TY - JOUR
T1 - Training of residents and fellows in retinopathy of prematurity around the world
T2 - An international web-based survey
AU - Global Education Network for Retinopathy of Prematurity (GEN-ROP)
AU - Al-Khaled, Tala
AU - Mikhail, Mikel
AU - Jonas, Karyn E.
AU - Wu, Wei Chi
AU - Anzures, Rachelle
AU - Amphonphruet, Atchara
AU - Chuluunbat, Tsengelmaa
AU - Wu, Lihteh
AU - Chiang, Michael F.
AU - Peter Campbell, J.
AU - Paul Chan, R. V.
N1 - Funding Information:
From the Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois (TA, KEJ, RVPC); Associated Retinal Consultants, P.C., William Beaumont Hospital, Royal Oak, Michigan (MM); the Department of Ophthalmology, Chang Gung Memorial Hospital, Taipei, Taiwan (W-CW); Eye Institute, St. Luke’s Medical Center, Quezon City, Philippines (RA); the Department of Ophthalmology, Rangsit University, Bangkok, Thailand (AA); the Department of Ophthalmology, National Center for Mothers and Children, Ulaanbaatar, Mongolia (TC); Asociados de Macula Vitreo y Retina de Costa Rica, San Jose, Costa Rica (LW); the Departments of Ophthalmology (MFC, JPC) and Medical Informatics and Clinical Epidemiology (MFC), Casey Eye Institute, Oregon Health and Science University, Portland, Oregon; and the Center for Global Health, College of Medicine, University of Illinois at Chicago, Chicago, Illinois (RVPC). Submitted: April 20, 2019; Accepted: July 15, 2019 Supported by grants NIH P30 EY010572 (MFC, JPC), NIH K12 EY027720 (MFC, JPC), NSF SCH-1622679 (MFC, JPC, RVPC), and NIH P30 EY001792 (TA, KEJ, RVPC), and unrestricted departmental funding from Research to Prevent Blindness, New York, NY (TA, KEJ, MFC, JPC, RVPC).
Publisher Copyright:
© 2019 Slack Incorporated. All rights reserved.
PY - 2019/9
Y1 - 2019/9
N2 - Purpose: To characterize retinopathy of prematurity (ROP) training practices in international residency and fellowship programs. Methods: A publicly available online-based platform (http://www.SurveyMonkey.com) was used to develop a 28-question multiple-choice survey that targeted ROP screening and treatment methods. The authors solicited training programs in the Philippines, Thailand, and Taiwan. Results: Programs from three countries participated in the survey, and a total of 95 responses collected from residents, fellows, and attending ophthalmologists were analyzed. A descriptive analysis demonstrated that 45 participants (47%) reported 1% to 33% of ROP screenings were performed under direct supervision of attending ophthalmologists, and 35 (37%) reported the use of formal assessments. The majority of participants (Country A: 87%, Country B: 71%, and Country C: 75%) estimated 1% to 33% of their practice was spent screening for ROP. Notably, 44 participants (46%) reported performing zero laser photocoagulation treatments for ROP during training (Country A: 65%, Country B: 38%, and Country C: 38%). Conclusions: International ophthalmology trainees perform a limited number of ROP examinations and laser interventions. ROP screenings are often unsupervised and lead to no formal evaluation by an attending ophthalmologist. Limited ROP training among ophthalmologists may lead to misdiagnosis and ultimately mismanagement of a patient. Loss of vision and exposure to unwarranted treatments are among the implications of such errors. The findings highlight the need to improve ROP training in international ophthalmology residency and fellowship programs.
AB - Purpose: To characterize retinopathy of prematurity (ROP) training practices in international residency and fellowship programs. Methods: A publicly available online-based platform (http://www.SurveyMonkey.com) was used to develop a 28-question multiple-choice survey that targeted ROP screening and treatment methods. The authors solicited training programs in the Philippines, Thailand, and Taiwan. Results: Programs from three countries participated in the survey, and a total of 95 responses collected from residents, fellows, and attending ophthalmologists were analyzed. A descriptive analysis demonstrated that 45 participants (47%) reported 1% to 33% of ROP screenings were performed under direct supervision of attending ophthalmologists, and 35 (37%) reported the use of formal assessments. The majority of participants (Country A: 87%, Country B: 71%, and Country C: 75%) estimated 1% to 33% of their practice was spent screening for ROP. Notably, 44 participants (46%) reported performing zero laser photocoagulation treatments for ROP during training (Country A: 65%, Country B: 38%, and Country C: 38%). Conclusions: International ophthalmology trainees perform a limited number of ROP examinations and laser interventions. ROP screenings are often unsupervised and lead to no formal evaluation by an attending ophthalmologist. Limited ROP training among ophthalmologists may lead to misdiagnosis and ultimately mismanagement of a patient. Loss of vision and exposure to unwarranted treatments are among the implications of such errors. The findings highlight the need to improve ROP training in international ophthalmology residency and fellowship programs.
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U2 - 10.3928/01913913-20190717-01
DO - 10.3928/01913913-20190717-01
M3 - Article
C2 - 31545861
AN - SCOPUS:85072570011
VL - 56
SP - 282
EP - 287
JO - Journal of Pediatric Ophthalmology and Strabismus
JF - Journal of Pediatric Ophthalmology and Strabismus
SN - 0191-3913
IS - 5
ER -