Cataract surgical training: Analysis of the results of the European Board of Ophthalmology survey in the Swiss cohort

IntroductionThis study, part of a series, analyses the Swiss cohort from an EBO survey on cataract surgery training in Europe, focusing on Switzerland's unique program. The survey identifies two models: training all residents in surgery, and a "high-volume surgeon" model where only some learn CS post-residency.MethodsThis study analyses the survey results of Swiss participants in the EBO examinations (2018-2022) and compared them with the most important cohorts (Germany, France and Spain).ResultsOut of 251 respondents, 87 (34.7%) answered the questionnaire. Most (70.1%) had taken the EBO exam between 2021-2022, with the majority of study participants being men (55.2%) with a median age of 34 years and came from 12 different cantons. Two third (68.8%) of respondents had not performed any steps of cataract surgery on patients during their residency. Notably, 22.1% stated that they had carried out 10 or more training sessions on virtual reality simulator, 5.8% on synthetic eyes and 21% on animal eyes. A notable discrepancy was observed between participants with 10 or more training sessions and those without specific training in four key areas: self-assessed confidence and ability to perform cataract surgery (p = 0.006), management of challenging cases (p = 0.027), handling complications like posterior capsular tear (p = 0.031) and in performing corneal sutures (p = 0.023).DiscussionSwitzerland fits into the "high-volume surgeon" model group; extensive simulation-based training there significantly boosts self-confidence in performing CS, an effect less noticeable in countries offering hands-on training during residency.

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Publication Details

Journal
European Journal of Ophthalmology
Published
2024-12-12
DOI
https://doi.org/10.1177/11206721241304052
Citations
3
Primary Topic
Intraocular Surgery and Lenses
Type
article
Field-Weighted Citation Impact
1.62
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article

Cataract surgical training: Analysis of the results of the European Board of Ophthalmology survey in the Swiss cohort

Marie‐José Tassignon, Catherine P Creuzot-Garcher, Wagih Aclimandos, Helena Prior Filipe et al.
3 citations
European Journal of Ophthalmology
Intraocular Surgery and Lenses
1.62
article

Cataract surgical training: Analysis of the results of the European Board of Ophthalmology survey in the Swiss cohort

Marie‐José Tassignon, Catherine P Creuzot-Garcher, Wagih Aclimandos, Helena Prior Filipe, Lilly Khamsy, Anna Maino, Jelena Potić, Tristan Bourcier, Barbara Cvenkel, Marcin Stopa, Sorcha Ní Dhubhghaill, Lisa A. Flanagan, Rémi Yaïci, Tero Kivelä, Hüban Atilla, Rafael Martinez Costa, François Lefebvre, Siegfried Priglinger, R ASOKLIS, Renata Iveković, J. Stürmer, Massira Sanogo, Brendan Strong, Denise Curtin
article en
3 citations

Abstract

IntroductionThis study, part of a series, analyses the Swiss cohort from an EBO survey on cataract surgery training in Europe, focusing on Switzerland's unique program. The survey identifies two models: training all residents in surgery, and a "high-volume surgeon" model where only some learn CS post-residency.MethodsThis study analyses the survey results of Swiss participants in the EBO examinations (2018-2022) and compared them with the most important cohorts (Germany, France and Spain).ResultsOut of 251 respondents, 87 (34.7%) answered the questionnaire. Most (70.1%) had taken the EBO exam between 2021-2022, with the majority of study participants being men (55.2%) with a median age of 34 years and came from 12 different cantons. Two third (68.8%) of respondents had not performed any steps of cataract surgery on patients during their residency. Notably, 22.1% stated that they had carried out 10 or more training sessions on virtual reality simulator, 5.8% on synthetic eyes and 21% on animal eyes. A notable discrepancy was observed between participants with 10 or more training sessions and those without specific training in four key areas: self-assessed confidence and ability to perform cataract surgery (p = 0.006), management of challenging cases (p = 0.027), handling complications like posterior capsular tear (p = 0.031) and in performing corneal sutures (p = 0.023).DiscussionSwitzerland fits into the "high-volume surgeon" model group; extensive simulation-based training there significantly boosts self-confidence in performing CS, an effect less noticeable in countries offering hands-on training during residency.

European Journal of OphthalmologyVol. 35(4)
Poznan University of Medical Sciences (PL), University of Helsinki (FI), Royal College of Surgeons in Ireland (IE), University of Antwerp (BE), Ankara University (TR), University of Ljubljana (SI), Universitat de València (ES), Vilnius University (LT), Université de Bourgogne (FR), University of Zurich (CH), Helsinki University Hospital (FI), Ljubljana University Medical Centre (SI), Manchester Royal Eye Hospital (GB), LMU Klinikum (DE), Hospital Universitari i Politècnic La Fe (ES), University of Belgrade (RS), Kantonsspital Winterthur (CH), Antwerp University Hospital (BE), Centre Hospitalier Universitaire Brugmann (BE), Hospital de Egas Moniz (PT), CHU Dijon Bourgogne (FR), Fondation Asile des Aveugles (CH), Maison des Sciences sociales et des Humanités de Dijon (FR), Swiss Archaeology (CH), King's College Hospital (GB), Clinique Romande de Réadaptation (CH), Université de Strasbourg (FR), Ludwig-Maximilians-Universität München (DE), University of Lausanne (CH)
Openalex Percentile: Top 15%
Intraocular Surgery and Lenses
1.62
DOISourceOpenAlex
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