Journal of academic ophthalmology (2017)最新文献

{"title":"Prevention of Exposure Keratopathy in the Intensive Care Unit: Evaluation of an EMR-Based Lubrication Order Protocol for Ventilated Patients.","authors":"Cole J Swiston,&nbsp;K S Hu,&nbsp;A Simpson,&nbsp;E Burton,&nbsp;B J Brintz,&nbsp;A Lin","doi":"10.1055/s-0042-1750020","DOIUrl":"https://doi.org/10.1055/s-0042-1750020","url":null,"abstract":"<p><p><b>Purpose</b>  In this pilot study, we aimed to investigate the efficacy of an electronic medical record (EMR) order set for lubricating ointment (four times daily) in the prevention of exposure keratopathy in ventilated patients in the intensive care unit (ICU) at the University of Utah. We attempted to capture the magnitude of morbidity, cost, and care burden in ventilated patients, as well as the utility of a systematic EMR-based preventative lubrication protocol in the ICU setting. <b>Methods</b>  After implementation of the order set, a retrospective chart review was performed to capture all ventilated ICU patients pre- and postintervention. Three separate study periods were used: (1) Six months prior to coronavirus disease 2019 (COVID-19) and prior to the ocular lubrication intervention; (2) the subsequent 6-month period including COVID-19 patients but prior to any intervention; and (3) the subsequent 6-month period postintervention, including COVID-19 patients. The primary endpoint of ointment use per day was analyzed with a Poisson regression model. Secondary endpoints including rates of ophthalmologic consultation and exposure keratopathy were compared with Fisher's exact test. A poststudy survey of ICU nurses was included. <b>Results</b>  A total of 974 ventilated patients were included in the analysis. Ointment use per day increased by 155% (95% confidence interval [CI] 132-183%, <i>p</i>  < 0.001) following the intervention. Rates also increased 80% (95% CI 63-99%, <i>p</i>  < 0.001) during the COVID-19 study period but prior to intervention. The percentage of ventilated patients requiring a dilated eye exam for any indication was 3.2, 4, and 3.7% in each of the study periods, respectively. There was an overall down trend in the rate of exposure keratopathy which was diagnosed in 33.3, 20, and 8.3% of those receiving ophthalmologic consultation, though these rates were not statistically significant. <b>Conclusion</b>  These preliminary data show a statistically significant increase in the rates of lubrication in mechanically ventilated patients using an EMR-based order set in the ICU setting. There was no statistically significant decrease in the rates of exposure keratopathy. Our preventative protocol with lubrication ointment was of minimal cost burden to the ICU. Further longitudinal and multicenter studies are needed to better assess the efficacy of such a protocol.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 2","pages":"e141-e146"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/f4/10-1055-s-0042-1750020.PMC9927954.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10097996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geographic Trends in the Ophthalmology Residency Match: Influence of Program and Applicant Characteristics.","authors":"Samuel A Cohen, Suzann Pershing","doi":"10.1055/s-0042-1743416","DOIUrl":"10.1055/s-0042-1743416","url":null,"abstract":"<p><p><b>Introduction</b>  The ophthalmology residency match remains competitive. Several prior studies have examined various factors that contribute to a successful match into an ophthalmology residency program; however, the role of geographic location in the ophthalmology residency match process is unclear. The purpose of our study was to evaluate geographic trends in the ophthalmology residency match and to determine whether geographic trends vary based on program level factors such as program rank or funding source and/or applicant factors such as year of training, gender, and medical degree earned. Specifically, we assessed associations with residents training at the residency program affiliated with their medical school and/or within the same geographic region as their medical school, using data obtained through publicly available sources and residency program surveys. <b>Methods</b>  We used the American Medical Association's Fellowship and Residency Electronic Interactive Database database to identify accredited ophthalmology residency programs. Residency program Web sites and email inquiries were used to collect demographic and geographic information for residents in the graduating classes of 2021 to 2023. Statistical analysis included χ ² testing and multivariate logistic regression. <b>Results</b>  In total, 1,378 residents were included from 110 ophthalmology residency programs and 218 medical schools. Residents who matched at the residency program affiliated with their medical school (18%) were evenly distributed among the Midwest, Northeast, South, and West regions ( <i>p</i>  = 0.2236). Residency programs in the West (31.7%) matched fewer regional medical students compared with programs in the South (61.2%), Midwest (57.4%), and Northeast (58.4%) ( <i>p</i>  < 0.0001). Attending a publicly funded medical school was associated with higher odds of matching into a regional residency program (odds ratio [OR], 1.45; 95% confidence interval [CI], 1.10-1.90; <i>p</i>  = 0.0001) and attending a privately funded medical school was associated with higher odds of matching into a top-ranked residency program (OR, 1.53, 95% CI, 1.34-1.82; <i>p</i>  = 0.0002). <b>Conclusions</b>  The majority of current ophthalmology residents trained at programs in the same geographic region as their medical schools, with nearly 20% of residents training at their medical school-affiliated program. Geographic differences in match results were observed based on resident gender, medical school characteristics, and residency program region.