后段眼科内窥镜诊断的学习曲线:对初出茅庐的爱好者和实习医生的启示。

IF 1.9 4区 医学 Q2 OPHTHALMOLOGY
Vivek Pravin Dave, Ramya Natarajan, Rajeev Reddy Pappuru
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引用次数: 0

摘要

目的:根据一名自我培训(ST)和一名监督(SUP)玻璃体视网膜外科医生的结果,阐明后节段诊断性内窥镜检查(DE)的学习曲线:回顾性审查一家三级眼科医疗机构的一名ST和一名SUP玻璃体视网膜外科医生在2017年至2023年期间进行的诊断性内窥镜检查的医疗记录。收集数据并绘制病例序列号与手术耗时的对比图。为两位外科医生绘制了对比回归图,以了解学习曲线的斜率。开始时间记为安装内窥镜的时间,停止时间记为诊断评估结束的时间。手术被分成若干块,每块 10 个病例,并计算手术所用时间:结果:共纳入 106 只眼睛(ST 外科医生 58 只,SUP 外科医生 48 只)。对于 ST 外科医生,手术耗时与第 20 例之前的病例序号成反比(依次减少)(相关系数 = -0.5,p = 0.01);对于 SUP 外科医生,手术耗时与第 10 例之前的病例序号成反比(相关系数 = -0.9,p = 0.01);对于 ST 外科医生,手术耗时与第 20 例之前的病例序号成反比(依次减少)(相关系数 = -0.5,p = 0.01);对于 SUP 外科医生,手术耗时与第 10 例之前的病例序号成反比(相关系数 = -0.9,p = 0.01):自我培训的玻璃体视网膜外科医生和接受指导的外科医生分别需要20个和10个病例才能稳定掌握DE技术。这些观察结果对创建具有适当培训病例数的DE培训模块具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Learning Curve in Posterior Segment Ophthalmic Diagnostic Endoscopy: Implications for Budding Enthusiasts and Fellows-In-Training.

Purpose: To elucidate the learning curve for posterior segment diagnostic endoscopy (DE) based on the results of a self-trained (ST) and a supervised (SUP) vitreoretinal surgeon.

Methods: Retrospective review of medical records of DE performed between 2017 and 2023 by one ST and one SUP vitreoretinal surgeon at a tertiary eye care institute. Data were collected and the serial number of cases was plotted against the time taken for the procedure. A comparative regression plot was created for both the surgeons to know the slope of the learning curve. The start time was noted as that of attachment of the endoscope and the stop time was noted as the end of diagnostic evaluation. Procedures were divided into blocks of 10 cases each and the time taken for the procedures was calculated.

Results: Total of 106 eyes (58 by ST surgeon and 48 by SUP surgeon) were included. For ST surgeon, the time taken for the surgery correlated inversely (reduced sequentially) with the serial number of the case till the 20th case (correlation coefficient = -0.5, p = .01), for SUP surgeon, the time taken for the surgery correlated inversely with the serial number of the case till the 10th case (correlation coefficient = -0.9, p = <0.0001) and then stabilized. Neither of the groups had any adverse events.

Conclusion: About 20 cases for a self-trained and about 10 cases for a supervised vitreoretinal surgeon are required to get stable with DE. These observations have implications in creating a training module for DE with appropriate number of training cases.

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来源期刊
Seminars in Ophthalmology
Seminars in Ophthalmology OPHTHALMOLOGY-
CiteScore
3.20
自引率
0.00%
发文量
80
审稿时长
>12 weeks
期刊介绍: Seminars in Ophthalmology offers current, clinically oriented reviews on the diagnosis and treatment of ophthalmic disorders. Each issue focuses on a single topic, with a primary emphasis on appropriate surgical techniques.
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