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Year : 2017  |  Volume : 65  |  Issue : 6  |  Page : 452-460

Residency evaluation and adherence design study: Young ophthalmologists' perception of their residency programs – Clinical and surgical skills

1 All India Ophthalmology Society, New Delhi; Padmashree Dr D Y Patil Medical College; Dr. Gogate's Eye Clinic, Community Eye Care Foundation, Pune, Maharashtra, India
2 All India Ophthalmology Society, New Delhi; BB Eye Foundation, Kolkata, West Bengal, India
3 All India Ophthalmology Society, New Delhi; Aditya Jyot Eye Hospital, Mumbai, Maharashtra, India
4 All India Ophthalmology Society, New Delhi; The Eye Foundation, Coimbatore, Tamil Nadu, India
5 All India Ophthalmology Society, New Delhi; Disha Eye Hospital, Kolkata, West Bengal, India
6 All India Ophthalmology Society, New Delhi, India; Cincinnati Eye Institute, University of Cincinnati, Cincinnati, Ohio, USA
7 All India Ophthalmology Society, New Delhi; Department of Ophthalmology, Hinduja Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Parikshit Gogate
Dr. Gogate's Eye Clinic, Community Eye Care Foundation, 102, Kumar Garima, Tadiwala Road, Pune - 411 001, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_643_16

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Background: Residency training is the basis of good clinical and surgical practice. Purpose: The aim is to know the demographics, training experience, and perception of young ophthalmologists to improve the present residency programs in India. Setting: Young ophthalmologists trained in India. Methods: A survey was conducted by the Academic and Research Committee of the All India Ophthalmology Society, in 2014–2016 of young ophthalmologists (those trained between 2002 and 2012, with 2–10 years' postresidency experience) to gauge teaching of clinical and surgical skills during the postgraduate residency program. Statistical Analysis: Statistical Package for Social Sciences version 16. Results: Of the 1005 respondents, 531 fulfilled inclusion criteria. Average age was 32.6 years (standard deviation [SD] 4). On a scale of 0–10, clinical skills teaching was graded as (mean, SD): Slit lamp examination (7.2, SD 2.8), indirect ophthalmoscopy (6.2, SD 3.3), gonioscopy (5.7, SD 3.4), perimetry (6.2, SD 3.2), optical coherence tomography (4.6, SD 4), and orthoptic evaluation (4.3, SD 3.1). The mean (SD) and median of surgeries performed independently was intracapsular cataract extraction 3.0 (14.9), 0; extracapsular cataract extraction 39.9 (53.2), 18; small incision cataract surgery 75.3 (64.4), 55; phacoemulsification 30 (52.6), 1; pterygium excision 31.5 (43.5), 15; dacryocystectomy 20.3 (38.1), 4; dacryocystorhinostomy 11.7 (26.2), 2; chalazion 46.4 (48.3), 30; trabeculectomies 4 (14.9), 0; strabismus correction 1.4 (4.9), 0; laser-assisted in situ Keratomileusis 1.5 (12.2), 0; retinal detachment 1.5 (12.5), 0; vitrectomy 3.0 (17.0), 0; keratoplasty 5.2 (17.8), 0; eyelid surgery 8.6 (18.9), 2 and ocular emergencies 41.7 (52.4), 20. Observed and assisted surgeries were more common. However, the range of grading was 0–10 in all categories. Conclusion: Residency training in India varies considerably from program to program. Standardization is needed to assure all graduates are competent and render consistent quality of service.

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