Formación en cirugía de cataratas en Españaanálisis de resultados de una encuesta del European Board of Ophthalmology en una cohorte española
- Rémi Yaïci 12
- R. Martinez-Costa Pérez 13
- François Lefebvre 14
- Francisco José Muñoz-Negrete 4
- Sorcha Ní Dhubhghaill 5
- Massira Sanogo 12
- Wagih A. Aclimandos 6
- Rimvydas Stanislovas Ašoklis 7
- Huban Atilla 8
- Catherine P. Creuzot-Garcher 9
- Denise Curtin 2
- Barbara Cvenkel 3
- Lisa Flanagan 10
- Tero Tapani Kivelä 11
- Anna P. Maino 1
- Siegfried Georg Priglinger 16
- Helena Prior Filipe 17
- Marcin Stopa 18
- Brendan Strong 9
- J. Sturmer 15
- Marie José Tassignon 19
- Renata Iveković 20
- T. Bourcier 12
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1
Manchester Royal Eye Hospital
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2
Royal College of Surgeons in Ireland
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3
University of Ljubljana
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4
Hospital Ramón y Cajal
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5
Université Libre de Bruxelles
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6
King's College Hospital
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7
Vilnius University Hospital Santariskiu Klinikos
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8
Ankara University
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- 9 Servicio de Oftalmología, CHU de Dijon, Universidad de Dijon, Dijon, Francia
- 10 FS Exam Services, Ltd. Dublin, Irlanda
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11
University of Helsinki
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- 12 Servicio de Oftalmología, Hospitales Universitarios de Estrasburgo, NHC, FMTS, Universidad de Estrasburgo, Estrasburgo. Francia
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13
Universitat de València
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- 14 Servicio de Bioestadística, Hospitales Universitarios de Estrasburgo, Hospital Civil, FMTS, Universidad de Estrasburgo, Estrasburgo. Francia
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15
University of Zurich
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16
Ludwig Maximilian University of Munich
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17
Hospital de Egas Moniz
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18
Poznan University of Medical Sciences
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University of Antwerp
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- 20 Departamento de Oftalmología, Centro Médico Universitario Sestre Milosrdnice, Zagreb, Croacia
ISSN: 0365-6691
Year of publication: 2024
Volume: 99
Issue: 9
Pages: 373-382
Type: Article
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.