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      Ophthalmic surgical training in Karnataka and Southern India: Present status and future interests from a survey of final-year residents

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          Abstract

          Settings and Design:

          This study documents a survey of final-year ophthalmology postgraduates on the subject of their surgical training and their future plans after residency.

          Purpose:

          This survey aimed to answer the question, What is the present status of surgical training in ophthalmic training centers? by obtaining information from students about (1) various methods used in surgical training (2) numbers and types of surgeries performed by them in the training centers (3) their plans after residency.

          Materials and Methods:

          A questionnaire containing 21 questions was distributed to 155 students attending an intensive 4-day teaching program. The questions related to orientation training, wet lab training, facilities for training, free surgical camps and detailed information about numbers and types of surgeries observed and performed. Completed questionnaires were collected, and responses analyzed.

          Results:

          One hundred and seven completed responses were analyzed. The majority had not received formal orientation training. More than half had undergone wet lab training. Most residents performed their first ophthalmic surgery during the 1 st year of residency and went to the operation theatre multiple times a week. Most of the students planned to undergo further training after residency. More than half of the students found their surgical training to be fair or satisfactory.

          Conclusions:

          The number and frequency of ophthalmic surgeries done by residents appear satisfactory, but further efforts from trainers on enhancing the quality and range of surgical training would benefit students and improve their satisfaction.

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          Most cited references15

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          Fibrin glue in ophthalmology

          Suturing is a time consuming task in ophthalmology and suture induced irritation and redness are frequent problems. Postoperative wound infection and corneal graft rejection are examples of possible suture related complications. To prevent these complications, ophthalmic surgeons are switching to sutureless surgery. A number of recent developments have established tissue adhesives like cyanoacrylate glue and fibrin glue as attractive alternatives to sutures. A possible and promising new application for tissue adhesives is to provide a platform for tissue engineering. Currently, tissue glue is being used for conjunctival closure following pterygium and strabismus surgery, forniceal reconstruction surgery, amniotic membrane transplantation, lamellar corneal grafting, closure of corneal perforations and descematoceles, management of conjunctival wound leaks after trabeculectomy, lid surgery, adnexal surgery and as a hemostat to minimise bleeding. The purpose of this review is to discuss the currently available information on fibrin glue.
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            Ophthalmic surgery simulator training improves resident performance of capsulorhexis in the operating room.

            To assess the effect of a Capsulorhexis Intensive Training Curriculum (CITC) on the rates of errant, continuous, curvilinear capsulorhexes (CCCs) during cataract surgery among resident surgeons at a teaching hospital.
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              Which is the best method to learn ophthalmology? Resident doctors′ perspective of ophthalmology training

              The study aimed to gauge ophthalmology resident doctors′ perception of their teaching programs and various methods used in it and to formulate a well structured program for teaching ophthalmology. Closed ended and open-ended questionnaires were used for survey of ophthalmology residents in West Maharashtra, India. Sixty-seven out of 69 residents of seven residency programs completed the questionnaire. On a scale of 0 (most unsatisfactory) to 4 (best), lectures with power point presentation had a median score of 4, didactic lectures 2, seminar 3, case presentation 4, wet lab 3 and journal club 3. There was a discrepancy in the actual number of surgeries performed by the resident doctors and their perception of the number needed to master those surgeries. Phacoemulsification and non-cataract surgery training was neglected in most programs. The residents wanted to be evaluated regularly and taught basic ophthalmic examination, use of equipments and procedures in greater depth.
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                Author and article information

                Journal
                Indian J Ophthalmol
                Indian J Ophthalmol
                IJO
                Indian Journal of Ophthalmology
                Medknow Publications & Media Pvt Ltd (India )
                0301-4738
                1998-3689
                April 2015
                : 63
                : 4
                : 306-311
                Affiliations
                [1]Department of Ophthalmology, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India
                [1 ]Department of Glaucoma, M M Joshi Eye Institute, Hubli, Karnataka, India
                Author notes
                Correspondence to: Dr. Ajay K, No. 233, 18 th Main Road, 6 th Block, Koramangala, Bengaluru - 560 095, Karnataka, India. E-mail: drajaybhat@ 123456gmail.com
                Article
                IJO-63-306
                10.4103/0301-4738.158067
                4463553
                26044468
                43624b07-1eac-499a-a1e5-692510876c44
                Copyright: © Indian Journal of Ophthalmology

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 31 August 2014
                : 21 March 2015
                Categories
                Original Article

                Ophthalmology & Optometry
                ophthalmology,residents,surgical training,survey
                Ophthalmology & Optometry
                ophthalmology, residents, surgical training, survey

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