Clinical Ophthalmology (Jun 2022)
The Ophthalmology Surgical Competency Assessment Rubric (OSCAR) for Open Globe Surgical Management
Abstract
Grant A Justin,1,2 Mohammed Soleimani,3 Sidra Zafar,4 Kasra Cheraqpour,5 Catherine Green,6 Mohammad Moin,7 N Venkatesh Prajna,8 Karl C Golnik,9 Fasika A Woreta4 1Department of Vitreoretinal Surgery, Duke Eye Center, Durham, NC, USA; 2Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA; 3Department of Ocular Trauma and Emergency, Tehran University of Medical Sciences, Tehran, Iran; 4Wilmer Eye Institute, Johns Hopkins Medical Institute, Baltimore, MD, USA; 5Department of Eye Research, Tehran University of Medical Sciences, Tehran, Iran; 6Glaucoma Unit, Royal Victorian Eye and Ear Hospital, Melbourne, Australia; 7Department of Ophthalmology, Amee ud Din Medical College, Lahore, Pakistan; 8Department of Cornea and Refractive Eye Services, Aravind Eye Hospital, Madurai, India; 9Department of Ophthalmology, University of Cincinnati, The Cincinnati Eye Institute, Cincinnati, OH, USACorrespondence: Grant A Justin, Department of Vitreoretinal Surgery, Duke Eye Center, Durham, NC, USA, Tel +1 609-468-2468, Email [email protected]/Aims: To produce an internationally developed rubric to assess surgical competency in open globe management.Methods: An international expert panel of seven ophthalmologist educators developed a standardized competency-based rubric. The steps to perform an open globe repair were outlined. Based on a modified Dreyfus model, the experts agreed on the steps of surgery and certain global indices. They then assigned descriptors for the competency expected of a novice, beginner, advanced beginner, and competent surgeon. The tool was then vetted by another panel of ten ophthalmologists. The main outcome measure was the final version of the tool as agreed upon by the expert review panel.Results: The steps of open globe repair and key global indices were established. Descriptive wording for each step and global indices for novice, beginner, advanced beginner, and competent surgery were listed. All the expert comments were integrated to establish face and content validity.Conclusion: This standardized rubric to evaluate resident competency should be used globally in training programs to assess open globe repair surgical skills. Using a modified Dreyfus model, four different levels of training competency were defined allowing a non-biased, objective, numerical and simple assessment.Keywords: open globe, resident education, surgical competency