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 1","pages":"e81-e92"},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/86/10-1055-s-0042-1743416.PMC9927969.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9736053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of a Virtual Visiting Ophthalmology Elective in the COVID-19 Era.","authors":"Ndidi-Amaka E Onyekaba, Jullia A Rosdahl","doi":"10.1055/s-0041-1741463","DOIUrl":"10.1055/s-0041-1741463","url":null,"abstract":"<p><p><b>Background</b>  The coronavirus disease 2019 (COVID-19) pandemic was a disruption for all aspects of medical education, especially for clinical students preparing for residency applications. Clinical rotations are essential for a student's specialty choice, especially for subspecialties such as ophthalmology where students may not get significant exposure during preclinical years. The cancellation of home and visiting ophthalmology electives due to the pandemic brought a need for newer, innovative ideas of instruction. <b>Methods</b>  A 4-week not-for-credit virtual elective was developed at the Department of Ophthalmology for visiting medical students and was offered from August to October 2020. Visiting fourth-year medical students were paired with faculty and resident mentors for one-on-one virtual mentoring, in addition to participation in departmental conferences and research opportunities. Surveys were distributed to students and mentors, and results were analyzed using Microsoft Excel and GraphPad Prism 9. <b>Results</b>  A total of 12 visiting fourth-year medical students participated in the virtual elective, 67% of whom did not have a home ophthalmology program. There was a significant increase in students' perception of their ophthalmology knowledge, with all of students reporting that the elective contributed to this. Students (100%) were \"very satisfied\" with their faculty mentors on a five-point Likert scale, with high satisfaction from faculty and resident mentors toward students also. The two required events in the elective, the journal club and case virtual conferences, were highly rated from students and mentors. <b>Conclusion</b>  The virtual ophthalmology elective, which was developed to address medical education gaps due to the COVID-19 pandemic, was favorably viewed by all who participated. As dedicated ophthalmology instruction time has decreased over the years, it may become increasingly more important to turn to virtual resources for ophthalmology instruction and mentorship.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 1","pages":"e38-e44"},"PeriodicalIF":0.0,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9c/a6/10-1055-s-0041-1741463.PMC9928008.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9729626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of First-Year Residents in Top-Ranked United States Ophthalmology Residency Programs.","authors":"John C Lin, Anagha Lokhande, Allison J Chen, Ingrid U Scott, Paul B Greenberg","doi":"10.1055/s-0041-1735152","DOIUrl":"10.1055/s-0041-1735152","url":null,"abstract":"<p><p><b>Objective</b>  The aim of the study is to investigate the characteristics of first-year residents associated with attending a top-ranked United States (U.S.) ophthalmology residency program over the past decade. <b>Methods</b>  First-year ophthalmology residents in 2009, 2013, 2016, and 2019 were identified from institutional websites, Doximity, LinkedIn and the Wayback Machine. Publications were obtained from Scopus and Google Scholar; research productivity was measured using the <i>h</i> -index, and medical school region based on U.S. Census Bureau designations. Medical school and ophthalmology training program rankings were based on U.S. News & World Report (U.S. News) rankings and National Institutes of Health (NIH) funding. One-way ANOVA, Wilcoxon rank sum, <i>χ</i> ² , and <i>t</i> -tests were used to analyze trends, and odds ratios (ORs) were calculated using logistic regression. <b>Results</b>  Data were obtained on 81% (1,496/1,850) of the residents; 43% were female; 5% were international medical graduates (IMGs); and 10% had other graduate degrees. Over the decade, the mean <i>h</i> -index increased (0.87-1.26; <i>p</i> <0.05) and the proportion of residents who attended a top 20 medical school decreased (28-18%; <i>p</i> <0.05). In a multivariate logistic regression model, characteristics associated with being a first-year resident in a top 20 program ranked by U.S. News were female gender [OR: 1.32, 95% CI: 