Cost analysis of objective resident cataract surgery assessments
Publication: Journal of Cataract & Refractive Surgery, Volume 41, Issue 5, May 2015.
Link to publication: https://doi.org/10.1016/j.jcrs.2014.08.041
Abstract/Summary
Purpose
To compare 8 ophthalmology resident surgical training tools to determine which is most cost effective.
Setting
University of Rochester Medical Center, Rochester, New York, USA.
Design
Retrospective evaluation of technology.
Methods
A cost-analysis model was created to compile all relevant costs in running each tool in a medium-sized ophthalmology program. Quantitative cost estimates were obtained based on cost of tools, cost of time in evaluations, and supply and maintenance costs.
Results
For wet laboratory simulation, Eyesi was the least expensive cataract surgery simulation method; however, it is only capable of evaluating simulated cataract surgery rehearsal and requires supplementation with other evaluative methods for operating room performance and for noncataract wet lab training and evaluation. The most expensive training tool was the Eye Surgical Skills Assessment Test (ESSAT). The 2 most affordable methods for resident evaluation in operating room performance were the Objective Assessment of Skills in Intraocular Surgery (OASIS) and Global Rating Assessment of Skills in Intraocular Surgery (GRASIS).
Conclusions
Cost-based analysis of ophthalmology resident surgical training tools are needed so residency programs can implement tools that are valid, reliable, objective, and cost effective. There is no perfect training system at this time.