Cataract surgical training: Analysis of the results of the European Board of Ophthalmology survey in the Swiss cohort

Rémi Yaïci, Lilly Khamsy, Jelena Potic, Sorcha Ní Dhubhghaill, Massira Sanogo, François Lefebvre, Wagih Aclimandos, Rimvydas Asoklis, Huban Atilla, Catherine Creuzot-Garcher, Denise Curtin, Barbara Cvenkel, Lisa Flanagan, Tero T. Kivelä, Anna Maino, Rafael Martinez Costa, Helena Prior Filipe, Marcin Stopa, Brendan Strong, Marie José TassignonRenata Ivekovic, Siegfried Priglinger, Joerg Sturmer, Tristan Bourcier

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Introduction: This study, part of a series, analyses the Swiss cohort from an EBO survey on cataract surgery training in Europe, focusing on Switzerland's unique program. The survey identifies two models: training all residents in surgery, and a “high-volume surgeon” model where only some learn CS post-residency. Methods: This study analyses the survey results of Swiss participants in the EBO examinations (2018–2022) and compared them with the most important cohorts (Germany, France and Spain). Results: Out of 251 respondents, 87 (34.7%) answered the questionnaire. Most (70.1%) had taken the EBO exam between 2021–2022, with the majority of study participants being men (55.2%) with a median age of 34 years and came from 12 different cantons. Two third (68.8%) of respondents had not performed any steps of cataract surgery on patients during their residency. Notably, 22.1% stated that they had carried out 10 or more training sessions on virtual reality simulator, 5.8% on synthetic eyes and 21% on animal eyes. A notable discrepancy was observed between participants with 10 or more training sessions and those without specific training in four key areas: self-assessed confidence and ability to perform cataract surgery (p = 0.006), management of challenging cases (p = 0.027), handling complications like posterior capsular tear (p = 0.031) and in performing corneal sutures (p = 0.023). Discussion: Switzerland fits into the “high-volume surgeon” model group; extensive simulation-based training there significantly boosts self-confidence in performing CS, an effect less noticeable in countries offering hands-on training during residency.

Originele taal-2English
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TijdschriftEuropean journal of ophthalmology
DOI's
StatusPublished - 12 dec 2024

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