Teaching in the operating room:trends in surgical skills transfer in ophthalmology
作者机构：John A.Moran Eye CenterUniversity of UtahSalt Lake CityUtahUSA
出 版 物：《Annals of Eye Science》 (眼科学年鉴（英文）)
年 卷 期：2017年第2卷第1期
页 面：199-205页
学科分类：0502[文学-外国语言文学] 050201[文学-英语语言文学] 05[文学]
基 金：Research to Prevent Blindness, RPB University of Utah
主 题：Cataract surgery surgical instruction ophthalmology education
摘 要：Cataract surgery is arguably the most commonly performed operation in *** skills transfer from experienced surgeons to resident surgeons is complicated by the fact that the teaching surgeon primarily acts as an observer rather than directly performing the ***,wet lab and simulator training are utilized to reduce the learning curve of the novice surgeons,which establishes tissue awareness,dexterity and muscle memory required to perform each step of the procedure,*** to a wet lab and simulator environment is accomplished by establishing a surgical training curriculum in residency *** the operating room,topical anesthesia is a safe alternative for teaching cataract *** are three well-described approaches to teaching individual steps of cataract surgery:forward,“backwards,and deconstructed step-by-step *** training can be incorporated prior to live patient experience or integrated concurrently with learner presence in the operating *** trend towards a competency-based instruction model has necessitated appropriate evaluation tools that include Objective Assessment of Skills in Intraocular Surgery(OASIS),Global Rating Assessment of Skills in Intraocular Surgery(GRASIS),and the International Council of Ophthalmology’s Ophthalmology Surgical Competency Assessment Rubrics(ICO-OSCAR).We review the literature on trends in surgical teaching in ophthalmology,with the focus on cataract surgery instruction to the novice surgeon.
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