Evidence map›Paper›PMID 31409966›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2019

Self-perceived preparedness and competence among ophthalmology residents for open globe repair.

Sidra Zafar, Xinyi Chen, Fasika Woreta, Shameema Sikder

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Sidra ZafarWilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA.
Xinyi ChenWilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA.
Fasika WoretaWilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA.
Shameema SikderWilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess which surgical training resources residents find most useful for open globe repair.

methodsA nationwide, survey-based, cross-sectional analysis of ophthalmology residents enrolled in accredited training programs in the United States was performed to determine the association of surgical training methods with self-perceived resident preparedness and competence for open globe repair. The survey was developed at the Wilmer Eye Institute, Johns Hopkins Hospital.

resultsThe individual response rate in our study was 38.6% (118/306 participant responses from 24 programs). Pre-operative surgical planning, in the form of review of patient charts and case discussion with senior faculty, was associated with higher self-perceived levels of both preparedness and competence for several different steps of globe repair. Both supervised and independent lab practice on animal or synthetic eyes were also found to be significantly associated with increased levels of self-perceived competence, especially for steps that involved scleral and limbal reapproximation.

conclusionOpen globe repair is an important skill that all ophthalmologists must learn to master. To improve surgical training, residency programs must focus on developing a structured surgical curriculum that incorporates training for managing ocular trauma and open globes. Possible components can include implementation of pre-operative briefings and case discussion with faculty as well as, encouraging regular utilization of practice labs in a distributed pattern to consolidate learning among residents.

Indexed as

competenceopen globe repairpreparednessresident educationself-perceived

Identifiers

PMID31409966
PMCPMC6643154

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