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Harmonizing ophthalmic residency surgical training across Europe: A proposed surgical curriculum

Eye volume 37, pages 3256–3262 (2023)Cite this article

Subjects

Abstract

Background

One of the core aims of the European Union of Medical Specialists is to harmonize training across Europe by creating European Training Requirements for all medical specialties including Ophthalmology. The theoretical part is already defined by the EBO, however as ophthalmology also includes surgical skills, we herein propose a surgical minimum curriculum for ophthalmology residents in Europe.

Methods

National and international ophthalmic training curricula which are publicly available in English were reviewed and compared. The final proposal was created from 5 criteria: 1. Disease prevalence; 2. Patient safety; 3. Case-trainee ratio; 4. Skill transfer; and 5. Technical difficulty.

Results

In total 7 different training curricula from across the world were compared. Among the surgical procedures, cataract surgery has the highest median number of procedures required to be completed during residency: 86 procedures (50–350). Followed by oculoplastics: 28 procedures (10–40) and panretinal photocoagulation: 27.5 procedures (10–49) Full procedural competence is proposed in 9 surgical skills, including YAG laser posterior capsulotomy, retinal argon laser, intravitreal injection, corneal foreign body removal, removal of corneal sutures, facial and periocular laceration repair, eyelid laceration repair, minor eyelid procedures, and punctal occlusion. These procedures are deemed essential and feasible for all ophthalmology residents in Europe to perform independently upon completion of their training.

Conclusion

This proposal should be regarded as a recommendation based on comparable surgical curricula in use worldwide to establish standards across European countries and may serve as valuable insight to those responsible for compiling ETRs for ophthalmology, or their national curriculums.

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Fig. 1: Disparities in surgical case numbers of cataract performed during training according to the analysed curricula.

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Data availability

All data generated or analysed during this study are included in this published article.

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Acknowledgements

Marko Hawlina for support and guidance.

Funding

JC: Employee, Roche Products Ltd, UK. SF: Consultant for Santen, US; Research support from Dompè, US. MR: Consultant for Santen Denmark. All other authors have no financial disclosures to declare.

Author information

Authors and Affiliations

  1. Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Department of Ophthalmology, Reina Sofia University Hospital and University of Cordoba, Cordoba, Spain

    Miguel González-Andrades

  2. Department of Ophthalmology, University of California Los Angeles, Los Angeles, USA

    Simon S. M. Fung

  3. Clinic for Eye Diseases, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia

    Jelena Potic

  4. Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, Department of Ophthalmology, University of Lausanne, Lausanne, Switzerland

    Jelena Potic

  5. Division of Pharmacy & Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK

    Jaya D. Chidambaram

  6. Department of Ophthalmology, Frimley Park Hospital, Portsmouth Road, Frimley, GU16 7UJ, UK

    Ayesha Karimi

  7. Department of Ophthalmology, Royal Victoria Eye and Ear Hospital, Dublin, Ireland

    Clare Quigley

  8. Department of Ophthalmology, Royal Surrey County Hospital, Guildford, UK

    Radka Pontoppidan-Toms

  9. Moorfields Eye Hospital London, London, UK

    Andrew Scott

  10. Department of Ophthalmology, Rigshospitalet, Copenhagen and Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

    Marie Louise R. Rasmussen

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Contributions

All authors (MG, SF, JP, JC, AK, CQ, RP, AS, MR) have participated in the steering committee formed to assess the issue of heterogeneity of European ophthalmology residency training. The steering committee worked under the European Society of Ophthalmology Young Ophthalmologists (SOE YO) committee lead by MR. All authors (MG, SF, JP, JC, AK, CQ, RP, AS, MR) have taken part in developing and analysing the results. MG, SF, and MR wrote the initial manuscript. All authors have contributed and commented on the final manuscript.

Corresponding author

Correspondence to Marie Louise R. Rasmussen.

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González-Andrades, M., Fung, S.S.M., Potic, J. et al. Harmonizing ophthalmic residency surgical training across Europe: A proposed surgical curriculum. Eye 37, 3256–3262 (2023). https://doi.org/10.1038/s41433-023-02502-2

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