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The Ophthalmology Surgical Competency Assessment Rubric (Oscar) for Open Globe Surgical Management Publisher



Justin GA1, 2 ; Soleimani M3 ; Zafar S4 ; Cheraqpour K5 ; Green C6 ; Moin M7 ; Venkatesh Prajna N8 ; Golnik KC9 ; Woreta FA4
Authors
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Authors Affiliations
  1. 1. Department of Vitreoretinal Surgery, Duke Eye Center, Durham, NC, United States
  2. 2. Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
  3. 3. Department of Ocular Trauma and Emergency, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Wilmer Eye Institute, Johns Hopkins Medical Institute, Baltimore, MD, United States
  5. 5. Department of Eye Research, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Glaucoma Unit, Royal Victorian Eye and Ear Hospital, Melbourne, Australia
  7. 7. Department of Ophthalmology, Amee ud Din Medical College, Lahore, Pakistan
  8. 8. Department of Cornea and Refractive Eye Services, Aravind Eye Hospital, Madurai, India
  9. 9. Department of Ophthalmology, University of Cincinnati, The Cincinnati Eye Institute, Cincinnati, OH, United States

Source: Clinical Ophthalmology Published:2022


Abstract

Background/Aims: To produce an internationally developed rubric to assess surgical competency in open globe management. Methods: An international expert panel of seven ophthalmologist educators developed a standardized competency-based rubric. The steps to perform an open globe repair were outlined. Based on a modified Dreyfus model, the experts agreed on the steps of surgery and certain global indices. They then assigned descriptors for the competency expected of a novice, beginner, advanced beginner, and competent surgeon. The tool was then vetted by another panel of ten ophthalmologists. The main outcome measure was the final version of the tool as agreed upon by the expert review panel. Results: The steps of open globe repair and key global indices were established. Descriptive wording for each step and global indices for novice, beginner, advanced beginner, and competent surgery were listed. All the expert comments were integrated to establish face and content validity. Conclusion: This standardized rubric to evaluate resident competency should be used globally in training programs to assess open globe repair surgical skills. Using a modified Dreyfus model, four different levels of training competency were defined allowing a non-biased, objective, numerical and simple assessment. © 2022 Justin et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms. php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work youhereby accepttheTerms. Non-commercial usesof thework arepermitted without anyfurther permissionfrom DoveMedical Press Limited, provided thework isproperly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
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