Abstract:
OBJECTIVE:The Accreditation Council for Graduate Medical Education (ACGME) has mandated that all residency programs implement an assessment process of 6 core competencies. Assessment of surgical competence is also included in the mandate. We describe our local efforts to meet this new mandate. DESIGN:Systematic literature review. METHODS:A systematic MEDLINE search (1996-2003) of the literature on residency assessment tools was performed. All relevant titles were reviewed by a content expert, abstracts were selected, and all appropriate full articles were reviewed. The Department of Ophthalmology at the University of Iowa formalized the competency review process by forming an ad hoc departmental task force for "Meeting the Competencies" composed of clinicians, technical staff, education specialists, the program director, the director of residency curriculum, the medical student director, and residents. RESULTS:The task force reviewed the available literature, reviewed potential best practices, and reached consensus on an implementation plan. The following specific criteria for the assessment process were proposed: (1) there should be multiple assessments by multiple observers using multiple tools at multiple time points, (2) the tools should be reliable, reproducible, and valid; (3) the tools must be practical (i.e., feasible, convenient, low time commitment, easy to use, and inexpensive to implement and maintain); (4) the tools must produce qualitative and quantitative data, with direct linkage to improvement in educational outcomes in the future; (5) the assessment process must be linked to explicit and public learning objectives; and (6) the grading scale should be open and clearly defined, and the process should be judged as fair and accurate by both faculty and residents. The Meeting the Competencies task force reviewed all of the available tools from the literature and recommended a pilot implementation matrix matching specific tools to individual competencies. The 6 pilot tools include (1) written and oral examinations, (2) a 360 degrees global evaluation form (using multiple observers from different perspectives, including nurses, technicians, fellow residents, and patients, to provide a wider assessment), (3) a resident portfolio, (4) direct observation of operative performance and clinical examination, (5) a phone encounter tool, and (6) a journal club tool. CONCLUSION:We propose a potential blueprint for meeting the challenge of assessing the new ACGME competencies in ophthalmology and translating the national mandate into local compliance.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Lee AG,Carter KDdoi
10.1016/j.ophtha.2004.04.021subject
Has Abstractpub_date
2004-10-01 00:00:00pages
1807-12issue
10eissn
0161-6420issn
1549-4713pii
S0161-6420(04)00816-4journal_volume
111pub_type
杂志文章相关文献
OPHTHALMOLOGY文献大全abstract:PURPOSE:To determine whether scleral buckle placement at the time of primary repair of open-globe injury of the posterior segment is beneficial. DESIGN:Retrospective, comparative, nonrandomized interventional study. PARTICIPANTS:One hundred twenty-five open-globe injuries treated at the Duke University Medical Center...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(00)00212-8
更新日期:2000-10-01 00:00:00
abstract::Measurements were made on fundus photographs of the diameters of retinal arterioles in a series of cases with various nonvascular lesions of the anterior visual pathways, before and after the development of fundus signs of optic atrophy. A simple method was devised for reliable estimation of the diameter of the centra...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(84)34144-6
更新日期:1984-11-01 00:00:00
abstract::We encountered two clinically similar but genetically unrelated cases of a disorder characterized by an unusual white pupillary-iris-lens membrane with extension to a prominent Schwalbe's line, the membranes were vascularized and their appearance changed over time. In both cases the abnormality was unilateral. Anomalo...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(86)33659-5
更新日期:1986-06-01 00:00:00
abstract:PURPOSE:To evaluate Orbscan II (Bausch & Lomb, Orbtek Inc., Salt Lake City, UT) corneal topography in individuals with myopia. DESIGN:Retrospective, observational, consecutive, clinical case series. PARTICIPANTS:One hundred forty eyes of 70 persons with myopia. METHODS:Manifest refraction results and the Orbscan II ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2005.11.004
更新日期:2006-02-01 00:00:00
abstract:PURPOSE:To determine the efficacy of amblyopia treatment in children identified through a community photoscreening program. DESIGN:Case series. PARTICIPANTS:We included 125 children diagnosed with amblyopia after referral from a photoscreening program. METHODS:Retrospective chart review of 125 amblyopic children ide...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2009.06.041
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:We developed low-concentration homogenized castor oil eye drops for the treatment of patients with noninflamed obstructive meibomian gland dysfunction (MGD), a major cause of lipid-deficiency dry eye, and assessed the safety, stability, and efficacy of the eye drops. DESIGN:Randomized, double-masked, placebo...
