Managing the new mandate in resident education: a blueprint for translating a national mandate into local compliance.


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.






Lee AG,Carter KD




Has Abstract


2004-10-01 00:00:00














  • Comparison of intraocular lens power calculation formulae in pediatric eyes.

    abstract:PURPOSE:To evaluate accuracy of intraocular lens (IOL) power calculation formulae (SRK II, SRK/T, Holladay 1, Hoffer Q) in pediatric eyes. DESIGN:Retrospective case series. PARTICIPANTS:One hundred thirty-five eyes of 96 children with congenital, developmental, or acquired cataracts who underwent uncomplicated catara...


    pub_type: 杂志文章


    authors: Nihalani BR,VanderVeen DK

    更新日期:2010-08-01 00:00:00

  • Epithelial iris cyst treatment with intracystic ethanol irrigation.

    abstract:PURPOSE:To report the therapeutic effects of ethanol (ETOH) irrigation into epithelial iris cysts (EIC). STUDY DESIGN:Retrospective noncomparative interventional case series. PARTICIPANTS:102 eyes of 102 patients aged between 4 and 71 years with EIC, with 4 months to 15 years follow-up. INTERVENTION:Under local or g...


    pub_type: 杂志文章


    authors: Behrouzi Z,Khodadoust A

    更新日期:2003-08-01 00:00:00

  • Three-year treatment outcomes in the Ahmed Baerveldt comparison study.

    abstract:PURPOSE:To compare 3-year outcomes and complications of the Ahmed FP7 Glaucoma Valve (AGV) (New World Medical, Cucamonga, CA) and the Baerveldt Glaucoma Implant (BGI) 101-350 (Abbott Medical Optics, Abbott Park, IL) for the treatment of refractory glaucoma. DESIGN:Multicenter, randomized, controlled clinical trial. P...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Barton K,Feuer WJ,Budenz DL,Schiffman J,Costa VP,Godfrey DG,Buys YM,Ahmed Baerveldt Comparison Study Group.

    更新日期:2014-08-01 00:00:00

  • Diagnostic accuracy of pattern electroretinogram optimized for glaucoma detection.

    abstract:PURPOSE:To assess the ability of the new pattern electroretinogram optimized for glaucoma detection (PERGLA) paradigm to discriminate between healthy individuals and individuals with glaucomatous optic neuropathy (GON). DESIGN:Cross-sectional study. PARTICIPANTS:One hundred forty-two eyes of 71 participants (42 healt...


    pub_type: 杂志文章


    authors: Bowd C,Vizzeri G,Tafreshi A,Zangwill LM,Sample PA,Weinreb RN

    更新日期:2009-03-01 00:00:00

  • The effect of neodymium: YAG capsulotomy on contrast sensitivity and the evaluation of methods for its assessment.

    abstract:OBJECTIVE:To determine the most appropriate method for measuring the effect on contrast sensitivity of neodymium:YAG (Nd:YAG) posterior capsulotomy for early posterior capsular opacification (PCO). DESIGN:Prospective comparison of five different methods for luminous contrast sensitivity testing in patients undergoing ...


    pub_type: 杂志文章


    authors: Tan JC,Spalton DJ,Arden GB

    更新日期:1999-04-01 00:00:00

  • A small foveal avascular zone may be an historic mark of prematurity.

    abstract:OBJECTIVE:To compare in children the area and diameter of the foveal avascular zone (FAZ) of former preterm infants, when no significant retinopathy of prematurity (ROP) developed, to the area and diameter of the FAZ of former term infants. DESIGN:Retrospective observational case series and literature review. PARTICI...


    pub_type: 杂志文章


    authors: Mintz-Hittner HA,Knight-Nanan DM,Satriano DR,Kretzer FL

    更新日期:1999-07-01 00:00:00

  • Effect of focal lamina cribrosa defect on glaucomatous visual field progression.

    abstract:OBJECTIVE:To evaluate the association between focal, structural defects of the lamina cribrosa (LC) and glaucomatous visual field (VF) progression. DESIGN:Retrospective, observational study. PARTICIPANTS:A total of 169 patients with glaucoma (169 eyes) with a range of glaucomatous damage. METHODS:Serial horizontal a...


    pub_type: 杂志文章


    authors: Faridi OS,Park SC,Kabadi R,Su D,De Moraes CG,Liebmann JM,Ritch R

    更新日期:2014-08-01 00:00:00

  • Effects of the CW YAG laser on the human iris and retina.

