Formación en cirugía de cataratas en Españaanálisis de resultados de una encuesta del European Board of Ophthalmology en una cohorte española

  1. Rémi Yaïci 12
  2. R. Martinez-Costa Pérez 13
  3. François Lefebvre 14
  4. Francisco José Muñoz-Negrete 4
  5. Sorcha Ní Dhubhghaill 5
  6. Massira Sanogo 12
  7. Wagih A. Aclimandos 6
  8. Rimvydas Stanislovas Ašoklis 7
  9. Huban Atilla 8
  10. Catherine P. Creuzot-Garcher 9
  11. Denise Curtin 2
  12. Barbara Cvenkel 3
  13. Lisa Flanagan 10
  14. Tero Tapani Kivelä 11
  15. Anna P. Maino 1
  16. Siegfried Georg Priglinger 16
  17. Helena Prior Filipe 17
  18. Marcin Stopa 18
  19. Brendan Strong 9
  20. J. Sturmer 15
  21. Marie José Tassignon 19
  22. Renata Iveković 20
  23. T. Bourcier 12
  1. 1 Manchester Royal Eye Hospital
    info

    Manchester Royal Eye Hospital

    Mánchester, Reino Unido

    ROR https://ror.org/04xtpk854

  2. 2 Royal College of Surgeons in Ireland
    info

    Royal College of Surgeons in Ireland

    Dublín, Irlanda

    ROR https://ror.org/01hxy9878

  3. 3 University of Ljubljana
    info

    University of Ljubljana

    Liubliana, Eslovenia

    ROR https://ror.org/05njb9z20

  4. 4 Hospital Ramón y Cajal
    info

    Hospital Ramón y Cajal

    Madrid, España

    ROR https://ror.org/050eq1942

  5. 5 Université Libre de Bruxelles
    info

    Université Libre de Bruxelles

    Bruselas, Bélgica

    ROR https://ror.org/01r9htc13

  6. 6 King's College Hospital
    info

    King's College Hospital

    Londres, Reino Unido

    ROR https://ror.org/044nptt90

  7. 7 Vilnius University Hospital Santariskiu Klinikos
    info

    Vilnius University Hospital Santariskiu Klinikos

    Vilna, Lituania

    ROR https://ror.org/0590pq693

  8. 8 Ankara University
    info

    Ankara University

    Ankara, Turquía

    ROR https://ror.org/01wntqw50

  9. 9 Servicio de Oftalmología, CHU de Dijon, Universidad de Dijon, Dijon, Francia
  10. 10 FS Exam Services, Ltd. Dublin, Irlanda
  11. 11 University of Helsinki
    info

    University of Helsinki

    Helsinki, Finlandia

    ROR https://ror.org/040af2s02

  12. 12 Servicio de Oftalmología, Hospitales Universitarios de Estrasburgo, NHC, FMTS, Universidad de Estrasburgo, Estrasburgo. Francia
  13. 13 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  14. 14 Servicio de Bioestadística, Hospitales Universitarios de Estrasburgo, Hospital Civil, FMTS, Universidad de Estrasburgo, Estrasburgo. Francia
  15. 15 University of Zurich
    info

    University of Zurich

    Zúrich, Suiza

    ROR https://ror.org/02crff812

  16. 16 Ludwig Maximilian University of Munich
    info

    Ludwig Maximilian University of Munich

    Múnich, Alemania

    ROR https://ror.org/05591te55

  17. 17 Hospital de Egas Moniz
    info

    Hospital de Egas Moniz

    Lisboa, Portugal

    ROR https://ror.org/012habm93

  18. 18 Poznan University of Medical Sciences
    info

    Poznan University of Medical Sciences

    Posnania, Polonia

    ROR https://ror.org/02zbb2597

  19. 19 University of Antwerp
    info

    University of Antwerp

    Amberes, Bélgica

    ROR https://ror.org/008x57b05

  20. 20 Departamento de Oftalmología, Centro Médico Universitario Sestre Milosrdnice, Zagreb, Croacia
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Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2024

Volume: 99

Issue: 9

Pages: 373-382

Type: Article

DOI: 10.1016/J.OFTAL.2024.05.001 DIALNET GOOGLE SCHOLAR

More publications in: Archivos de la Sociedad Española de Oftalmologia

Abstract

A survey conducted by the European Board of Ophthalmology (EBO) revealed significant differences in the surgical training of the ophthalmology residents in Europe, including a disparity between the sexes and a variation in the experience on cataract surgery (CC) between them. This study is about the Spanish sub-cohort of the survey, and its objective is to present and analyse the peculiarities of ophthalmology training in Spain within the European context, as well as discussing ways to harmonise and improve that training throughout the EU. Methods We analyse data of the Spanish participants in the EBO exams, defining subgroups by the Autonomous Communities existing in Spain. Results 93 of 135 requested participants (68.9%) responded. A 60.2% passed the EBO exam between 2021-2022, being mostly women (65.59%) aged 31 years old on average. The 91.4% were right-handed, coming from 13 of the 17 Spanish autonomous communities, although mostly from the Community of Valencia, Madrid and Catalonia. Respectively, 16.1%, 3.2% and 8.7% of the respondents said they have completed 10 or more training sessions on animal eyes, synthetic eyes and through the virtual reality simulator. This training was correlated with greater self-confidence in the management of a posterior capsular tear during surgery (p 0.025). All respondents manifested to have already performed stages of the CC. The average number of operations reported was 181.6 with regional disparities. A significant difference is observed between the sexes against women (-28.3%, p 0.03). Discussion Ophthalmologists in Spain, much more than other European countries, have greater opportunities for surgical training, with surgical procedures during the residency, that nearly triples those made by the others. Spanish women refer, like their European colleagues, to be in disadvantage in learning opportunities about cataract surgery. The Simulation Based Medical Education (SBME) allows to respond to the training deficit and complements the training on the patient. Although we demonstrate a significant correlation between the number of procedures carried out and self-confidence to operate simple cases, the SBME would be a complementary tool in self-confidence in front of a complication like capsular rupture. Conclusion Spain massively adopts the model named by us “surgery for all”, despite the underrepresentation of women in this area, emphasising a need for cultural change that the SBME could facilitate.

Data source: Dialnet