journal_title:Ophthalmology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0161-6420(02)01262-9
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Earlier studies of subperiosteal abscess secondary to sinusitis showed considerable variation in the clinical course and bacteriology. At one extreme, patients recovered with intravenous antibiotics alone; at the other extreme, complex pathogens persisted despite early surgical drainage and appropriate antib...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(94)31297-8
更新日期:1994-03-01 00:00:00
abstract:PURPOSE:To determine the trends in prevalence of myopia in Israeli young adults over approximately a generation, as well as associated factors and variation in the impact of these factors on myopia prevalence in this region over time. DESIGN:Retrospective, cross-sectional study. PARTICIPANTS:One hundred four thousand...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2019.06.025
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:To assess the distribution of the macular pigments (MPs) lutein (L) and zeaxanthin (Z) in a healthy sample more representative of the general population than past studies and to determine which dietary factors and personal characteristics might explain the large interindividual differences in the density of t...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(00)00655-2
更新日期:2001-04-01 00:00:00
abstract::Three patients with idiopathic central serous chorioretinopathy (ICSC) and bullous retinal detachment (RD) were examined at least 2 years after the onset of the disease in one patient and over 10 years in the other two patients. There were large areas of retinal pigment epithelium (RPE) degeneration in each patient. I...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(87)33243-9
更新日期:1987-12-01 00:00:00
abstract:OBJECTIVE:To document the long-term experience with hydroxyapatite (HA) orbital implants (Bio-Eye) and analyze the factors influencing implant exposure, including surgical type, procedural modification, use of different wrapping materials and peg materials. DESIGN:Retrospective observational case series. PARTICIPANTS...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2007.06.014
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:The number of scientific publications is often used to measure scientific achievement. This practice can motivate unethical conduct, such as redundant or duplicate publications, defined as publication of the same scientific contents in more than 1 journal. The aim of this study was to estimate the amount of r...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2003.09.029
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:To study the anatomic and visual outcomes of a surgical procedure in which tissue plasminogen activator and air are injected subretinally to displace massive submacular hemorrhages secondary to age-related macular degeneration. DESIGN:Prospective, consecutive, interventional case series. PARTICIPANTS:Thirte...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2014.07.027
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:To evaluate photodynamic therapy (PDT) for symptomatic circumscribed choroidal hemangioma (CCH). DESIGN:Prospective, multicenter, nonrandomized clinical trial. PARTICIPANTS:Thirty-one eyes of 31 patients with posterior pole CCH and symptoms caused by exudation into the macular area. INTERVENTION:Photodynamic...
journal_title:Ophthalmology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ophtha.2008.08.029
更新日期:2009-01-01 00:00:00
abstract::The age distribution, frequency, and correlation among histologic macular changes, including formation of a basal laminar deposit, drusen, and thickening and calcification of Bruch's membrane, were studied by light microscopy. The authors studied 182 unpaired postmortem human maculae from patients between 8 and 100 ye...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(92)31982-7
更新日期:1992-02-01 00:00:00
abstract::Immunologic differences exist between the peripheral and central cornea. The peripheral cornea is closer to the conjunctiva, which has all of the immunologic machinery necessary to generate an immune response. The peripheral cornea has more Langerhans' cells and IgM than the central cornea. The peripheral cornea also ...