    abstract::A CW YAG laser was used to coagulate retina and to produce an optical iridotomy in a human eye that was to be enucleated for malignant melanoma at the optic nerve head. Moderate coagulation with the CW YAG laser produced a deep choroidal reaction involving the outer portion of the retina. The inner structure of the fo...


    pub_type: 杂志文章


    authors: Peyman GA,Larson B

    更新日期:1984-09-01 00:00:00

  • A randomized controlled trial of combined 5-fluorouracil and low-molecular-weight heparin in management of established proliferative vitreoretinopathy.

    abstract:OBJECTIVE:To determine the efficacy of a combination of 5-fluorouracil and low-molecular-weight heparin (LMWH) to improve the outcome of surgery for established proliferative vitreoretinopathy (PVR). DESIGN:Double-masked, prospective, randomized, placebo-controlled clinical trial. SETTING:Three tertiary-referral teac...


    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Charteris DG,Aylward GW,Wong D,Groenewald C,Asaria RH,Bunce C,PVR Study Group.

    更新日期:2004-12-01 00:00:00

  • Astigmatism induced by spherical photorefractive keratectomy corrections.

    abstract:PURPOSE:The purpose of the study is to evaluate the induced astigmatism after spherical photorefractive keratectomy on the Summit Omnimed (Summit Instruments, Waltham, MA) and the Nidek EC-5000 (Nidek Co. Ltd, Aichi, Japan) excimer lasers. METHODS:A total of 4269 eyes of 3289 patients were treated with a 5-mm optical ...


    pub_type: 杂志文章


    authors: Shah S,Chatterjee A,Doyle SJ,Bessant DA

    更新日期:1997-08-01 00:00:00

  • Comparing methods of quantifying diplopia.

    abstract:PURPOSE:Quantification of diplopia is important for describing severity of strabismus, measuring change over time, and reporting surgical outcomes. The cervical range of motion (CROM) method has been proposed as a simple, inexpensive alternative to the Goldmann perimeter for quantifying diplopia. The purpose of this st...


    pub_type: 杂志文章


    authors: Hatt SR,Leske DA,Holmes JM

    更新日期:2007-12-01 00:00:00

  • Dr. William O. Coffee and his absorption cure for cataract.

    abstract::Dr. William O. Coffee was an ophthalmologist who conducted an office and mail-order practice in the Midwest from the 1880s until 1927. His main stock in trade was a self-discovered absorption cure for a variety of ocular diseases, with particular emphasis on the medical cure of cataracts. Dr. Coffee's career was a che...


    pub_type: 传,历史文章,杂志文章


    authors: Ferry AP

    更新日期:1989-08-01 00:00:00

  • A new classification of superior oblique palsy based on congenital variations in the tendon.

    abstract:BACKGROUND:Superior oblique palsy is the most frequent isolated cranial nerve palsy seen in strabismus practice. It is traditionally diagnosed according to etiology as acquired, congenital, or idiopathic, but surgical treatment is based on deviation not etiology. Observations at surgery led to speculation that the supe...


    pub_type: 杂志文章


    authors: Helveston EM,Krach D,Plager DA,Ellis FD

    更新日期:1992-10-01 00:00:00

  • Removal of dislocated intraocular lenses using pars plana vitrectomy with placement of an open-loop, flexible anterior chamber lens.

    abstract:OBJECTIVE:There are many alternatives available to the vitreoretinal surgeon in the management of posteriorly dislocated intraocular lenses (IOL). The lens may be repositioned in the ciliary sulcus if there is adequate capsular support, but if this support is absent, it must either be sutured in place (to the sclera or...


    pub_type: 杂志文章


    authors: Mittra RA,Connor TB,Han DP,Koenig SB,Mieler WF,Pulido JS

    更新日期:1998-06-01 00:00:00

  • Intravitreal aflibercept injection for neovascular age-related macular degeneration: ninety-six-week results of the VIEW studies.

    abstract:PURPOSE:To determine efficacy and safety of intravitreal aflibercept in patients with neovascular age-related macular degeneration (AMD) during a second year of variable dosing after a first-year fixed-dosing period. DESIGN:Two randomized, double-masked, active-controlled, phase 3 trials. PARTICIPANTS:Two thousand fo...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Schmidt-Erfurth U,Kaiser PK,Korobelnik JF,Brown DM,Chong V,Nguyen QD,Ho AC,Ogura Y,Simader C,Jaffe GJ,Slakter JS,Yancopoulos GD,Stahl N,Vitti R,Berliner AJ,Soo Y,Anderesi M,Sowade O,Zeitz O,Norenberg C,Sandbrink R

