Eyeworld

117 October 2018 EW MEETING REPORTER Best abstracts of the meeting A few abstracts were selected, from the dozens of accepted posters, for presentation at the meeting. One covered research by Cristina Lo- pez-Beauchamp, MD, Washington, D.C., and coinvestigators on the impact of surgical simulator train- ing. Ultimately, the research found that implementing a virtual sim- ulator training course for cataract surgery prior to and during training for residents resulted in a significant decrease in surgical time and com- plication rates. The virtual simula- tor, Dr. Lopez-Beauchamp said, can give the resident the opportunity to develop fine motor skills, control hand tremor, and practice on all the steps of cataract surgery, as well as allow them to identify and concen- trate on weak points from their past surgical cases. Xuemin Zhang, MD, College Park, Maryland, described research that evaluated the variability in ret- inal vessels using OCT-angiography (OCT-A). Dr. Zhang and her col- leagues found that there is (1) low healthcare industry, and healthcare has the highest financial burden to remedy these situations as well. There is not only the financial issue of getting the data back but fines that might be issued from a legal standpoint as well. What do you do if you find you are the victim of a cyberattack? First, Dr. Bovelle said to close down the machine and unplug it. Then notify a compliance officer and conduct a forensic audit, which will tell you if the data breach should be reported to the Department of Health and Human Services. Ransomware attack risk can be decreased by having secure, up-to-date file backups, using reputable antivirus software and a firewall, personalizing anti-spam settings, avoiding public, wireless internet sources, educating employ- ees, and having privileged account management. Editors' note: Ms. Shuman has finan- cial interests related to her comments. Dr. Bovelle has no financial interests related to her comments. you space to feel a positive direc- tion instead of a spiral down into catastrophe." Finally, Dr. Rosdahl's fifth hack was to "take your pulse," figure out where you feel frustration in your body and figure out what you need to do to cool down. Editors' note: The physicians have no financial interests related to their comments. Practice management Jane Shuman, Ashland, Massa- chusetts, described what it takes to attract and retain quality support personnel. Most offices only recruit when they need staff, leaving them little time to advertise, interview, and hire the type of employees they might want. Quality support per- sonnel might not necessarily have ophthalmic experience, but they will have experience dealing with people in sometimes unpleasant situations, such as those in the hospitality industry. Students can be great re- sources for externships as well. Getting the attention of these types in a job could mean engaging them in conversations when you meet with them, posting a more nontraditional ad on job sites and on a career page on your website, and/or creating bonus incentives for employees who recruit new hires. Once a person is hired, retention can be helped by providing employ- ees with the tools they need to do their job in addition to having a formal orientation program, setting specific expectations, and estab- lishing a mentor, Ms. Shuman said. Having open communication, access to managers, and regular thank yous can go a long way, she added. Ransomware and cyberattacks are now considered common in the healthcare field. Renee Bovelle, MD, Glenn Dale, Maryland, cited statistics that found 45% of ransom- ware attacks in 2017 were within the time to address each of them. If the patient is having trouble remember- ing their drops, for example, suggest pairing drop time with another rou- tine activity, such as brushing one's teeth. The third tip Dr. Muir offered is having patients bring in their drops and show the physician or technician how they are administer- ing them. This can help identify any issues the patient might be having with administration, and counsel- ing or devices that could help them with proper administration could be suggested. Jullia Rosdahl, MD, Durham, North Carolina, offered her five "practical resilience hacks" to help prevent burnout, a syndrome char- acterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. Her first hack is performing "micro-mindfulness," that is taking a moment in everyday actions to be present, such as when you touch a doorknob before going in to see a new patient. Feel that doorknob, be present in that moment and use it as a way to transition from whatever you were thinking before to go in and be fully present for that patient, Dr. Rosdahl said. Her second hack included trying to achieve the 3:1 positivity ratio. Write down three things that make you feel good and think about how you can incorporate more of those things into your daily life, she said. Third, create boundaries with your patients and colleagues by coming up with a boundary speech (what you plan to say when you need to say no to someone). Dr. Rosdahl's fourth hack is when you find yourself catastro- phizing an event, create an "and" statement. For example, when you're thinking about how much you have to do, add something like "and I have such a fulfilling job and am so thorough." This, Dr. Rosdahl said, "opens up possibility and gives continued on page 118 View videos from WIO 2018: EWrePlay.org Cynthia Matossian, MD, discusses her presentation on beauty- related procedures that can impact the ocular surface.

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