Standardized approach to training for cataract surgery skill evaluation Journal Article


Authors: Pittner, A.; Nolan, M.; Traish, A.; Farooq, A; Feder, R.; Hill, G.; Dwarakanathan, S.; McGaghie, W.; Bouchard, C
Article Title: Standardized approach to training for cataract surgery skill evaluation
Abstract: PURPOSE: To assess interrater reliability in grading cataract surgery performance of ophthalmology residents and attending physicians before and after rater skill training. SETTING: Metropolitan Chicago, Illinois, USA. DESIGN: Prospective interventional test design. METHODS: Video versions of a previously validated scoring key for rating cataract surgery were created for participant training. All participants received 2 frame-of-reference training sessions lasting 2 hours each. Participants graded 4 videorecorded cataract surgeries before training (pretest) and 4 more after training (posttest). Intraclass correlation coefficients (ICCs), which measured the degree of rater agreement, were calculated before and after training. Participants completed a subjective confidence questionnaire at the beginning and at the end of the study. RESULTS: The study participants included 9 postgraduate year (PGY)-3 residents, 8 PGY-4 residents, and 5 ophthalmology attending physicians from 4 medical centers in metropolitan Chicago. The rater training sessions had the greatest increase in ICCs among PGY-3 residents. The ICC improvement between the PGY-4 residents and attending physicians was uneven. After training, all residents felt more confident about their ability to rate and to perform cataract surgery. CONCLUSIONS: Learning to effectively grade performance of cataract surgery by reviewing video clips has the potential to be an important part of ophthalmology residency education. The benefit of such a protocol was greatest in the early stages of residency education and might provide a guideline for quality assessment that accelerates surgical skill development. FINANCIAL DISCLOSURE: None of the authors has a financial or proprietary interest in any material or method mentioned.
Keywords: Opthalmology
Journal Title: Journal of cataract and refractive surgery
Volume: 42
Issue: 6
ISSN: 1873-4502; 0886-3350
Publisher: ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved  
Journal Place: United States
Date Published: 2016
Start Page: 855
End Page: 863
Language: eng
DOI/URL:
Notes: CI: Copyright (c) 2016; JID: 8604171; 2015/10/26 [received]; 2016/03/14 [revised]; 2016/03/14 [accepted]; ppublish