Seven- and eight-year trends in resident and fellow glaucoma surgical experience

Nisha Chadha,1,2 Joshua L Warren,3 Ji Liu,2 James C Tsai,1 Christopher C Teng2 1Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York Eye and Ear, Eye and Vision Research Institute, NY 10029, USA; 2Department of Ophthalmology and Visual Science, Yale University School of Me...

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Autores principales:	Chadha N, Warren JL, Liu J, Tsai JC, Teng CC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	resident education fellow education surgical education ophthalmology education Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f599b0271e434810b5b06857b144a314
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spelling	oai:doaj.org-article:f599b0271e434810b5b06857b144a3142021-12-02T06:19:28ZSeven- and eight-year trends in resident and fellow glaucoma surgical experience1177-5483https://doaj.org/article/f599b0271e434810b5b06857b144a3142019-02-01T00:00:00Zhttps://www.dovepress.com/seven--and-eight-year-trends-in-resident-and-fellow-glaucoma-surgical--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Nisha Chadha,1,2 Joshua L Warren,3 Ji Liu,2 James C Tsai,1 Christopher C Teng2 1Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York Eye and Ear, Eye and Vision Research Institute, NY 10029, USA; 2Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT 06510, USA; 3Department of Biostatistics, Yale University, New Haven, CT 06510, USA Purpose: This study evaluated US resident and fellow glaucoma surgical experience over a 7- and 8-year period, respectively.Methods: US ophthalmology resident glaucoma case logs from 2009 to 2016 and glaucoma fellow case logs from 2008 to 2016 were reviewed. The number of total, average, median, and minimum cases, along with percentile data for filtering surgery, shunting surgery, and novel procedures were analyzed for year-to-year trends.Results: Among residents training from 2009 to 2016, there was a decline in the average number of primary filtering surgeries by 20%, from 6.0±5.0 to 4.8±4.0 cases, with a concurrent increase in average primary glaucoma drainage implant (GDI) surgeries by 40%, from 4.5±4.0 to 6.3±5.0 cases, which represented an increase of 6.5% per year, P<0.001. Glaucoma fellow data from 2008 to 2015 demonstrated a decline in average primary trabeculectomy surgeries by 3.7%, from 30.1 to 29.0 cases, but then increased to 32.1 cases in 2015–2016. There was an increase in average GDI surgeries by 57.9%, from 30.2 to 47.7 cases for fellows over this 8-year period, which represented a 5.9% increase per year, P<0.001. There was no microinvasive glaucoma surgery (MIGS) or other novel procedures reported in the Accreditation Council for Graduate Medical Education (ACGME) resident case logs. From 2008 to 2016, Association of University Professors of Ophthalmology (AUPO) glaucoma fellow case logs demonstrated an increase in endocyclophotocoagulation (ECP) from 2.3 to 5.4 cases, a 15.5% increase per year, P<0.001. Conclusions: Over a 7–8-year period, trainee surgical experience with GDI surgery has steadily increased, whereas surgical experience with trabeculectomy has been fluctuating and may be on a downward trend. Educators should be aware of shifts in trainee surgical experience in order to maintain appropriate training experience. Keywords: resident education, fellow education, surgical education, ophthalmology educationChadha NWarren JLLiu JTsai JCTeng CCDove Medical Pressarticleresident educationfellow educationsurgical educationophthalmology educationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 303-309 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	resident education fellow education surgical education ophthalmology education Ophthalmology RE1-994
spellingShingle	resident education fellow education surgical education ophthalmology education Ophthalmology RE1-994 Chadha N Warren JL Liu J Tsai JC Teng CC Seven- and eight-year trends in resident and fellow glaucoma surgical experience
description	Nisha Chadha,1,2 Joshua L Warren,3 Ji Liu,2 James C Tsai,1 Christopher C Teng2 1Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York Eye and Ear, Eye and Vision Research Institute, NY 10029, USA; 2Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT 06510, USA; 3Department of Biostatistics, Yale University, New Haven, CT 06510, USA Purpose: This study evaluated US resident and fellow glaucoma surgical experience over a 7- and 8-year period, respectively.Methods: US ophthalmology resident glaucoma case logs from 2009 to 2016 and glaucoma fellow case logs from 2008 to 2016 were reviewed. The number of total, average, median, and minimum cases, along with percentile data for filtering surgery, shunting surgery, and novel procedures were analyzed for year-to-year trends.Results: Among residents training from 2009 to 2016, there was a decline in the average number of primary filtering surgeries by 20%, from 6.0±5.0 to 4.8±4.0 cases, with a concurrent increase in average primary glaucoma drainage implant (GDI) surgeries by 40%, from 4.5±4.0 to 6.3±5.0 cases, which represented an increase of 6.5% per year, P<0.001. Glaucoma fellow data from 2008 to 2015 demonstrated a decline in average primary trabeculectomy surgeries by 3.7%, from 30.1 to 29.0 cases, but then increased to 32.1 cases in 2015–2016. There was an increase in average GDI surgeries by 57.9%, from 30.2 to 47.7 cases for fellows over this 8-year period, which represented a 5.9% increase per year, P<0.001. There was no microinvasive glaucoma surgery (MIGS) or other novel procedures reported in the Accreditation Council for Graduate Medical Education (ACGME) resident case logs. From 2008 to 2016, Association of University Professors of Ophthalmology (AUPO) glaucoma fellow case logs demonstrated an increase in endocyclophotocoagulation (ECP) from 2.3 to 5.4 cases, a 15.5% increase per year, P<0.001. Conclusions: Over a 7–8-year period, trainee surgical experience with GDI surgery has steadily increased, whereas surgical experience with trabeculectomy has been fluctuating and may be on a downward trend. Educators should be aware of shifts in trainee surgical experience in order to maintain appropriate training experience. Keywords: resident education, fellow education, surgical education, ophthalmology education
format	article
author	Chadha N Warren JL Liu J Tsai JC Teng CC
author_facet	Chadha N Warren JL Liu J Tsai JC Teng CC
author_sort	Chadha N
title	Seven- and eight-year trends in resident and fellow glaucoma surgical experience
title_short	Seven- and eight-year trends in resident and fellow glaucoma surgical experience
title_full	Seven- and eight-year trends in resident and fellow glaucoma surgical experience
title_fullStr	Seven- and eight-year trends in resident and fellow glaucoma surgical experience
title_full_unstemmed	Seven- and eight-year trends in resident and fellow glaucoma surgical experience
title_sort	seven- and eight-year trends in resident and fellow glaucoma surgical experience
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/f599b0271e434810b5b06857b144a314
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Seven- and eight-year trends in resident and fellow glaucoma surgical experience

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