Training fellows for retinopathy of prematurity care: A Web-based survey

Ryan K. Wong, Camila V. Ventura, Michael J. Espiritu, Yoshihiro Yonekawa, Laure Henchoz, Michael Chiang, Thomas C. Lee, Robison V Paul Chan

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Purpose: To characterize the training received by pediatric ophthalmology and retina fellows in retinopathy of prematurity (ROP) management. Methods: Pediatric ophthalmology and retina fellowship programs were emailed a Web-based survey to assess fellowship training in ROP management. Results: Of 140 programs contacted, 42 (30%) participated, resulting in 87 surveys for analysis. Of the 87 respondents, 25 (29%) reported that two-thirds or less of ROP examinations performed by fellows were also seen by an attending. When stratified by specialty, this trend was statistically different between pediatric ophthalmology and retina fellows (P = 0.03). Additionally, pediatric ophthalmology fellows performed fewer laser photocoagulation procedures than retina fellows (P <0.001). Regarding fellows' perceived competency in ROP management, 3 of 51 (6%) felt competent at the start of their fellowship and 43 of 51 (84%) felt competent at the time of the survey. Only 7% of respondents reported the use of formal evaluations at their programs to assess fellow competence in ROP examination. Conclusions: Training programs for fellows in pediatric ophthalmology and retina vary greatly with respect to ROP training and the quality of clinical care. Many clinical ROP examinations are being performed by pediatric ophthalmology and retina fellows without involvement and/or direct supervision by attending ophthalmologists. Our findings have important implications for the development of a future workforce for ROP management.

Original languageEnglish (US)
Pages (from-to)177-181
Number of pages5
JournalJournal of AAPOS
Volume16
Issue number2
DOIs
StatePublished - Apr 2012

Fingerprint

Retinopathy of Prematurity
Ophthalmology
Retina
Pediatrics
Surveys and Questionnaires
Light Coagulation
Quality of Health Care
Mental Competency
Lasers
Education

ASJC Scopus subject areas

  • Ophthalmology
  • Pediatrics, Perinatology, and Child Health

Cite this

Wong, R. K., Ventura, C. V., Espiritu, M. J., Yonekawa, Y., Henchoz, L., Chiang, M., ... Chan, R. V. P. (2012). Training fellows for retinopathy of prematurity care: A Web-based survey. Journal of AAPOS, 16(2), 177-181. https://doi.org/10.1016/j.jaapos.2011.12.154

Training fellows for retinopathy of prematurity care : A Web-based survey. / Wong, Ryan K.; Ventura, Camila V.; Espiritu, Michael J.; Yonekawa, Yoshihiro; Henchoz, Laure; Chiang, Michael; Lee, Thomas C.; Chan, Robison V Paul.

In: Journal of AAPOS, Vol. 16, No. 2, 04.2012, p. 177-181.

Research output: Contribution to journalArticle

Wong, RK, Ventura, CV, Espiritu, MJ, Yonekawa, Y, Henchoz, L, Chiang, M, Lee, TC & Chan, RVP 2012, 'Training fellows for retinopathy of prematurity care: A Web-based survey', Journal of AAPOS, vol. 16, no. 2, pp. 177-181. https://doi.org/10.1016/j.jaapos.2011.12.154
Wong, Ryan K. ; Ventura, Camila V. ; Espiritu, Michael J. ; Yonekawa, Yoshihiro ; Henchoz, Laure ; Chiang, Michael ; Lee, Thomas C. ; Chan, Robison V Paul. / Training fellows for retinopathy of prematurity care : A Web-based survey. In: Journal of AAPOS. 2012 ; Vol. 16, No. 2. pp. 177-181.
@article{b3c5a3065df0475ba09d5d28a5a0b357,
title = "Training fellows for retinopathy of prematurity care: A Web-based survey",
abstract = "Purpose: To characterize the training received by pediatric ophthalmology and retina fellows in retinopathy of prematurity (ROP) management. Methods: Pediatric ophthalmology and retina fellowship programs were emailed a Web-based survey to assess fellowship training in ROP management. Results: Of 140 programs contacted, 42 (30{\%}) participated, resulting in 87 surveys for analysis. Of the 87 respondents, 25 (29{\%}) reported that two-thirds or less of ROP examinations performed by fellows were also seen by an attending. When stratified by specialty, this trend was statistically different between pediatric ophthalmology and retina fellows (P = 0.03). Additionally, pediatric ophthalmology fellows performed fewer laser photocoagulation procedures than retina fellows (P <0.001). Regarding fellows' perceived competency in ROP management, 3 of 51 (6{\%}) felt competent at the start of their fellowship and 43 of 51 (84{\%}) felt competent at the time of the survey. Only 7{\%} of respondents reported the use of formal evaluations at their programs to assess fellow competence in ROP examination. Conclusions: Training programs for fellows in pediatric ophthalmology and retina vary greatly with respect to ROP training and the quality of clinical care. Many clinical ROP examinations are being performed by pediatric ophthalmology and retina fellows without involvement and/or direct supervision by attending ophthalmologists. Our findings have important implications for the development of a future workforce for ROP management.",
author = "Wong, {Ryan K.} and Ventura, {Camila V.} and Espiritu, {Michael J.} and Yoshihiro Yonekawa and Laure Henchoz and Michael Chiang and Lee, {Thomas C.} and Chan, {Robison V Paul}",
year = "2012",
month = "4",
doi = "10.1016/j.jaapos.2011.12.154",
language = "English (US)",
volume = "16",
pages = "177--181",
journal = "Journal of AAPOS",
issn = "1091-8531",
publisher = "Mosby Inc.",
number = "2",

