SURGICAL CHALLENGES FACED BY TRAINEE SURGEONS- A PROSPECTIVE COMPARATIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 50
Abstract
BACKGROUND Human resources like Doctors form the important part of all health systems. To achieve health objectives and goals, health resources should be distributed evenly among people irrespective of economic, social and geographical barriers. The aim of this study is to evaluate the surgical challenges faced by trainee Ophthalmologists and to compare the efficacy of two different methods of training; step-by-step method and one-step method are the two ways of training practiced to train ophthalmologists. This study compares the two ways of training by evaluating complications at the end of surgeries performed by trainee surgeons. Setting- Department of Ophthalmology, Index Medical College and Research Centre. Study Design- A Prospective Comparative Study. MATERIALS AND METHODS Time Period- 1st January 2017 to 31st March 2017, 3 months. Cataract Surgery performed- Manual Small Incision Cataract Surgery performed within the above-mentioned period (80 SICS). Study was divided into 2 Groups accordinglyGroup 1- Including residents that were trained with the ‘step-by-step’ method (44 SICS). Group 2- Including residents that were trained with the ‘one-step’ method (36 SICS). 1. Residents were evaluated for the ease of performing surgical steps. 2. Complications were recorded in terms of premature entry, buttonholing, running away of capsulorhexis, rhexis tear, zonular dialysis/dehiscence, posterior capsular rent/rupture, iridodialysis, vitreous loss. Both of the above-mentioned groups were compared according to various difficulties encountered in each approach and their management was done by the supervising surgeon. Patient was followed for 1 month. Data were listed and counted with Excel (Version 2007, Microsoft). Mean and Standard deviation was calculated. Chi-square and Student t-tests were used to assess statistical significance between groups. RESULTS 44 surgeries were done in “step-by-step” group of which 18 patients were male and 26 were female; and 36 surgeries were done in “one-step” group of which 20 were male and 16 were female. Mean age group of patient in “step-by-step” group was 64.22 ± 10.10 years and 63.50 ± 8.46 years in “one-step” group. Overall complication rate when compared between 2 groups were more in “onestep” group, which was significant in contrast to when individual complication rates were compared between two groups. CONCLUSION Thus to conclude, learning surgery is always an uphill task for a trainee. A great degree of temperament, practice and skills are required before proficiency is achieved. In our study, 2 approaches were practiced in learning SICS- “step-by-step” and “one-step”; and “step-by-step” approach was found beneficial for the beginners.
Authors and Affiliations
Supriya Mushrif, Vandana Telgote, Kaynat Patel
Keywords
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- EP ID EP219658
- DOI 10.14260/Jemds/2017/835
- Views 85
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