Article Text
Abstract
Objective To implement a method to train residents in the performance of phacoemulsification surgery, with the steps completed in reverse chronological order and with the easiest step being undertaken first.
Methods and analysis We created a method for training ophthalmology residents in which we taught phacoemulsification surgery in a series of steps learnt in reverse order. Each resident advanced through the teaching modules only after being approved in the final step and then progressed to the complete performance of surgeries. We analysed the rates of complications in the 2 years after introducing the new method.
Results The new method allowed for a standardised approach that enabled replicated teaching of phacoemulsification regardless of instructor or student. After implementing the new method, residents performed 1817 phacoemulsification surgeries in the first year and 1860 in the second year, with posterior capsule rupture rates of 8.42% and 7.9%, respectively.
Conclusions Teaching residents to perform the steps of phacoemulsification in a standardised reverse order resulted in low rates of complications.
- medical education
- lens and zonules
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Footnotes
Contributors GRM was responsible for concept and design, data acquisition and analysis, manuscript drafting, overall content and final approval of the manuscript. JCL was responsible for concept and design, manuscript revision and final approval of the manuscript. ESS was responsible for concept and design, manuscript critical revision and final approval of the manuscript. WN was responsible for concept and design, manuscript supervision and final approval of the manuscript.
Funding CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior) research support grant to the main investigator(Gustavo Malavazzi, MD).
Competing interests None declared.
Patient consent for publication Not required.
Ethics approval The institutional ethics committee approved the study protocol.
Provenance and peer review Not commissioned; externally peer reviewed.