1.02-1.72], having a Master's degree [OR: 2.28, 95% CI: 1.29-4.01] or PhD [OR: 2.23, 95% CI: 1.32-3.79], attending a top 20 [OR: 5.26, 95% CI: 3.66-7.55] or a top 40 medical school by NIH funding [OR: 2.45, 95% CI: 1.70-3.54], attending a medical school with a mean USMLE Step 2 score above 243 [OR: 1.64, 95% CI: 1.01-2.67] or located in the Northeast [OR: 2.00, 95% CI: 1.38-2.89] and having an <i>h</i> -index of one or more [OR: 1.92, 95% CI: 1.47-2.51]. Except for gender, these characteristics were also significantly associated with matching to a top 20 ophthalmology program by NIH funding. <b>Conclusion</b>  Female gender, graduate degrees, research productivity, and attending a medical school with high research productivity, high mean USMLE Step 2 score or in the Northeast were key characteristics of first-year residents in top-ranked U.S. ophthalmology residency programs.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 1","pages":"e7-e17"},"PeriodicalIF":0.0,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/32/5e/10-1055-s-0041-1735152.PMC9927972.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9741471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Dynamic History of the Ophthalmology Residency Matching Program.","authors":"Christopher F Blodi,&nbsp;Ronald R Krueger","doi":"10.1055/s-0041-1741468","DOIUrl":"https://doi.org/10.1055/s-0041-1741468","url":null,"abstract":"<p><p><b>Background</b>  The ophthalmology residency matching program is the first successful medical specialty match, dating back to 1979. This article reviews the impetus for starting the match and the roles that ophthalmologists Bruce Spivey, MD, and August Colenbrander, MD, PhD, played in establishing the match and developing the machinery to make it possible. Challenges to the match's operations over the years have improved the process. <b>Objective</b>  This article aims to research the roles of key individuals and institutions in establishing and maintaining the ophthalmology residency matching program. <b>Methods</b>  Oral and written interviews with key participants in establishing and maintaining the match were conducted. Primary and secondary written materials were reviewed. <b>Results</b>  Two physicians played key roles in establishing the ophthalmology residency matching program. Bruce Spivey, MD, spearheaded the drive to persuade the Association of University Professors of Ophthalmology (AUPO) to support and sponsor the match. August Colenbrander, MD, PhD, created the original match algorithm and single-handedly ran the match process in the early years. Obstacles were overcome, including resistance from the Association of American Medical College's National Resident Matching Program, a challenge to the validity of the algorithm, and the threat that antitrust laws might prohibit all graduate medical education residency match programs. The ophthalmology match evolved over time to become a more formal entity, the San Francisco Matching Program (SF Match). With continued support of the AUPO, the process of matching applicants to residency programs has flourished despite contemporary challenges related to electronic applications and social media. <b>Conclusion</b>  The ophthalmology residency matching program has benefited applicants and teaching programs for more than four decades due to visionary founders, ongoing support of the AUPO, and strong leadership within SF Match.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 1","pages":"e31-e37"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/d2/10-1055-s-0041-1741468.PMC9928010.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9736048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adoption and Use of Social Media Platforms by Ophthalmology Programs during the COVID-19 Pandemic.","authors":"Hasenin Al-Khersan,&nbsp;Rebecca Tanenbaum,&nbsp;Anne L Kunkler,&nbsp;Nimesh A Patel,&nbsp;Jayanth Sridhar","doi":"10.1055/s-0042-1743584","DOIUrl":"https://doi.org/10.1055/s-0042-1743584","url":null,"abstract":"<p><p><b>Purpose</b>  The aim of this study was to determine whether the coronavirus disease 2019 (COVID-19) pandemic influenced the presence of ophthalmology residency programs on social media platforms. <b>Methods</b>  The presence of all accredited ophthalmology residency programs on Twitter and Instagram was assessed for January 2020 and August through March 2021 through an online search. The number of followers and posts per month during these periods was collected for each program. The presence of programs on social media was compared between the two time periods. <b>Results</b>  The percentage of programs on Instagram rose from 18% in January of 2020 to 57% in March of 2021 ( <i>p</i>  < 0.001). On Twitter, the percentage of programs rose from 24 to 37% ( <i>p</i>  < 0.001). From January 2020 to March 2021, the mean number of Instagram followers increased from 265 to 649 ( <i>p</i>  < 0.0001), while the mean number of Twitter followers increased from 421 to 532 ( <i>p</i>  < 0.0001). The top ten ophthalmology residency programs in 2021 according to Doximity all had Instagram pages, while 57 (53%) of remaining programs had pages ( <i>p</i>  = 0.005). Meanwhile, 7 top ten programs (70%) were on Twitter compared with 36 (34%) of the remaining programs ( <i>p</i>  = 0.036). <b>Conclusions</b>  The presence of ophthalmology residency programs on Instagram and Twitter increased significantly after the onset of the COVID-19 pandemic. Social media represents an evolving platform through which programs can connect with prospective residents.