The Ophthalmology Surgical Competency Assessment Rubric (OSCAR) for Open Globe Surgical Management

Authors

Grant A. Justin, Department of Vitreoretinal Surgery, Duke Eye Center, Durham, NC, USA.
Mohammed Soleimani, Department of Ocular Trauma and Emergency, Tehran University of Medical Sciences, Tehran, Iran.
Sidra Zafar, Wilmer Eye Institute, Johns Hopkins Medical Institute, Baltimore, MD, USA.
Kasra Cheraqpour, Department of Eye Research, Tehran University of Medical Sciences, Tehran, Iran.
Catherine Green, Glaucoma Unit, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Mohammad Moin, Department of Ophthalmology, Amee ud Din Medical College, Lahore, Pakistan.
N Venkatesh Prajna, Department of Cornea and Refractive Eye Services, Aravind Eye Hospital, Madurai, India.
Karl C. Golnik, Department of Ophthalmology, University of Cincinnati, The Cincinnati Eye Institute, Cincinnati, OH, USA.
Fasika A. Woreta, Wilmer Eye Institute, Johns Hopkins Medical Institute, Baltimore, MD, USA.

Document Type

Article

Abstract

BACKGROUND/AIMS: To produce an internationally developed rubric to assess surgical competency in open globe management. METHODS: An international expert panel of seven ophthalmologist educators developed a standardized competency-based rubric. The steps to perform an open globe repair were outlined. Based on a modified Dreyfus model, the experts agreed on the steps of surgery and certain global indices. They then assigned descriptors for the competency expected of a novice, beginner, advanced beginner, and competent surgeon. The tool was then vetted by another panel of ten ophthalmologists. The main outcome measure was the final version of the tool as agreed upon by the expert review panel. RESULTS: The steps of open globe repair and key global indices were established. Descriptive wording for each step and global indices for novice, beginner, advanced beginner, and competent surgery were listed. All the expert comments were integrated to establish face and content validity. CONCLUSION: This standardized rubric to evaluate resident competency should be used globally in training programs to assess open globe repair surgical skills. Using a modified Dreyfus model, four different levels of training competency were defined allowing a non-biased, objective, numerical and simple assessment.

Publication Date

1-1-2022

Publication Title

Clinical ophthalmology (Auckland, N.Z.)

ISSN

1177-5467

Volume

16

First Page

2041

Last Page

2046

PubMed ID

35761961

Digital Object Identifier (DOI)

10.2147/OPTH.S354853

Recommended Citation

Justin, Grant A.; Soleimani, Mohammed; Zafar, Sidra; Cheraqpour, Kasra; Green, Catherine; Moin, Mohammad; Prajna, N Venkatesh; Golnik, Karl C.; and Woreta, Fasika A., "The Ophthalmology Surgical Competency Assessment Rubric (OSCAR) for Open Globe Surgical Management" (2022). Neurology. 1640.
https://scholar.barrowneuro.org/neurology/1640