Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs.
Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs.
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DOI：
10.1055/s-0040-1721072
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发表时间：
2021-07
期刊：
影响因子：
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通讯作者：
Bollinger, Kathryn E
中科院分区：
文献类型：
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作者：
Halenda, Kevin M;Lee, Tae Jin;Sharma, Ashok;Estes, Amy J;Bollinger, Kathryn E
目的：本研究的目的是评估美国眼科住院医师项目中青光眼手术培训的状况，包括微创青光眼手术（MIGS）的经验。 设计研究的设计是匿名的，基于互联网的全国性调查。 参与者目前美国眼科住院医师的住院医师计划由认证理事会认证的研究生医学教育（ACGME）。 方法通过电子邮件将匿名调查链接发送给所有120个经认证的美国眼科住院医师项目，邀请住院医师参加住院青光眼手术经验的评估。 调查问卷于2019年1月21日至2019年3月4日期间收集，并使用描述性统计进行分析。 主要观察指标 该研究的主要结果是美国眼科住院医师自我报告的人口统计学信息、实践意图和ACGME要求的青光眼手术和MIGS手术的预期初次手术经验。 结果在估计的1，479名美国眼科住院医师中，有161名住院医师参与（10.9%）。 共有118名住院医师（73.2%）报告了住院期间任何程度的预期MIGS初次手术经验，iStent是最熟悉的技术。住院期间任何预期MIGS经历的可能性在地理区域之间无显著差异（p = 0.16），但是，预期体积差异显著（p = 0.037）。113名受访者中，有25人（22.1%）在住院期间没有预期的原发性MIGS经验。73.3%的预期MIGS经验的居民预期0至10例，42.9%的预期少于5例作为主要外科医生。 结论：对于美国眼科住院医师来说，MIG不是青光眼手术课程的必要组成部分。 虽然大多数接受调查的眼科住院医师打算在最终的实践中手术治疗青光眼，但大多数住院医师在住院期间对这些新技术的经验很少。手术培训因地理区域而异。
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.