Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States
Purpose To describe the cornea and keratorefractive surgeries experience of U.S. ophthalmology residents. Methods Deidentified case logs of residents graduating in 2018 were collected from ophthalmology residency program directors in the United States. Using Current Procedure Terminology...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2022-07-01
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| Series: | Journal of Academic Ophthalmology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755317 |
| _version_ | 1811274995854213120 |
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| author | Brittany C. Tsou Zachary M. Eller Michael J. Fliotsos Mary Qiu Sidra Zafar Divya Srikumaran Kraig Bower Fasika A. Woreta |
| author_facet | Brittany C. Tsou Zachary M. Eller Michael J. Fliotsos Mary Qiu Sidra Zafar Divya Srikumaran Kraig Bower Fasika A. Woreta |
| author_sort | Brittany C. Tsou |
| collection | DOAJ |
| description | Purpose To describe the cornea and keratorefractive surgeries experience of U.S. ophthalmology residents.
Methods Deidentified case logs of residents graduating in 2018 were collected from ophthalmology residency program directors in the United States. Using Current Procedure Terminology codes, case logs were reviewed in the categories of cornea and keratorefractive surgeries. Accreditation Council for Graduate Medical Education national graduating resident surgical case logs on cornea procedures published from 2010 to 2020 were also analyzed.
Results Case logs were received for 152/488 (31.1%) residents from 36/115 (31.3%) ophthalmology residency programs. The most common procedures logged by residents as primary surgeons were pterygium removal (4.3 ± 4.2) and keratorefractive surgeries (3.6 ± 6.2). Residents logged an average of 2.4 keratoplasties as primary surgeon, performing an average of 1.4 penetrating keratoplasties (PKs) and 0.8 endothelial keratoplasties (EKs). As assistants, the most common procedures logged were keratorefractive surgeries (6.1 ± 4.9), EKs (3.8 ± 3.3), and PKs (3.5 ± 2.3). Medium or large residency class size was associated with higher cornea procedural volumes (odds ratio: 8.9; 95% confidence interval: 1.1–75.6; p < 0.05).
Conclusion The most common cornea surgeries performed by residents include keratoplasty, keratorefractive, and pterygium procedures. Larger program size was associated with greater relative cornea surgery volume. More specific guidelines for logging of procedures could provide a more accurate assessment of resident exposure to critical techniques such as suturing as well as reflect trends in current practice such as the overall increase in EKs. |
| first_indexed | 2024-04-12T23:29:03Z |
| format | Article |
| id | doaj.art-2043cd4799644314a67bd5e47cb65186 |
| institution | Directory Open Access Journal |
| issn | 2475-4757 |
| language | English |
| last_indexed | 2024-04-12T23:29:03Z |
| publishDate | 2022-07-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Journal of Academic Ophthalmology |
| spelling | doaj.art-2043cd4799644314a67bd5e47cb651862022-12-22T03:12:19ZengThieme Medical Publishers, Inc.Journal of Academic Ophthalmology2475-47572022-07-011402e169e17710.1055/s-0042-1755317Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United StatesBrittany C. Tsou0Zachary M. Eller1Michael J. Fliotsos2Mary Qiu3Sidra Zafar4Divya Srikumaran5Kraig Bower6Fasika A. Woreta7Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MarylandCollege of Medicine at Howard University, Washington, District of ColumbiaWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MarylandDepartment of Ophthalmology and Visual Science, The University of Chicago Pritzker School of Medicine, Chicago, IllinoisWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MarylandWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MarylandWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MarylandWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MarylandPurpose To describe the cornea and keratorefractive surgeries experience of U.S. ophthalmology residents. Methods Deidentified case logs of residents graduating in 2018 were collected from ophthalmology residency program directors in the United States. Using Current Procedure Terminology codes, case logs were reviewed in the categories of cornea and keratorefractive surgeries. Accreditation Council for Graduate Medical Education national graduating resident surgical case logs on cornea procedures published from 2010 to 2020 were also analyzed. Results Case logs were received for 152/488 (31.1%) residents from 36/115 (31.3%) ophthalmology residency programs. The most common procedures logged by residents as primary surgeons were pterygium removal (4.3 ± 4.2) and keratorefractive surgeries (3.6 ± 6.2). Residents logged an average of 2.4 keratoplasties as primary surgeon, performing an average of 1.4 penetrating keratoplasties (PKs) and 0.8 endothelial keratoplasties (EKs). As assistants, the most common procedures logged were keratorefractive surgeries (6.1 ± 4.9), EKs (3.8 ± 3.3), and PKs (3.5 ± 2.3). Medium or large residency class size was associated with higher cornea procedural volumes (odds ratio: 8.9; 95% confidence interval: 1.1–75.6; p < 0.05). Conclusion The most common cornea surgeries performed by residents include keratoplasty, keratorefractive, and pterygium procedures. Larger program size was associated with greater relative cornea surgery volume. More specific guidelines for logging of procedures could provide a more accurate assessment of resident exposure to critical techniques such as suturing as well as reflect trends in current practice such as the overall increase in EKs.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755317ophthalmology residencycorneakeratorefractive surgerysurgical techniques |
| spellingShingle | Brittany C. Tsou Zachary M. Eller Michael J. Fliotsos Mary Qiu Sidra Zafar Divya Srikumaran Kraig Bower Fasika A. Woreta Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States Journal of Academic Ophthalmology ophthalmology residency cornea keratorefractive surgery surgical techniques |
| title | Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States |
| title_full | Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States |
| title_fullStr | Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States |
| title_full_unstemmed | Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States |
| title_short | Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States |
| title_sort | exposure of ophthalmology residents to cornea and keratorefractive surgeries in the united states |
| topic | ophthalmology residency cornea keratorefractive surgery surgical techniques |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755317 |
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