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 1","pages":"e78-e80"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d4/c9/10-1055-s-0042-1743584.PMC9927963.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9736049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Analysis of the Diversity and Inclusion Content Featured on Ophthalmology Residency Program Web Sites.","authors":"Samuel A Cohen,&nbsp;Landon E Cohen,&nbsp;Suzann Pershing","doi":"10.1055/s-0042-1743412","DOIUrl":"https://doi.org/10.1055/s-0042-1743412","url":null,"abstract":"<p><p><b>Introduction</b>  Ophthalmology departments have been stated to be among the least diverse clinical departments at United States medical schools. Improvement requires recruiting a pipeline of diverse trainees. Residency program Web sites represent a potential diversity and inclusion recruitment tool. This study assesses how ophthalmology residency program Web sites demonstrate a commitment to diversity and inclusion. <b>Methods</b>  We analyzed the diversity and inclusion content of 116 ophthalmology residency program Web sites in April 2021. Main outcome measures were the presence of 12 diversity and inclusion elements on program Web sites, based on prior work and Accreditation Council for Graduate Medical Education guidelines: nondiscrimination statement, diversity and inclusion message, community resources, extended faculty or resident biographies (including hobbies, etc.), faculty photos, resident photos, additional financial resources for trainees, wellness resources, mental health resources, health disparities/community engagement, and diversity council. We used Mann-Whitney <i>U</i> and Kruskal-Wallis tests to assess whether residency program characteristics such as rank, size, university affiliation, and geographic location were associated with commitment to diversity and inclusion on affiliated residency Web sites. <b>Results</b>  Ophthalmology residency program Web sites included a mean of 4.4 ± 2.1 diversity elements. Sixteen percent of programs featured more than half (7 + ) of the evaluated diversity elements. The most featured common diversity elements included resident photos (85.3%), faculty photos (78.4%), and community resources (64.3%). Extended faculty biographies (2.6%), mental health resources (9.5%), and diversity council information (11.2%) were less commonly showcased. Top-ranked programs (7.6 ± 1.8, <i>p</i>  < 0.0001) and university-based/-affiliated programs (4.7 ± 2.8, <i>p</i>  = 0.0039) displayed more diversity elements than lower-ranked (4.1 ± 1.8) and community-based programs (2.8 ± 1.7). <b>Conclusion</b>  Most ophthalmology residency program Web sites feature less than half of the 12 diversity and inclusion elements included in this study, suggesting room for improvement. By drawing attention to program diversity and inclusion efforts, Web sites offer a potential tool for residency programs to consider in their recruitment efforts for diverse trainees. Incorporating the diversity and inclusion elements analyzed in this study represents a low-burden way to signal a greater commitment to diversity that could help programs recruit diverse applicants.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 1","pages":"e103-e109"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/55/52/10-1055-s-0042-1743412.PMC9928006.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9741473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Method for Teaching Laser Peripheral Iridotomy and Selective Laser Trabeculoplasty Using Video Instruction and Model Eyes.","authors":"Jamie Palmer,&nbsp;Geoffrey Nguyen,&nbsp;Janet Alexander,&nbsp;Moran R Levin,&nbsp;Ramya Swamy","doi":"10.1055/s-0041-1741557","DOIUrl":"https://doi.org/10.1055/s-0041-1741557","url":null,"abstract":"<p><p><b>Objective</b>  The aim of the study is to describe an inexpensive and easily-constructed model eye for the purpose of teaching laser peripheral iridotomy (LPI) and selective laser trabeculoplasty (SLT) to ophthalmology residents. <b>Methods</b>  Easily constructed, inexpensive model eyes were utilized to teach residents SLT and LPI utilizing a remote self-study module. A teaching microscope attachment allowed for video-based instruction and feedback. <b>Results</b>  This model eye, used in conjunction with video modules is an effective low-cost teaching tool for laser surgery among ophthalmology residents. Attending ophthalmologists rated the use of these model eyes using surveys and found them to be appropriate teaching tools that could lead to improved knowledge and translate to better patient care. <b>Conclusion</b>  Our novel method for teaching glaucoma laser surgery allows residents to learn the principles and theory behind common laser procedures while having the opportunity to practice repetitive procedures on low-cost model eyes.