The Ophthalmology Surgical Competency Assessment Rubric for External Dacryocystorhinostomy Surgery

Authors

Valerie Juniat, Department of Ophthalmology, Royal Adelaide Hospital, Port Road, Australia.
George M. Saleh, NIHR Biomedical Research Centre for Ophthalmology at Moorfields Eye Hospital and UCL Institute of Ophthalmology, London, United Kingdom.
Milind Naik, LV Prasad Eye Institute, Hyderabad, India.
Jeffrey Nerad, Department of Ophthalmology, University of Cincinnati and the Cincinnati Eye Institute, Cincinnati, Ohio, U.S.A.
Vinod Gauba, Department of Ophthalmology, Imperial Healthcare Institute, Dubai Healthcare City; Department of Clinical Sciences, Dubai Medical College, United Arab Emirates.
Martin H. Devoto, Consultores Oftalmologicos and the Instituto de Oncología Angel Roffo, Universidad de Buenos Aires, Buenos Aires, Argentina.
Farzad Pakdel, Department of Ophthalmic Plastic & Reconstructive Surgery Department, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Karl C. Golnik, Departments of Ophthalmology, Neurology, and Neurosurgery, University of Cincinnati and the Cincinnati Eye Institute, Cincinnati, Ohio, U.S.A.

Document Type

Article

Abstract

PURPOSE: The International Council of Ophthalmology (ICO) is currently developing a series of standardized, internationally validated, teaching tool for key ophthalmic surgical procedures called the Ophthalmology Surgical Competency Assessment Rubrics (OSCARs). This study aims to develop an OSCAR for external dacryocystorhinostomy (ExDCR). METHODS: An international panel of content experts, representing Argentina, India, U.A.E., United Kingdom, and the U.S.A. was established and worked to develop the rubric using a range of online collaboration tools. The team used the standardized OSCAR template as a baseline, developing explicit behavioral descriptors (the behavior and performance expected for each step) that were reviewed and modified with successive models. Learners were scored on a modified 4-point Dreyfus scale of skill acquisition (novice, beginner, advanced beginner, competent) with the removal of the expert domain. The tool was then reviewed by a secondary panel of international content experts, representing Brazil, India, Iran, Singapore, United Kingdom, and the U.S.A. RESULTS: The final OSCAR ExDCR tool was developed in alignment with the ICO-OSCAR standard. Nineteen agreed and weighted stems were produced. Specific comments with regards to the parameters and wording were incorporated to formulate the final rubric, which was internationally agreed and demonstrated face and content validity. CONCLUSIONS: The OSCAR ExDCR is skill and behavior based, has ICO agreed standards for assessment, and provides learners with specific targets for improvement. Although the OSCAR tool has face and content validity, further development could better elucidate its precise role.

Medical Subject Headings

Clinical Competence; Dacryocystorhinostomy; Education, Medical, Graduate; Educational Measurement; Humans; India; Internship and Residency; Ophthalmology (education); Singapore; United Kingdom

Publication Date

5-1-2021

Publication Title

Ophthalmic plastic and reconstructive surgery

E-ISSN

1537-2677

Volume

37

Issue

3S

First Page

S11

Last Page

S18

PubMed ID

32618822

Digital Object Identifier (DOI)

10.1097/IOP.0000000000001741

Recommended Citation

Juniat, Valerie; Saleh, George M.; Naik, Milind; Nerad, Jeffrey; Gauba, Vinod; Devoto, Martin H.; Pakdel, Farzad; and Golnik, Karl C., "The Ophthalmology Surgical Competency Assessment Rubric for External Dacryocystorhinostomy Surgery" (2021). Neurology. 1641.
https://scholar.barrowneuro.org/neurology/1641