For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
Inviting an author to review:
Pulling the plug
Find an author and click ‘Invite to review selected article’ near their name.
Search for authorsSearch for similar articles
0
views
17
references
 Top references
cited by
14
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      113
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Ophthalmic Simulated Surgical Competency Assessment Rubric for manual small-incision cataract surgery

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Purpose

          To develop and test the validity of a surgical competency assessment tool for simulated small-incision cataract surgery (SICS).

          Setting

          Participating ophthalmologists contributed from 8 countries.

          Design

          Qualitative and quantitative development and evaluation of face and content validity of an assessment rubric, and evaluation of construct validity and reliability.

          Methods

          The SICS Ophthalmic Simulated Surgical Competency Assessment Rubric (Sim-OSSCAR) was developed and assessed for face and content validity by an international group of experienced ophthalmologists. Groups of novice and competent surgeons from 4 countries were recorded performing surgery, and masked assessments were performed by 4 expert surgeons, to determine construct validity and reliability.

          Results

          The Sim-OSSCAR for SICS was assessed by a panel of 12 international experts from 8 countries. In response to the question, “Do you think the OSSCAR represents the surgical techniques and skills upon which trainees should be assessed?,” all respondents either agreed or strongly agreed. Face validity was rated as 4.60 (out of 5.0). The content was iteratively agreed to by the panel of experts; final content validity was rated as 4.5. Interobserver reliability was assessed, and 17 of 20 items in the assessment matrix had a Krippendorff α correlation of more than 0.6. A Wilcoxon rank-sum test showed that competent surgeons perform better than novices ( P = .02).

          Conclusions

          This newly developed and validated assessment tool for simulation SICS, based on the International Council of Ophthalmology's Ophthalmology Surgical Competency Assessment Rubric, has good face and content validity. It can play a role in ophthalmic surgical education.

          Related collections

          Most cited references17

          • Record: found
          • Abstract: found
          • Article: not found

          The number of ophthalmologists in practice and training worldwide: a growing gap despite more than 200,000 practitioners.

          Bruce Spivey, William Felch, Marie-Krystel Gauthier … (2012)
          To assess the current number of ophthalmologists practicing worldwide in 2010 and to create a system for maintaining, collecting and improving the accuracy of data on ophthalmologists per population, ophthalmologists performing surgery, growth rate of the profession, and the number of residents in training. Between March 2010 and April 2010, the International Council of Ophthalmology emailed a standardised survey of 12 questions to 213 global ophthalmic societies. Missing data and additional information were gathered from direct correspondences with ophthalmologist contacts. The total number of ophthalmologists reported was 204,909. Data are presented for 193 countries. Information was obtained from 67 countries on the number of ophthalmologists doing surgery, entering practice, leaving practice, rate of growth and resident training. The survey results show that despite over 200,000 ophthalmologists worldwide, there is currently a significant shortfall of ophthalmologists in developing countries. Furthermore, although the number of practitioners is increasing in developed countries, the population aged 60+ is growing at twice the rate of the profession. To meet this widening gap between need and supply, it is necessary to aggressively train eye care teams now to alleviate the current and anticipated deficit of ophthalmologists worldwide.
          Article 0 comments Cited 115 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            A prospective randomized clinical trial of phacoemulsification vs manual sutureless small-incision extracapsular cataract surgery in Nepal.

            Leena Bajracharya, Antonie D. Kline, William Richheimer … (2006)
            To compare the efficacy and visual results of phacoemulsification vs manual sutureless small-incision extracapsular cataract surgery (SICS) for the treatment of cataracts in Nepal. Prospective, randomized comparison of 108 consecutive patients with visually significant cataracts. settings: Outreach microsurgical eye clinic. patients: One hundred eight consecutive patients with cataracts were assigned randomly to receive either phacoemulsification or SICS. intervention Cataract surgery with implantation of intraocular lens. main outcome measures: Operative time, surgical complications, uncorrected and best-corrected visual acuity (BCVA), astigmatism, and central corneal thickness (CCT). Both surgical techniques achieved excellent surgical outcomes with low complication rates. On postoperative day 1, the groups had comparable uncorrected visual acuity (UCVA) (P = 0.185) and the SICS group had less corneal edema (P = 0.0039). At six months, 89% of the SICS patients had UCVA of 20/60 or better and 98% had a best-corrected visual acuity (BCVA) of 20/60 or better vs 85% of patients with UCVA of 20/60 or better and 98% of patients with BCVA of 20/60 or better at six months in the phaco group (P = 0.30). Surgical time for SICS was much shorter than that for phacoemulsification (P < .0001). Both phacoemulsification and SICS achieved excellent visual outcomes with low complication rates. SICS is significantly faster, less expensive, and less technology dependent than phacoemulsification. SICS may be the more appropriate surgical procedure for the treatment of advanced cataracts in the developing world.
            Article 0 comments Cited 66 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Operating Room Performance Improves after Proficiency-Based Virtual Reality Cataract Surgery Training.

              Ann Skou Thomsen, Daniella Bach-Holm, Hadi Kjærbo … (2017)
              To investigate the effect of virtual reality proficiency-based training on actual cataract surgery performance. The secondary purpose of the study was to define which surgeons benefit from virtual reality training.
              Article 0 comments Cited 61 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                William H. Dean
                Journal
                Journal ID (nlm-ta): J Cataract Refract Surg
                Journal ID (iso-abbrev): J Cataract Refract Surg
                Title: Journal of Cataract and Refractive Surgery
                Publisher: Elsevier Science
                ISSN (Print): 0886-3350
                ISSN (Electronic): 1873-4502
                Publication date PMC-release: 1 September 2019
                Publication date (Print): September 2019
                Volume: 45
                Issue: 9
                Pages: 1252-1257
                Affiliations
                [1 ]International Centre for Eye Health, London School of Hygiene and Topical Medicine, London, England
                [2 ]Imperial College London, London, England
                [3 ]Tropical Epidemiology Group, Faculty of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, England
                [4 ]Moorfields Eye Hospital, London, England
                [5 ]Royal Australian and New Zealand College of Ophthalmologists, Sydney, Australia
                [6 ]International Council of Ophthalmology, San Francisco, California, USA
                Author notes
                [∗ ]Corresponding author: William H. Dean, FRCOphth, International Centre for Eye Health, Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, England. will.dean@ 123456lshtm.ac.uk
                Article
                Publisher ID: S0886-3350(19)30284-6
                DOI: 10.1016/j.jcrs.2019.04.010
                PMC ID: 6727782
                PubMed ID: 31470940
                SO-VID: 5028cbf0-522c-4daf-93ad-3533ef37ec6f
                Copyright © © 2019 The Authors
                License:

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                Date received : 28 February 2019
                Date revision received : 9 April 2019
                Date accepted : 10 April 2019
                Categories
                Subject: Article

                Data availability:

                Comments

                Comment on this article

                scite_

                Similar content113

                See all similar

                Cited by14

                See all cited by

                Most referenced authors262

                See all reference authors