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 1","pages":"e1-e6"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/9f/10-1055-s-0041-1741557.PMC9927971.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9736052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transition to a Night Float System in Ophthalmology Residency: Perceptions of Resident Wellness and Performance.","authors":"Sahil Aggarwal,&nbsp;C Ellis Wisely,&nbsp;Andrew Gross,&nbsp;Pratap Challa","doi":"10.1055/s-0042-1747969","DOIUrl":"https://doi.org/10.1055/s-0042-1747969","url":null,"abstract":"<p><p><b>Purpose</b>  The purpose of this study is to characterize the influence of a new night float rotation on resident wellness and performance in the Duke University Eye Center Ophthalmology Residency Program. <b>Methods</b>  We analyzed three classes of ophthalmology residents: one class ( <i>n</i>  = 4) utilized the new night float rotation with no daytime clinical duties, while two senior classes ( <i>n</i>  = 12) utilized the traditional call system wherein they had daytime and nighttime responsibilities. Residents completed a questionnaire regarding their perceptions of the night float rotation. Supervising attendings ( <i>n</i>  = 15) were also surveyed about their perceptions of the new rotation. <b>Results</b>  Zero of the four residents on the night float rotation reported burnout compared with 6 of 11 residents in the traditional call system. Most residents supported the adoption of the night float rotation, but this trend was less apparent among fellows and attendings. Most respondents believed the new night float rotation reduced burnout, fatigue, and work hours while increasing time for nonclinical activities. Perceived skills gained while on call were felt to be similar between the two call systems. Fellows and attendings believed residents in the night float system performed similarly or better than residents in the traditional system in indicators such as knowledge and enthusiasm. There was no significant difference in the average number of patient encounters (290.8 ± 30.5 vs. 310.7 ± 25.4, <i>p</i>  = 0.163), phone encounters (430.8 ± 20.2 vs. 357.1 ± 90.0, <i>p</i>  = 0.068), or average hours worked per week (57.3 ± 4.6 vs. 58.0 ± 5.7 <i>p</i>  = 0.797) per resident between night float residents and traditional call residents. <b>Conclusions</b>  This study shows resident support for a night float rotation in ophthalmology residency at Duke, with reductions in burnout and more time for nonclinical activities without affecting perceived clinical performance. We hope this study serves as an impetus for other ophthalmology programs considering a transition to a night float system.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 1","pages":"e120-e126"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/08/10-1055-s-0042-1747969.PMC9927979.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Trainee Participation on Operative Times in Strabismus Surgery.","authors":"Amgad A Eldib,&nbsp;Matthew S Pihlblad","doi":"10.1055/s-0042-1744273","DOIUrl":"https://doi.org/10.1055/s-0042-1744273","url":null,"abstract":"<p><p><b>Introduction</b>  This study aimed to describe the difference in operative time during strabismus surgery in the presence and absence of a trainee with the operating physician. <b>Methods</b>  This is a retrospective chart review of pediatric patients who underwent strabismus surgery by three surgeons from January 2016 through September 2019. Electronic medical records were reviewed and noted for operative times as well as the presence or absence of a trainee (postgraduate year [PGY]-3 ophthalmology resident, PGY-5 pediatric ophthalmology fellow, or both). <b>Results</b>  The average time needed for a two-horizontal muscle recession by all the three surgeons in the absence of a trainee averaged at 35.7 minutes (range: 24-48). This is increased by 34% in the presence of a trainee with an average of 47.88 minutes (range: 20-81) with a <i>p</i> -value < 0.001. Similar comparisons were performed for a two-horizontal muscle recession in addition to bilateral inferior oblique weakening procedures for two surgeons. On average, in the absence of a trainee, this required an average of 61.9 minutes for completion with an increase of 31.8% with the participation of a trainee requiring 81.56 minutes. <b>Discussion</b>  The presence of trainees, whether residents or fellows, is a crucial component of medical education and training. It is important for their learning and helps develop strong future surgeons. However, this may increase surgical procedure times and affect the efficiency of the primary surgeon. This has important implications for surgical scheduling, surgical time utilization, and surgical productivity of those involved in trainee education. <b>Conclusion</b>  The presence of a trainee with a primary surgeon, although crucial to surgical training, may result in significant prolongation of strabismus surgical times.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 1","pages":"e74-e77"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/ee/10-1055-s-0042-1744273.PMC9927960.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}