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      Ophthalmology Training in Greece as Perceived by Resident Ophthalmologists in the Times of Crisis: A National, Questionnaire-based Survey

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          Abstract

          Purpose:

          To assess the level of perceived satisfaction with the current level of ophthalmology training in Greece from the perspective of residents and to identify deficiencies in the training curriculum.

          Methods:

          This is a prospective, cross-sectional questionnaire-based study. An online, semi-structured questionnaire was designed to evaluate ophthalmology residents' extent of satisfaction with the quality of their postgraduate medical training. The survey was divided in two parts: demographics and evaluation of training. Resident ophthalmologists in all teaching hospitals in Greece were contacted and encouraged to complete it.

          Results:

          A response rate of 53.8% was achieved. Two out of three participants stated their disappointment with the quality of training they received and deemed the four-year residency training program as insufficient. Surgical training was also viewed as unsatisfactory by the majority of the respondents. An interest in subspecialty training, as well as a significant participation in research activities, was noted.

          Conclusions:

          Both training and overall satisfaction with working conditions must be improved to preserve the appeal of ophthalmology for young academics. A new, structured curriculum, reduction of unnecessary bureaucracy, and improved surgical training rank among the most essential priorities in order to improve postgraduate ophthalmology training.

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          Most cited references18

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          Health effects of financial crisis: omens of a Greek tragedy.

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            Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review.

            Due to the current economic crisis in Greece, effects on health and healthcare have been reported. The aim of this study was to present a systematic overview of the consequences that the financial crisis has had for health and healthcare in Greece.
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              Perceptions of recent ophthalmology residency graduates regarding preparation for practice.

              To evaluate young ophthalmologists' perceptions of how well residency training prepared them for various aspects of their clinical practice. Self-administered survey. Two hundred sixty-nine United States ophthalmologists who have been in practice for < or =5 years. A 4-page questionnaire was mailed to a randomly selected sample of 900 U.S. members and fellows of the American Academy of Ophthalmology who had been in practice for < or =5 years. Comparison of perceived preparedness in clinical and nonclinical areas of ophthalmology practice. Two hundred sixty-nine surveys were completed and returned (margin of error, +/-5%). Analysis of tabulated results indicated that 86% said they were extremely or very well prepared to practice comprehensive ophthalmology after residency training. Even so, about half of those respondents also desired some additional clinical training, and two thirds felt the need for some additional training in surgical areas (refractive, oculoplastics/orbital, glaucoma, retina, and pediatric ophthalmic surgery). At least 60% reported being not very or not at all well prepared in 6 of the nonclinical areas explored (business operations and finance, personal financial management, practice management skills, coding and reimbursement, political advocacy, and exposure to practice setting models). With the exception of personal financial management, most ophthalmologists thought training in all of these nonclinical areas was the responsibility of the residency training program. The transition from residency training to successful, efficient, ethical, high-quality ophthalmic practice demands a number of skills in addition to diagnostic acumen and surgical ability. In general, the U.S. residency program graduates surveyed are comfortable with their clinical training, but less so with their training in nonclinical areas. Opportunities to help ophthalmologists prepare better for the transition to clinical practice after training appear to exist and might be addressed by training programs, professional organizations, informal physician networks, and other stakeholders.
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                Author and article information

                Journal
                J Curr Ophthalmol
                J Curr Ophthalmol
                JCO
                Journal of Current Ophthalmology
                Wolters Kluwer - Medknow (India )
                2452-2325
                Jan-Mar 2020
                23 March 2020
                : 32
                : 1
                : 88-93
                Affiliations
                [1 ]2 nd Department of Ophthalmology, School of Medicine, Papageorgiou General Hospital, Aristotle University of Thessaloniki, Macedonia, Greece
                Author notes
                Address for correspondence: Ioannis Tsinopoulos, 2 nd Department of Ophthalmology, School of Medicine, Papageorgiou General Hospital, Aristotle University of Thessaloniki, Thessaloniki Ring Road, 564 03 Thessaloniki, Macedonia, Greece. E-mail: itsinop@ 123456med.auth.gr
                Article
                JCO-32-88
                10.1016/j.joco.2019.10.001
                7265267
                32510019
                d885db1d-c4d5-4503-8235-dce97733bcdd
                Copyright: © 2020 Journal of Current Ophthalmology

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 11 August 2019
                : 06 October 2019
                : 16 October 2019
                Categories
                Original Article

                ophthalmology trainees,postgraduate training,questionnaire

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