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Laser Peripheral Iridotomy Curriculum: Lecture and Simulation Practical
INTRODUCTION: Approximately 20 million people worldwide are affected by primary angle closure glaucoma, which is often treated with a laser peripheral iridotomy (LPI). In the United States, at least 60,000 to 80,000 LPIs are performed annually. However, complications can arise from improperly perfor...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Association of American Medical Colleges
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331967/ https://www.ncbi.nlm.nih.gov/pubmed/32656324 http://dx.doi.org/10.15766/mep_2374-8265.10903 |
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author | Wen, Joanne C. Rezaei, Kasra A. Lam, Deborah L. |
author_facet | Wen, Joanne C. Rezaei, Kasra A. Lam, Deborah L. |
author_sort | Wen, Joanne C. |
collection | PubMed |
description | INTRODUCTION: Approximately 20 million people worldwide are affected by primary angle closure glaucoma, which is often treated with a laser peripheral iridotomy (LPI). In the United States, at least 60,000 to 80,000 LPIs are performed annually. However, complications can arise from improperly performed LPIs. While the Accreditation Council for Graduate Medical Education requires that all ophthalmology residents perform at least four primary LPIs prior to graduating, formal training is often lacking. In an effort to standardize LPI teaching, an LPI lecture curriculum and skills practice session were introduced. METHODS: A lecture and wet-lab curriculum was developed at the University of Washington to formally teach first-year ophthalmology residents the indications and techniques for LPI. Pre- and postcurriculum knowledge was tested, and LPI performance was assessed by comparing pre- and postcurriculum total number of shots and time needed to successfully complete an LPI on a commercially available model eye. RESULTS: The course was highly rated by 10 residents (all PGY 2), with an increase in pre- versus posttest scores, an improvement in LPI performance metrics, and an increase in pre- versus postcurriculum scores for the three survey questions regarding curriculum objectives. DISCUSSION: This course improved learner knowledge and confidence in performing LPI. Test scores improved following the course, as did self-assessed confidence levels of the residents. Residents made a number of positive comments about the course. We plan to continue holding this training session every year at our institution. |
format | Online Article Text |
id | pubmed-7331967 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Association of American Medical Colleges |
record_format | MEDLINE/PubMed |
spelling | pubmed-73319672020-07-06 Laser Peripheral Iridotomy Curriculum: Lecture and Simulation Practical Wen, Joanne C. Rezaei, Kasra A. Lam, Deborah L. MedEdPORTAL Original Publication INTRODUCTION: Approximately 20 million people worldwide are affected by primary angle closure glaucoma, which is often treated with a laser peripheral iridotomy (LPI). In the United States, at least 60,000 to 80,000 LPIs are performed annually. However, complications can arise from improperly performed LPIs. While the Accreditation Council for Graduate Medical Education requires that all ophthalmology residents perform at least four primary LPIs prior to graduating, formal training is often lacking. In an effort to standardize LPI teaching, an LPI lecture curriculum and skills practice session were introduced. METHODS: A lecture and wet-lab curriculum was developed at the University of Washington to formally teach first-year ophthalmology residents the indications and techniques for LPI. Pre- and postcurriculum knowledge was tested, and LPI performance was assessed by comparing pre- and postcurriculum total number of shots and time needed to successfully complete an LPI on a commercially available model eye. RESULTS: The course was highly rated by 10 residents (all PGY 2), with an increase in pre- versus posttest scores, an improvement in LPI performance metrics, and an increase in pre- versus postcurriculum scores for the three survey questions regarding curriculum objectives. DISCUSSION: This course improved learner knowledge and confidence in performing LPI. Test scores improved following the course, as did self-assessed confidence levels of the residents. Residents made a number of positive comments about the course. We plan to continue holding this training session every year at our institution. Association of American Medical Colleges 2020-05-27 /pmc/articles/PMC7331967/ /pubmed/32656324 http://dx.doi.org/10.15766/mep_2374-8265.10903 Text en © 2020 Wen et al. https://creativecommons.org/licenses/by/4.0/This is an open-access publication distributed under the terms of the Creative Commons Attribution (https://creativecommons.org/licenses/by/4.0/) license. |
spellingShingle | Original Publication Wen, Joanne C. Rezaei, Kasra A. Lam, Deborah L. Laser Peripheral Iridotomy Curriculum: Lecture and Simulation Practical |
title | Laser Peripheral Iridotomy Curriculum: Lecture and Simulation Practical |
title_full | Laser Peripheral Iridotomy Curriculum: Lecture and Simulation Practical |
title_fullStr | Laser Peripheral Iridotomy Curriculum: Lecture and Simulation Practical |
title_full_unstemmed | Laser Peripheral Iridotomy Curriculum: Lecture and Simulation Practical |
title_short | Laser Peripheral Iridotomy Curriculum: Lecture and Simulation Practical |
title_sort | laser peripheral iridotomy curriculum: lecture and simulation practical |
topic | Original Publication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331967/ https://www.ncbi.nlm.nih.gov/pubmed/32656324 http://dx.doi.org/10.15766/mep_2374-8265.10903 |
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