May 2020

ASCRS NEWS

Eyeworld Journal Club
Effect of full time vs. volunteer faculty on resident cataract surgery complications


by Murtaza Saifee, MD, Ivy Zhu, MD, Ying Lin, MSPH, Catherine Oldenburg, PhD, Saras Ramanathan, MD

J Cataract Refract Surg. 2020;46(5);700–704.

• Purpose: To examine the effect of teaching experience of supervising surgeons on resident cataract surgery intraoperative complication rates.
• Setting: Zuckerberg San Francisco General Hospital, Department of Ophthalmology, University of California, San Francisco, California.
• Design: Retrospective chart review
• Methods: Cataract surgeries performed by UCSF ophthalmology residents from 2010 to 2017 were reviewed. Only cases supervised by anterior segment attendings with more than 10 years post-residency surgical experience were included. Cases were categorized as being supervised by either full-time UCSF teaching attendings or volunteer private practice attendings. Cases were graded as low risk (0 risk factors), intermediate risk (1 risk factor) or high risk (>=2 risk factors) based on 8 pre- and intraoperative risk factors. Complication rates were compared between the two attending groups among varying risk grades.
• Results: Out of 1377 cases, 101 had complications. Among low-risk cases, full-time teaching attendings (25/619=4.04%) had a similar complication rate to volunteer attendings (17/387=4.39%) (OR 0.92; p=0.79). In intermediate-risk cases, full-time teaching attendings (28/195=14.36%) had a slightly worse complication rate than volunteer attendings (10/88=11.36%) (OR 1.63; p=0.45). High-risk cases had the highest complication rates, with full-time teaching attendings’ complication rates (16/72=22.22%) somewhat lower than volunteer attendings’ (5/16=31.25%) (OR 0.64; p=0.48).
• Conclusion: For low-risk resident-performed cataract surgeries, supervision by full-time faculty and volunteer attendings yield similar complication rates; thus, residency programs may safely recruit volunteer attendings to supervise low-risk cataract surgeries to support resident training. Analysis of higher-risk cases was limited by low surgical volume.

Effect of full time vs. volunteer faculty on resident cataract surgery complications Effect of full time vs. volunteer faculty on resident cataract surgery complications
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2020-05-04T12:08:31Z
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