    更新日期:2014-01-01 00:00:00

  • Efficacy, Safety, and Risk Factors for Failure of Standalone Ab Interno Gelatin Microstent Implantation versus Standalone Trabeculectomy.

    abstract:PURPOSE:To compare the efficacy, safety, and risk factors for failure of standalone ab interno gelatin microstent implantation with mitomycin C (MMC) versus trabeculectomy with MMC. DESIGN:International, multicenter, retrospective interventional cohort study. PARTICIPANTS:Three hundred fifty-four eyes of 293 patients...


    pub_type: 杂志文章,多中心研究


    authors: Schlenker MB,Gulamhusein H,Conrad-Hengerer I,Somers A,Lenzhofer M,Stalmans I,Reitsamer H,Hengerer FH,Ahmed IIK

    更新日期:2017-11-01 00:00:00

  • The levator aponeurosis in blepharoplasty.

    abstract::The exposure of the levator aponeurosis during blepharoplasty allows the creation of a fixed, distinct lid crease and the opportunity for repair of any defect in the aponeurosis. The conventional blepharoplasty without deep fixation may show the scar separate from the crease and a tendency for early redundancy of skin...


    pub_type: 杂志文章


    authors: Dryden RM,Leibsohn J

    更新日期:1978-07-01 00:00:00

  • Twin and triple peaks papilledema.

    abstract:PURPOSE:To describe 2 adult patients who presented with papilledema after band atrophy (i.e., twin and triple peaks papilledema). DESIGN:Retrospective small case series. PARTICIPANTS:Two outpatients. METHODS:Observations made on 2 patients whose cases were reviewed in the neuro-ophthalmology clinic. RESULTS:The fir...


    pub_type: 杂志文章


    authors: Mehta JS,Plant GT,Acheson JF

    更新日期:2005-07-01 00:00:00

  • Clinical variables associated with failure of retinal detachment repair: the European vitreo-retinal society retinal detachment study report number 4.

    abstract:OBJECTIVE:To identify risk factors associated with failure of anatomic reattachment in primary rhegmatogenous retinal detachment repair. DESIGN:Nonrandomized, multicenter, collaborative study. PARTICIPANTS:Primary procedures for 7678 rhegmatogenous retinal detachments reported by 176 surgeons from 48 countries. METH...


    pub_type: 杂志文章,多中心研究


    authors: Adelman RA,Parnes AJ,Michalewska Z,Ducournau D,European Vitreo-Retinal Society (EVRS) Retinal Detachment Study Group.

    更新日期:2014-09-01 00:00:00

  • Prevalence of Subretinal Drusenoid Deposits in Older Persons with and without Age-Related Macular Degeneration, by Multimodal Imaging.

    abstract:PURPOSE:To assess the prevalence of subretinal drusenoid deposits (SDD) in older adults with healthy maculas and early and intermediate age-related macular degeneration (AMD) using multimodal imaging. DESIGN:Cross-sectional study. PARTICIPANTS:A total of 651 subjects aged ≥60 years enrolled in the Alabama Study of Ea...


    pub_type: 杂志文章


    authors: Zarubina AV,Neely DC,Clark ME,Huisingh CE,Samuels BC,Zhang Y,McGwin G Jr,Owsley C,Curcio CA

    更新日期:2016-05-01 00:00:00

  • North Carolina macular dystrophy, revisited.

    abstract::Progression of the maculopathy in North Carolina macular dystrophy (NCMD) was not well documented. Thus, the author recently examined 22 affected members of the original kindred. Evidence of progression of the macular disease was sought through comparison of the recent fundus findings with old fundus photographs and f...


    pub_type: 杂志文章


    authors: Small KW

    更新日期:1989-12-01 00:00:00

  • Pharmacokinetics of azithromycin in trachoma patients: serum and tear levels.

    abstract:OBJECTIVE:To determine the effectiveness of single-dose oral azithromycin in the treatment of Chlamydia trachomatis through monitoring of tear and serum levels. DESIGN:Nonrandomized, clinical trial. PARTICIPANTS:Fourteen school-age children with active trachoma (one failed to complete the study). INTERVENTION:A sing...


    pub_type: 杂志文章


    authors: Karcioglu ZA,El-Yazigi A,Jabak MH,Choudhury AH,Ahmed WS

    更新日期:1998-04-01 00:00:00

  • Proton beam irradiation. An alternative to enucleation for intraocular melanomas.

