Should there be global standards in ophthalmology training? (original) (raw)

Surgical training fit for the future: the need for a change

Postgraduate Medical Journal, 2021

Postgraduate training in surgical specialties is one of the longest training programmes in the medical field. Most of the surgical training programmes require 5–6 years of postgraduate training to become qualified. This is usually followed by 1–2 years of fellowship training in a subspecialised interest. This has been the case for the last 20–30 years with no significant change. The surgical practice is transforming quickly due to the advances in medical technology. This transformation is not matched in the postgraduate training, there is minimal exposure to the new technological advances in early years of postgraduate training. The current postgraduate training in surgical specialties is not fit for the future. Early exposure to robotic and artificial intelligence technologies is required. To achieve this, a significant transformation of surgical training is necessary, which requires a new vision and involves significant investment. We discuss the need for this transformation in th...

The state of basic surgical training in the UK: Ophthalmology as a case example

American Journal of Ophthalmology, 2004

Concern is being expressed about the state of basic surgical training in the context of growing demands to improve service provision in the National Health Service. Taking ophthalmology as a case example, we sent questionnaires to all 466 senior house officers (SHOs) in recognized surgical training posts in England, Wales, Scotland and Northern Ireland. The main outcome measures were intraocular surgery performed in the previous two weeks and since starting as an SHO in ophthalmology; access to protected teaching time or cases on theatre lists; and supervision during surgery. Phakoemulsification, the most common type of cataract surgery, was used as a generic indicator of intraocular procedures. 314 (67%) of the SHOs responded.

“Blowing up the Barriers” in Surgical Training

Annals of Surgery, 2011

Objectives: To explore face, content and construct validity of Distributed Simulation (DS), an innovative approach to low-cost, high-fidelity surgical simulation and compare technical performance in the DS with that on a standard surgical box trainer.

Surgical training and certification in the United kingdom

Training in surgical disciplines in the United Kingdom has undergone tremendous change over the past two decades. The introduction of specialist training programmes, working time directives, quality ratings and a drive toward ambulatory and minimal access surgery have led to challenges with respect to training and service commitments of healthcare professionals. A structured and centralised training system was introduced, with the concept of core followed by specialty-specific progression, in an openly competitive manner. Within this system is the need to commence training on simulation models, and to demonstrate proficiency prior to performance of tasks on patients. This should be underpinned by objective measures such as video or dexterity-based tools. There is also a clear need to provide personal, professional and leadership development in the form of mentorship and appraisal systems. Though continuing to develop, the profession must be mindful of current and future advances to ensure the delivery of surgeons for the future who aspire toward excellence.

25th RCOphth Congress, President's Session paper: 25 years of progress in surgical training

Eye (London, England), 2014

Surgical training in ophthalmology has altered significantly over the last 25 years as a result of changes in technology, teaching methodology, and the recognition of the need for better structure and supervision. Along with this have evolved changes in curriculae and also in service delivery of our rapidly advancing specialty. Initial abandonment of time-based training has now reached the point of a slightly uneasy combination of a time- and competency-based structure, which will find firmer foundations in the near future. Simulation training and recognition of time spent in practising surgical skills will be important issues for future training programmes.

We need you to be able to do this operation: continuity and contradiction in the training of ophthalmologists

2011

2.3.1 Competency based training _____________________________________________________ 24 2.3.2 Apprenticeship based training ___________________________________________________ 27 2.3.3 Apprenticeship and curriculum form ______________________________________________ 30 2.3.4 Apprenticeship and control _____________________________________________________ 31 2.3.3 Complexity based training ______________________________________________________ 35 2.4 Should change occur? .