as primary surgeon. Conclusion MIGs are not a required component of the glaucoma surgical curriculum for U.S. ophthalmology residents. Although the majority of ophthalmology residents surveyed intend to manage glaucoma surgically in eventual practice, most receive minimal experience with these novel techniques during residency. Surgical training is variable by geographic region.Kevin M. HalendaTae Jin LeeAshok SharmaAmy J. EstesKathryn E. BollingerThieme Medical Publishers, Inc.articleglaucomamicroinvasive glaucoma surgeryresidentssurgical experienceOphthalmologyRE1-994ENJournal of Academic Ophthalmology, Vol 13, Iss 02, Pp e108-e113 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	glaucoma microinvasive glaucoma surgery residents surgical experience Ophthalmology RE1-994
spellingShingle	glaucoma microinvasive glaucoma surgery residents surgical experience Ophthalmology RE1-994 Kevin M. Halenda Tae Jin Lee Ashok Sharma Amy J. Estes Kathryn E. Bollinger Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs
description	Purpose The aim of the study is to assess the state of glaucoma surgical training in United States ophthalmology residency programs, including experience with microinvasive glaucoma surgery (MIGS). Design The design of the study is anonymous, internet-based national survey. Participants Current United States ophthalmology residents of residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Methods An anonymous survey link was emailed to all 120 accredited United States ophthalmology residency programs inviting residents to participate in an assessment of residency glaucoma surgical experience. Survey responses were collected between January 21, 2019 and March 4, 2019 and analyzed using descriptive statistics. Main Outcome Measures The main outcomes of the study are demographic information, practice intentions, and anticipated primary surgical experience with ACGME-required glaucoma procedures and MIGS procedures, as self-reported by U.S. ophthalmology residents. Results Of the estimated 1,479 U.S. ophthalmology residents, 161 residents participated (10.9%). A total of 118 residents (73.2%) reported any degree of anticipated MIGS primary surgical experience during residency, with the iStent being the most familiar technique. The likelihood of any anticipated MIGS experience during residency was not significantly different by geographic region (p = 0.16), however, anticipated volume varied significantly (p = 0.037). Of the 113 respondents who reported an intention to manage glaucoma surgically in their eventual practice, 25 (22.1%) reported no anticipated primary MIGS experience during residency. 73.3% of residents anticipating MIGS experience anticipated 0 to 10 cases, with 42.9% anticipating less than 5 cases as primary surgeon. Conclusion MIGs are not a required component of the glaucoma surgical curriculum for U.S. ophthalmology residents. Although the majority of ophthalmology residents surveyed intend to manage glaucoma surgically in eventual practice, most receive minimal experience with these novel techniques during residency. Surgical training is variable by geographic region.
format	article
author	Kevin M. Halenda Tae Jin Lee Ashok Sharma Amy J. Estes Kathryn E. Bollinger
author_facet	Kevin M. Halenda Tae Jin Lee Ashok Sharma Amy J. Estes Kathryn E. Bollinger
author_sort	Kevin M. Halenda
title	Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs
title_short	Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs
title_full	Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs
title_fullStr	Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs
title_full_unstemmed	Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs
title_sort	survey of microinvasive glaucoma surgery and other glaucoma surgical experience among united states ophthalmology residency programs
publisher	Thieme Medical Publishers, Inc.
publishDate	2021
url	https://doaj.org/article/caf1b41669a14d6e9a2228d5065a7986
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Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs

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