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Resident Participation and Patient Outcomes in Vitreoretinal Surgery

      Surgical training is a key component of ophthalmology residency. For a variety of extraocular and anterior segment procedures, studies evaluating outcomes and complications in resident-performed surgeries have found equivalent outcomes to attending-performed surgeries,
      • Mehta V.J.
      • Utz V.M.
      • Traboulsi E.I.
      • Rychwalski P.J.
      Outcomes of strabismus surgery with or without trainee participation as surgeon.
      • Kwong A.
      • Law S.K.
      • Kule R.R.
      • et al.
      Long-term outcomes of resident- versus attending-performed primary trabeculectomy with mitomycin C in a United States residency program.
      • Fong C.S.
      • Mitchell P.
      • de Loryn T.
      • et al.
      Long-term outcomes of phacoemulsification cataract surgery performed by trainees and consultants in an Australian cohort.
      except that resident cases have longer operative times.
      • Hosler M.R.
      • Scott I.U.
      • Kunselman A.R.
      • et al.
      Impact of resident participation in cataract surgery on operative time and cost.
      However, in vitreoretinal surgery (VRS), only survey results exist. One report showed that, by the end of residency, more than 30% of residents reported performing pars plana vitrectomy (PPV) as the primary surgeon.
      • Scott I.U.
      • Smalley A.D.
      • Kunselman A.R.
      Ophthalmology residency program leadership expectations of resident competency in retinal procedures and resident experience with retinal procedures.
      A second study reported that 60% of surveyed residents had performed at least 1 primary pars plana vitrectomy.
      • Shah V.A.
      • Reddy A.K.
      • Bonham A.J.
      • et al.
      Resident surgical practice patterns for vitreoretinal surgery in ophthalmic training programs in the United States.
      Thus, a significant gap exists in the VRS education literature regarding resident involvement, surgical outcomes, operative time, and safety.

      Keywords

      Abbreviations and Acronyms:

      BCVA (best-corrected visual acuity), ICO-OSCAR:VIT (International Council of Ophthalmology’s Ophthalmology Surgical Competency Assessment Rubric: Vitrectomy), JBVA (Jesse Brown VA), logMAR (logarithm of the minimal angle of resolution), NMH (Northwestern Memorial Hospital), POM (postoperative month), PPV (pars plana vitrectomy), VRS (vitreoretinal surgery)
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