A different approach to assess resident phacoemulsification learning curve: Analysis of both completion and complication rates

J. S. Lee*, C. H. Hou, M. L. Yang, J. Z.C. Kuo, K. K. Lin

*此作品的通信作者

研究成果: 期刊稿件文章同行評審

56 引文 斯高帕斯(Scopus)

摘要

Purpose: To assess phacoemulsification learning curve by analysing residents' surgical completion and complication rates. Methods: This prospective study included 226 cases of phacoemulsification performed by 11 senior residents under a single supervisor during a 27-month period. Both completion and complication rates were collected to assess their surgical results. 'Short-term completion rate (STCR)', the frequency of the surgeries completed exclusively by the residents during every five consecutive cases, was used in the evaluation of the learning curve parameter. Results: These residents could complete phacoemulsification independently in 101 surgeries (44.7%). Intraoperative complications occurred in 62 cases (27.4%), of which 11 cases were complicated with vitreous loss (4.9%). By tracing different residents' individual STCRs, we found that the learning curve for phacoemulsification surgery to be of an exponential pattern, and the first STCR of 60% to be a good representation of the exponential point. Before the residents' first STCR of 60%, their average completion rate was only 16.7% and complication rate was as high as 39.2%. While after that point, the average completion rate accelerated to 76.4% and complication rate decreased to 14.2%. Conclusion: The learning curve of phacoemulsification is of an exponential pattern and the trainees' STCR can be a useful parameter to evaluate their surgical performance.

原文英語
頁(從 - 到)683-687
頁數5
期刊Eye (Basingstoke)
23
發行號3
DOIs
出版狀態已出版 - 03 2009

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