}

TY - JOUR

T1 - Training fellows for retinopathy of prematurity care

T2 - A Web-based survey

AU - Wong, Ryan K.

AU - Ventura, Camila V.

AU - Espiritu, Michael J.

AU - Yonekawa, Yoshihiro

AU - Henchoz, Laure

AU - Chiang, Michael

AU - Lee, Thomas C.

AU - Chan, Robison V Paul

PY - 2012/4

Y1 - 2012/4

N2 - Purpose: To characterize the training received by pediatric ophthalmology and retina fellows in retinopathy of prematurity (ROP) management. Methods: Pediatric ophthalmology and retina fellowship programs were emailed a Web-based survey to assess fellowship training in ROP management. Results: Of 140 programs contacted, 42 (30%) participated, resulting in 87 surveys for analysis. Of the 87 respondents, 25 (29%) reported that two-thirds or less of ROP examinations performed by fellows were also seen by an attending. When stratified by specialty, this trend was statistically different between pediatric ophthalmology and retina fellows (P = 0.03). Additionally, pediatric ophthalmology fellows performed fewer laser photocoagulation procedures than retina fellows (P <0.001). Regarding fellows' perceived competency in ROP management, 3 of 51 (6%) felt competent at the start of their fellowship and 43 of 51 (84%) felt competent at the time of the survey. Only 7% of respondents reported the use of formal evaluations at their programs to assess fellow competence in ROP examination. Conclusions: Training programs for fellows in pediatric ophthalmology and retina vary greatly with respect to ROP training and the quality of clinical care. Many clinical ROP examinations are being performed by pediatric ophthalmology and retina fellows without involvement and/or direct supervision by attending ophthalmologists. Our findings have important implications for the development of a future workforce for ROP management.

AB - Purpose: To characterize the training received by pediatric ophthalmology and retina fellows in retinopathy of prematurity (ROP) management. Methods: Pediatric ophthalmology and retina fellowship programs were emailed a Web-based survey to assess fellowship training in ROP management. Results: Of 140 programs contacted, 42 (30%) participated, resulting in 87 surveys for analysis. Of the 87 respondents, 25 (29%) reported that two-thirds or less of ROP examinations performed by fellows were also seen by an attending. When stratified by specialty, this trend was statistically different between pediatric ophthalmology and retina fellows (P = 0.03). Additionally, pediatric ophthalmology fellows performed fewer laser photocoagulation procedures than retina fellows (P <0.001). Regarding fellows' perceived competency in ROP management, 3 of 51 (6%) felt competent at the start of their fellowship and 43 of 51 (84%) felt competent at the time of the survey. Only 7% of respondents reported the use of formal evaluations at their programs to assess fellow competence in ROP examination. Conclusions: Training programs for fellows in pediatric ophthalmology and retina vary greatly with respect to ROP training and the quality of clinical care. Many clinical ROP examinations are being performed by pediatric ophthalmology and retina fellows without involvement and/or direct supervision by attending ophthalmologists. Our findings have important implications for the development of a future workforce for ROP management.

UR - http://www.scopus.com/inward/record.url?scp=84860147287&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84860147287&partnerID=8YFLogxK

U2 - 10.1016/j.jaapos.2011.12.154

DO - 10.1016/j.jaapos.2011.12.154

M3 - Article

C2 - 22525176

AN - SCOPUS:84860147287

VL - 16

SP - 177

EP - 181

JO - Journal of AAPOS

JF - Journal of AAPOS

SN - 1091-8531

IS - 2

ER -