Valerie Juniat1, Karl C Golnik2, Francesco P Bernardini3, Altug Cetinkaya4, Aaron Fay5, Bipasha Mukherjee6, Farzad Pakdel7, Brent Skippen8, George M Saleh1,9. 1. a Moorfields Eye Hospital , London , UK. 2. b Department of Ophthalmology , University of Cincinnati & the Cincinnati Eye Institute , Cincinnati , OH , USA. 3. c Oculoplastica Bernardini , Genova , Italy. 4. d Konutkent Mahallesi , Ankara , Turkey. 5. e Fitchburg , MA , USA. 6. f Medical Research Foundation , Chennai , India. 7. g Ophthalmic Plastic & Reconstructive Surgery Department, Farabi Hospital , Tehran University of Medical Sciences , Tehran , Iran. 8. h Wagga Wagga Rural Referral Hospital , Australia. 9. i NIHR Biomedical Research Centre , based at Moorfields Eye Hospital and UCL Institute of Ophthalmology , London , UK.
Abstract
PURPOSE: The International Council of Ophthalmology (ICO) is currently developing a series of standardized, internationally validated, teaching tools for key ophthalmic surgical procedures called the Ophthalmology Surgical Competency Assessment Rubrics (OSCARs). This study aims to develop an OSCAR for anterior approach ptosis surgery. METHODS: An international panel of content experts, representing Australia, India, Iran, Italy, Turkey, UK, and the USA was established and worked to develop the rubric using a range of online collaboration tools. The team used the standardised OSCAR template as a baseline, developing explicit behavioural descriptors (the behaviour and performance expected for each step) that were reviewed and modified with successive models. Learners were scored a modified 4-point Dreyfus scale of skill acquisition (novice, beginner, advanced beginner, competent) with the removal of the expert domain. RESULTS: The final OSCAR ptosis tool was developed in alignment with the ICO-OSCAR standard. Seventeen agreed and weighted stems were produced. Domains such as communication and postoperative complications were removed from this rubric as they are evaluated in other spheres of residency training. Specific comments with regard to the parameters and wording were incorporated to formulate the final rubric, which was internationally agreed and demonstrated face and content validity. CONCLUSIONS: The OSCAR for anterior approach ptosis is skill and behaviour-based, has ICO agreed standards for assessment and provides learners with specific targets for improvement. Although the OSCAR ptosis tool has face and content validity, further development could better elucidate its precise role.
PURPOSE: The International Council of Ophthalmology (ICO) is currently developing a series of standardized, internationally validated, teaching tools for key ophthalmic surgical procedures called the Ophthalmology Surgical Competency Assessment Rubrics (OSCARs). This study aims to develop an OSCAR for anterior approach ptosis surgery. METHODS: An international panel of content experts, representing Australia, India, Iran, Italy, Turkey, UK, and the USA was established and worked to develop the rubric using a range of online collaboration tools. The team used the standardised OSCAR template as a baseline, developing explicit behavioural descriptors (the behaviour and performance expected for each step) that were reviewed and modified with successive models. Learners were scored a modified 4-point Dreyfus scale of skill acquisition (novice, beginner, advanced beginner, competent) with the removal of the expert domain. RESULTS: The final OSCAR ptosis tool was developed in alignment with the ICO-OSCAR standard. Seventeen agreed and weighted stems were produced. Domains such as communication and postoperative complications were removed from this rubric as they are evaluated in other spheres of residency training. Specific comments with regard to the parameters and wording were incorporated to formulate the final rubric, which was internationally agreed and demonstrated face and content validity. CONCLUSIONS: The OSCAR for anterior approach ptosis is skill and behaviour-based, has ICO agreed standards for assessment and provides learners with specific targets for improvement. Although the OSCAR ptosis tool has face and content validity, further development could better elucidate its precise role.
Authors: Ana G Palis; Jesús Barrio-Barrio; Eduardo P Mayorga; Ilhem Mili-Boussen; Christelle D Noche; Meenakshi Swaminathan; Karl C Golnik Journal: Indian J Ophthalmol Date: 2021-01 Impact factor: 1.848