Eyeworld

18 | EYEWORLD | MAY 2020 EYEWORLD JOURNAL CLUB ASCRS NEWS by Rabia Karani, MD, Maryam Ghiassi, MD, Ives Valenzuela, MD, Royce W.S. Chen, MD, Leejee Suh, MD, and Noga Harizman, MD attendings into resident education, residents have increased opportunity to perform surger- ies. This technique has proven to be beneficial in other specialties like OBGYN in increasing surgical volume. 1 Studies have shown that attending experience is a risk factor for intra- operative complications, 2 but this has not been separated into surgical vs. teaching experience. This study seeks to assess teaching experience as a risk factor for intraoperative complications by comparing volunteer and full time attending ophthalmologists; understanding its effect could both improve resident training and patient outcomes. The authors conducted a retrospective chart review of resident cases from 2010 to I n the study, "Effect of full time vs. vol- unteer faculty on resident cataract surgery complications," the authors review resident cataract surgery cases performed under the supervision of full time vs. volunteer fac- ulty with at least 10 years of post-residency surgical experience. Cases were stratified by level of risk to determine if teaching expe- rience, as quantified by volunteer vs. full time faculty status, had an effect on intraoperative complication rates. This study is important in a time with de- creasing surgical reimbursement, as intraopera- tive time and material use are becoming increas- ingly relevant. Given these conditions, resident cases may become more limited especially on a per attending basis. By incorporating volunteer Review of "Effect of full time vs. volunteer faculty on resident cataract surgery complications" continued on page 20 From the Edward S. Harkness Eye Institute, Columbia University Medical Center, New York Presbyterian Hospital: top from left: Noga Harizman, MD, Royce W.S. Chen, MD; middle from left: Rabia Karani, MD, MPH, Leejee Suh, MD; bottom from left: Maryam Ghiassi, MD, MHS, Ives A. Valenzuela, MD Source: Columbia University Medical Center Royce W.S. Chen, MD Residency program director Edward S. Harkness Eye Institute Columbia University Medical Center New York, New York Contact Chen: rc2631@cumc.columbia.edu Many of us attend resident cataract surgery. Whether having volunteer or full time faculty attendings makes a difference in complication rates is evaluated in a May JCRS paper. I asked the Columbia residents to review this paper during the COVID-19 lockdown. —David F. Chang, MD EyeWorld Journal Club Editor

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