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Cataract Surgery Skill Assessment

2011; Elsevier BV; Volume: 118; Issue: 10 Linguagem: Inglês

10.1016/j.ophtha.2011.06.039

1549-4713

Karl C. Golnik, Aravind Haripriya, Hilary A. Beaver, Vinod Gauba, Andrew G. Lee, Eduardo Mayorga, Gabriela Palis, George M. Saleh,

Ophthalmology and Visual Health Research

Golnik et al recently developed a new tool for assessing phacoemulsification and extracapsular cataract surgical skill the Ophthalmology Surgical Competency Assessment Rubric (ICO-OSCAR:phaco).1Golnik K.C. Beaver H. Gauba V. et al.Cataract surgical skill assessment.Ophthalmology. 2011; 118: 427Abstract Full Text Full Text PDF PubMed Scopus (45) Google Scholar Inter-rater reliability of this tool is currently being investigated. Feedback regarding this tool has been positive but small incision cataract surgery (SICS) is the predominant technique used in many areas of the world. We have created a new assessment tool, the ICO-OSCAR:SICS to meet the global need. One of us (H.A.) started with the ICO-OSCAR:phaco tool and revised only those portions necessary to address the differences between SICS and phacoemulsification. A group of content experts (the other authors) and a second group of 10 content experts from around the world then reviewed the draft and made suggestions. These experts teach cataract surgery in Argentina, Australia, China, Egypt, England, Germany, India, Nigeria, Peru, and the United States. Their suggestions were catalogued, reviewed by the authors and revisions made to produce the final draft (Figure 1, available at http://aaojournal.org). The International Council of Ophthalmology (ICO) has approved this assessment tool and thus we have labeled it the ICO-OSCAR:SICS. Like the previous ICO-OSCAR assessment tools the specific behavioral narrative anchors in the rubric provide raters with objective benchmarks for comparative purposes and provides the learners with specific targets for behavioral change.Figure 1The International Council of Ophthalmology's Ophthalmology Surgical Competency Assessment Rubric: Small Incision Cataract Surgery (ICO-OSCAR:SICS).View Large Image Figure ViewerDownload Hi-res image Download (PPT) Cataract Surgical Skill AssessmentOphthalmologyVol. 118Issue 2PreviewIn the United States, the Accreditation Council for Graduate Medical Education (ACGME) has mandated that all residency training programs (including ophthalmology) teach and assess 6 general competencies (i.e., medical knowledge, communication and interpersonal skills, patient care, professionalism, practice-based learning, and systems-based practice). To fulfill the ACGME mandate ophthalmic residency programs need valid assessment tools to show that surgical competence has been achieved. We believe such assessment tools should be designed to teach as well as assess. Full-Text PDF