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Confidence of UK ophthalmic trainees in managing posterior capsular rupture: results from a national trainee clinical research network survey
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First Author: A.Swampillai UK
Co Author(s): L. Maubon V. Nowak D. Sahota A. Abdel-Hay J. Park
Abstract Details
Purpose:
To ascertain the level of confidence amongst UK ophthalmology specialist trainees (OST) in managing posterior capsule rupture (PCR) during cataract surgery.
Setting:
UK
Methods:
An online 11 stem questionnaire was distributed to all trainees, recruited nationwide via regional representatives. Data collected included stage of training, number of completed cataract operations, cumulative PCR rate, number of PCRs independently managed, understanding of anterior vitrectomy settings and access to simulation. Respondents self-evaluated their confidence in managing PCR with vitreous loss, including performing specific aspects of the procedure.
Results:
Complete responses were obtained from 248 OST (31.2% response rate). Mean number of surgeries performed was 386. Across training grades, only 77 OST (31.1%) felt proficient enough to manage PCR without senior support. Of the 70 respondents at ST6-7 level, 77.1% felt able to manage PCR independently. 108 trainees (43.6%) felt confident in choosing vitrectomy settings and fluidic parameters. 115 trainees (46.4%) felt confident in assessing and placing an intraocular lens in such cases. 65.3% of trainees had access to relevant simulation.
Conclusions:
Our results represent the largest UK survey analysing the confidence of PCR management amongst trainees. The Royal College of Ophthalmologists’ requirement of 350 completed cataract cases by the end of training, does not appear to correlate with subjective proficiency in PCR management. These opportunities are infrequent, posing an additional challenge to achieving competency with consequences for patient safety. A specific competency based framework incorporated into the curriculum may be desirable.
Financial Disclosure:
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