3/8/2023 0 Comments Surgeon simulator eyes![]() In Europe, education in ophthalmologic surgery in countries participating in the EBO (European Board of Ophthalmology) is decentralized, which means that each country follows a model that it finds best suited. ![]() Meanwhile, in Brazil, a developing country, the Brazilian Council of Ophthalmology requires at least 150 eye surgeries of any kind, whether cataract surgeries or not. However, the country has been migrating from a model based on quantity to one based on developed competences. In the United States, the ACGME (Accreditation Council for Graduate Medical Education) requires 86 cataract surgeries per resident over the 3 years. However, many countries still do not adopt it and prefer only the number of procedures performed as a parameter for acquisition of aptitude. The Council suggests applying the ICO-OSCAR to monitorate the resident’s learning process. To assess competencies in cataract surgery, the International Council of Ophthalmology has developed the ICO-Ophthalmology Surgical Competency Assessment Rubric: Phacoemulsification methodology (ICO-OSCAR: Phaco). Ĭurrently, a competent surgeon is defined as one who is able to “successfully apply professional knowledge, skills and attitudes”. Additionally, they enable the shortening of the learning curve and reduce the possibility of adverse events in practice. These modern methodologies for teaching microsurgery in ophthalmology allow residents to practice safely. Among these limitations, we can mention the inconsistency in the level of skill acquired due to the variation in training opportunities, and among the risks, the patient's exposure to an inexperienced surgeon. ![]() However, currently, this methodology is losing space to new training techniques based on Wet Labs and virtual reality simulators, since learning based only on the number of procedures performed and on direct practice with the patient has some limitations and risks. In addition, only those who accomplished a predetermined number of procedures were considered able to perform it. In this type of teaching, the resident should: have intense and repetitive opportunities to care for patients under the supervision of a qualified surgeon gain an understanding of the scientific basis behind the disease that requires surgical treatment and develop the ability to perform operations of increasing complexity. For a long time, training in ophthalmic surgery was based on Halsted's methodology.
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