    abstract::Proton irradiation was used in the treatment of uveal melanomas in 36 eyes. The average follow-up period was 16 months. One patient developed metastatic disease and died. No eye has been enucleated and tumor regression has been observed in all 22 eyes with a follow-up of more than 12 months. This type of treatment off...


    pub_type: 杂志文章


    authors: Gragoudas ES,Goitein M,Verhey L,Munzenreider J,Suit HD,Koehler A

    更新日期:1980-06-01 00:00:00

  • Screening Children at Risk for Retinoblastoma: Consensus Report from the American Association of Ophthalmic Oncologists and Pathologists.

    abstract:PURPOSE:To provide a set of surveillance guidelines for children at risk for development of retinoblastoma. DESIGN:Consensus panel. PARTICIPANTS:Expert panel of ophthalmic oncologists, pathologists, and geneticists. METHODS:A group of members of the American Association of Ophthalmic Oncologists and Pathologists (AA...


    pub_type: 杂志文章,多中心研究


    authors: Skalet AH,Gombos DS,Gallie BL,Kim JW,Shields CL,Marr BP,Plon SE,Chévez-Barrios P

    更新日期:2018-03-01 00:00:00

  • Randomized, controlled trial of an educational intervention to promote spectacle use in rural China: the see well to learn well study.

    abstract:OBJECTIVE:To test an educational intervention promoting the purchase of spectacles among Chinese children. DESIGN:Randomized, controlled trial. PARTICIPANTS:Children in years 1 and 2 of all 20 junior and senior high schools (ages 12-17 years) in 3 rural townships in Guangdong, China. METHODS:Children underwent visua...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Congdon N,Li L,Zhang M,Yang A,Gao Y,Griffiths S,Wu J,Sharma A,Lam DS

    更新日期:2011-12-01 00:00:00

  • Combined cataract extraction with intraocular lens implant and mitomycin-augmented trabeculectomy.

    abstract:PURPOSE:Cataract and glaucoma commonly coexist in elderly patients and present complex treatment options. This study investigates the results of simultaneous treatment of both conditions using phacoemulsification with posterior chamber lens implant and mitomycin-augmented trabeculectomy (combined surgery). METHODS:A r...


    pub_type: 杂志文章


    authors: Lederer CM Jr

    更新日期:1996-07-01 00:00:00

  • Oral acyclovir in the management of herpes simplex ocular infections.

    abstract::Acyclovir, an oral antiviral agent that inhibits viral DNA replication, was used to treat 27 patients (16 males, 11 females) (mean age, 50 years) with vision-threatening herpes simplex virus (HSV) infections. Twenty patients had active stromal keratitis or keratouveitis, four had controlled nonnecrotizing stromal kera...


    pub_type: 杂志文章


    authors: Schwab IR

    更新日期:1988-04-01 00:00:00

  • Mantle cell lymphoma in the ocular adnexal region.

    abstract:PURPOSE:To study the clinicopathologic features of mantle cell lymphoma (MCL) in the ocular adnexal region. DESIGN:Retrospective review. METHODS:The slides of 23 suspect patients were reevaluated with a panel of monoclonal antibodies, including anti-CD20, cyclin-D1, CD5, CD3, and p53 immunostains. Patients confirmed ...


    pub_type: 杂志文章


    authors: Looi A,Gascoyne RD,Chhanabhai M,Connors JM,Rootman J,White VA

    更新日期:2005-01-01 00:00:00

  • Redundant publications in scientific ophthalmologic journals: the tip of the iceberg?

    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...


    pub_type: 杂志文章


    authors: Mojon-Azzi SM,Jiang X,Wagner U,Mojon DS

    更新日期:2004-05-01 00:00:00

  • Descemet's stripping automated endothelial keratoplasty outcomes compared with penetrating keratoplasty from the Cornea Donor Study.

    abstract:PURPOSE:To assess outcomes 1 year after Descemet's stripping automated endothelial keratoplasty (DSAEK) in comparison with penetrating keratoplasty (PKP) from the Specular Microscopy Ancillary Study (SMAS) of the Cornea Donor Study. DESIGN:Multicenter, prospective, nonrandomized clinical trial. PARTICIPANTS:A total o...


    pub_type: 临床试验,杂志文章,多中心研究


    authors: Price MO,Gorovoy M,Benetz BA,Price FW Jr,Menegay HJ,Debanne SM,Lass JH

    更新日期:2010-03-01 00:00:00