1 / 12

Enhancing Phaco Training Outcomes

Enhancing Phaco Training Outcomes. M. K. Kummelil, S. Nagappa, A. Shetty, A. Braganza Cataract and Refractive Surgery Services, Narayana Nethralaya, Post-Graduate Institute of Ophthalmology Bangalore, India. Purpose.

vschmidt
Download Presentation

Enhancing Phaco Training Outcomes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Enhancing Phaco Training Outcomes M. K. Kummelil, S. Nagappa, A. Shetty, A. Braganza Cataract and Refractive Surgery Services, Narayana Nethralaya, Post-Graduate Institute of Ophthalmology Bangalore, India.

  2. Purpose • To document the impact of the ICO OSCAR rating system on the outcomes of an intense 2 week structured phaco training with wet lab support.

  3. Methods • Trainees joining for the 2 week phaco training program were assessed and feedback was provided by using the ICO-OSCAR rating system. • The primary outcome measure was the reduction in the intraoperative complications during the training period. • The secondary outcome measure was the number of steps completed independent of the preceptor

  4. The Program • Pre-screening of candidates • Equipment & surgical skills • Pre-selection of cases for immediate post-training surgery • Intense 2 week Cognitive Skills Training • Supervised by senior surgeons • Intra-operative videos analyzed • ICO-OSCAR phaco rating used for feedback • Post training support • Onsite • Tele-Surgical Support

  5. Cognitive Skills Training

  6. Mean ICO OSCAR scores + SD (max=100) = 70 + 1.8 Stepwise mean ICO OSCAR scores + SD (max=5)

  7. Training results

  8. POST TRAINING: TELE – SURGICAL SUPPORT • Camera • Without beam splitter • Compatible to all microscopes • USB recording to a laptop • Technology • Video digital conversion → Real time video streaming (3G) → ipad → senior consultant comments → 2 way audio

  9. Conclusion • Improved surgical competence of the trainees • Improved completion of cases • Lower complication rates Achieved by: • Intense structured phaco training with wet lab support • ICO OSCAR based intra & post training feedback

More Related