Trans-scleral Cyclophotocoagulation Curriculum: Lecture and Skills Practice

Publication ID Published Volume
10620 August 16, 2017 13

Download the Educational Summary Report

Abstract

Introduction: Trans-scleral cyclophotocoagulation (TS-CPC) is a laser procedure that is often used in the treatment of end-stage glaucoma and glaucoma that is refractory to medical and surgical treatments. However, formal teaching in proper indications and techniques for TS-CPC can be improved in many institutions. In an effort to standardize TS-CPC teaching, a TS-CPC lecture curriculum and a skills practice session were introduced. Methods: The lecture and the wet-lab curriculum were developed at the University of Washington to formally teach first- and second-year ophthalmology residents the indications and techniques for TS-CPC. A global rating scale of procedural performance was also developed to assist in evaluating the trained residents on their first three TS-CPC procedures. Results: Since its introduction in 2017, the course has been highly rated by seven residents (five PGY-2 and two PGY-3), with an increase in pre- versus posttest scores, as well as an increase in pre- versus postcurriculum scores for three survey questions regarding curriculum objectives. Discussion: We feel that this course is valuable in improving learner knowledge of and confidence in performing TS-CPC. Knowledge about indications and technical aspects of TS-CPC improved on testing following the curriculum, as did the self-assessed confidence levels of the residents. Furthermore, there were a number of positive descriptive comments made by the residents. We plan to hold this training session every year at our institution.

Citation

Wen JC, Banitt MR. Trans-scleral cyclophotocoagulation curriculum: lecture and skills practice. MedEdPORTAL Publications. 2017;13:10620. https://doi.org/10.15766/mep_2374-8265.10620

Educational Objectives

By the end of this session, learners will be able to:

  1. List the indications for trans-scleral cyclophotocoagulation (TS-CPC).
  2. Accurately explain the TS-CPC procedure to, obtain informed consent (including risks of the procedure) from, and discuss postprocedure management with patients.
  3. Perform safe and effective TS-CPC.
  4. Evaluate their own performance of the first three TS-CPC procedures on patients using a global rating scale of procedural performance.

Keywords

  • Trans-scleral Cyclophotocoagulation, Glaucoma, Laser, Wet Lab, Ophthalmology

References

  1. Agrawal P, Dulku S, Nolan W, Sung V. The UK National Cyclodiode Laser Survey. Eye (Lond). 2011;25(2):168-173. https://doi.org/10.1038/eye.2010.174
  2. Cremers SL, Lora AN, Ferrufino-Ponce ZK. Global Rating Assessment of Skills in Intraocular Surgery (GRASIS). Ophthalmology. 2005;112(10):1655-1660. https://doi.org/10.1016/j.ophtha.2005.05.010

  3. Fisher JB, Binenbaum G, Tapino P, Volpe NJ. Development and face and content validity of an eye surgical skills assessment test for ophthalmology residents. Ophthalmology. 2006;113(12):2364-2370. https://doi.org/10.1016/j.ophtha.2006.08.018

  4. Ishida K. Update on results and complications of cyclophotocoagulation. Curr Opin Ophthalmol. 2013;24(2):102-110. https://doi.org/10.1097/ICU.0b013e32835d9335

  5. Reznick R, Regehr G, MacRae H, Martin J, McCulloch W. Testing technical skill via an innovative “bench station” examination. Am J Surg. 1997;173(3):226-230. https://doi.org/10.1016/S0002-9610(97)89597-9

  6. Walzak A, Bacchus M, Schaefer JP, et al. Diagnosing technical competence in six bedside procedures: comparing checklists and a global rating scale in the assessment of resident performance. Acad Med. 2015;90(8):1100-1108. https://doi.org/10.1097/ACM.0000000000000704

Material Access

Please sign in to access this material.

Please register for an AAMC account if you do not have one.

Register

  • Contact Us

ISSN 2374-8265