journal_title:Ophthalmology
pub_type: 杂志文章,评审
doi:10.1016/s0161-6420(88)33164-7
更新日期:1988-04-01 00:00:00
abstract:OBJECTIVE:To compare the frequency of posterior segment involvement (PSI), the prevalence of specific posterior segment signs, and visual acuity in ocular sarcoidosis by patient race, sex, and age. DESIGN:Retrospective, cross-sectional observational study. PARTICIPANTS:Seventy-six consecutive patients with biopsy-pro...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/S0161-6420(03)00793-0
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To determine whether lamina cribrosa (LC) depth (LCD) and LC thickness (LCT) are associated with a faster rate of progressive retinal nerve fiber layer (RNFL) thinning in primary open-angle glaucoma (POAG). DESIGN:Prospective, observational study. PARTICIPANTS:One hundred ten eyes diagnosed with POAG (n = 1...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2014.10.007
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of age-related macular degeneration (AMD) and signs of age-related maculopathy in a population-based sample of blacks and whites 40 years of age or older from East Baltimore. DESIGN:Cross-sectional population-based study. PARTICIPANTS:A total of 5308 black and white subjects rece...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/S0161-6420(99)90267-1
更新日期:1999-06-01 00:00:00
abstract:PURPOSE:To assess the current burden of ocular toxocariasis (OT) and to gain knowledge regarding the diagnostic and treatment practices used in the ophthalmologic community in the United States. DESIGN:Web-based, cross-sectional survey. PARTICIPANTS:Subspecialty ophthalmologists who are currently practicing in the Un...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2011.12.013
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:A study was conducted to determine the sensitivity and specificity of masked experts in classifying results obtained from normal eyes, glaucomatous eyes, and eyes suspicious for glaucoma using the Nerve Fiber Analyzer GDx (Laser Diagnostic Technologies, San Diego, CA), a scanning polarimeter. DESIGN:Retrospe...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(00)00652-7
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVE:To investigate whether interleukin (IL)-6 or vascular endothelial growth factor (VEGF) influences macular edema in patients with central retinal vein occlusion (CRVO). DESIGN:Retrospective case-control study. PARTICIPANTS:Twenty-seven patients who had macular edema with CRVO and 16 patients with nonischemic...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2008.09.034
更新日期:2009-01-01 00:00:00
abstract::The Collaborative Ocular Melanoma Study (COMS) is an international, multicenter-controlled study. The organization includes an Executive Committee, Steering Committee, 6 Central Units, 32 Clinical Centers, and a Data and Safety Monitoring Committee. Scientifically, the COMS consists of (1) a randomized trial of patien...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(88)33086-1
更新日期:1988-07-01 00:00:00
abstract::Nodular, gray-white, central corneal opacities which extended from the subepithelial zone through the anterior four fifths of the stroma developed in a 50-year-old man with a longstanding history of hard contact lens wear for keratoconus. Results of histopathologic analysis of the corneal button obtained at the time o...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(88)33225-2
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Orbital decompression has been used to describe surgical procedures that remove some portion of the orbital walls to reduce pressure on the orbital contents. Substantial morbidity associated with these procedures includes infraorbital anesthesia, worsened extraocular motility, globe displacement, and blindne...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(93)31589-7
更新日期:1993-05-01 00:00:00
abstract:PURPOSE:Recent studies have shown a relationship between elevated levels of homocysteine and vascular disease including cerebrovascular accidents and myocardial infarctions. We evaluated patients with a recent retinal vein occlusion to determine if there was an associated elevation of homocysteine. DESIGN:Age and gend...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(01)00923-x
更新日期:2002-02-01 00:00:00
abstract::A series of 600 pseudophakic retinal detachments in 578 patients undergoing surgical repair between 1974 and 1984 was reviewed. Patients with previous retinal surgery of less than six months follow-up were excluded. The series included 395 iris-fixated (IF) lenses, 130 anterior chamber (AC) lenses, and 75 posterior ch...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(86)33596-6
更新日期:1986-09-01 00:00:00
abstract:PURPOSE:The presence of retinal nerve fiber layer (RNFL) split bundles recently was described in normal eyes scanned using scanning laser polarimetry. In this study, the authors set out to ascertain whether RNFL split bundles can be found in histologic sections of normal human eyes. DESIGN:Histologic study of postmort...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2007.01.028
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:The Krupin Eye Valve with Disk (Krupin disk) is a glaucoma shunt that incorporates a slit valve intended to minimize early postoperative hypotony. METHODS:The medical records of all patients who have undergone Krupin disk implantation at the Doheny Eye Institute between July 1990 and December 1992 (25 eyes ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(13)31724-2
更新日期:1994-07-01 00:00:00
abstract::Complete resection of recurrent conjunctival squamous papillomata frequently may be exceedingly difficult, since such lesions are typically friable and multilobulated. Recurrent lesions often fill the fornicies and spill onto the lid margins. Moreover, since the human papillomavirus (HPV) has been linked to some of th...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(86)33634-0
更新日期:1986-08-01 00:00:00