PURPOSE The aim of this study was to determine whether the introduction of a structured short-term phacoemulsification training program improved the ICO-OSCAR (International Council of Ophthalmology's Ophthalmology Surgical Competency Assessment Rubric) score and the learning curve of the trainees and decreased the complication rates of the cases. METHODS This study was a retrospective, observational study conducted in a tertiary eye care hospital in India. The study was conducted from March 2018 to October 2019 based on a structured phacoemulsification training program introduced in January 2019. The trainees enrolled in the phacoemulsification training program were divided into two groups: Group 1 (n = 33), who underwent training before the introduction of the structured program, and Group 2 (n = 29), who underwent the training after the introduction of the structured training program. Each trainee performed 20 cases. Group 1 training consisted of wet-lab and phacoemulsification surgeries. Group 2 training program comprised three modules over 5 weeks and a preassessment examination. Premodule 1 imparted cognitive skills; Module 1 was on structured wet-lab, Module 2 was about phacoemulsification step surgery, and Module 3 had independent complete surgeries. Group 2 also underwent compulsory Observation of cases being performed in the operation theater, surgical video recording review, and formative feedback. Mean OSCAR score comparison was done for both the groups. The OSCAR score was also calculated case-wise to obtain the learning curve with respect to the entry and exit levels, by classifying the trainees in each group as Novice, Beginner, Advanced Beginner, or Competent. A comparison of the posterior capsular rupture (PCR) rates and vision at discharge of all the cases was done. RESULTS Group 2 had a significantly better mean OSCAR score than Group 1 (4.03 and 3.43, respectively; P < 0.001). The PCR rate of the cases was significantly lower in Group 2 than in Group 1 (9.14% and 20.30%, respectively; P < 0.001). Group 2 had a significantly better visual acuity outcome of the cases than Group 1. Group 1 started as Novice (OSCAR score: 2), whereas Group 2 started as Beginner (OSCAR score: 3). Group 2 reached the Advanced Beginner level eight to 10 cases prior to Group 1. CONCLUSION A structured training curriculum can make a significant difference in the training experience of the trainees and enable better surgical outcomes and a decrease in the complication rates.

中文翻译：

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结构化培训计划对提高超声乳化手术技能的影响。

目的 本研究的目的是确定引入结构化的短期超声乳化培训计划是否改善了 ICO-OSCAR（国际眼科学会眼科手术能力评估标准）评分和学员的学习曲线并降低了并发症发生率的案例。方法 本研究是在印度一家三级眼科医院进行的回顾性观察性研究。该研究于 2018 年 3 月至 2019 年 10 月进行，基于 2019 年 1 月引入的结构化超声乳化培训计划。参加超声乳化培训计划的学员分为两组：第 1 组（n = 33），他们在引入之前接受了培训结构化程序和第 2 组（n = 29），谁在引入结构化培训计划后接受了培训。每位学员表演20个案例。第 1 组培训包括湿实验室和超声乳化手术。第 2 组培训计划包括超过 5 周的三个模块和一个预评估考试。Premodule 1 传授认知技能；模块 1 是结构化湿实验室，模块 2 是关于超声乳化分步手术，模块 3 有独立的完整手术。第 2 组还接受了手术室中正在执行的病例的强制观察、手术录像审查和形成性反馈。对两组进行平均 OSCAR 评分比较。OSCAR 分数也按案例计算，通过将每组的受训者分类为新手、初学者、高级初学者，或称职。对所有病例出院时的后囊膜破裂（PCR）率和视力进行了比较。结果 第 2 组的平均 OSCAR 评分明显优于第 1 组（分别为 4.03 和 3.43；P < 0.001）。第 2 组病例的 PCR 率显着低于第 1 组（分别为 9.14% 和 20.30%；P < 0.001）。第 2 组病例的视力结果明显优于第 1 组。第 1 组开始时是新手（OSCAR 评分：2），而第 2 组开始时是初学者（OSCAR 评分：3）。第 2 组比第 1 组早 8 到 10 例达到高级初学者水平。 结论 结构化的培训课程可以显着改善受训者的培训经验，实现更好的手术效果并降低并发症发生率。