Original ArticleGlobal Rating Assessment of Skills in Intraocular Surgery (GRASIS)
Section snippets
Materials and Methods
The Medline and PubMed databases were searched (1970–present) to identify existing methods for evaluating ophthalmology residents’ surgical competence. Search terms included ophthalmology residents’ surgical skills evaluations, ophthalmology resident surgical competence, and ophthalmology resident’s cataract surgery. Relevant articles mainly reported resident vitreous loss rates, visual outcomes, and other intraoperative complications.6, 7, 8, 9, 10, 11 To our knowledge, no articles present a
Results
The surgical assessment tool consists of 10 components of operative skill that are marked on a 5-point Likert scale, with the middle and extreme points anchored by explicit descriptors to assist in the criterion of performance assessment.
All expert comments were considered, and the authors incorporated appropriate suggestions, thus establishing a level of face and content validity. Experts’ recommendations included the following: to include an assessment of “preoperative planning and knowledge
Discussion
Assessment of surgical competence of ophthalmology residents is becoming an essential area of research. Since the ACGME’s and American Board of Ophthalmology’s mandate to develop valid and reliable tools to assess residents’ surgical competence, residency programs have been investing time and funds to comply. To our knowledge, there are no published evaluation tools to evaluate ophthalmology residents’ surgical skills aside from the OASIS.5 It is well known in the clinical realm that current
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Manuscript no. 2005-107.
This work is part of the Harvard Medical School Residents in Ophthalmology Cataract-Outcomes Study at the Department of Ophthalmology, Massachusetts Eye and Ear Infirmary’s Comprehensive Ophthalmology Service. It was sponsored in part by a Lions Grant (Lions Club, Boston, Massachusetts), Research to Prevent Blindness (New York, New York) Unrestricted Grant Award (to the Department of Ophthalmology, Harvard Medical School), and Harvard Medical School Scholars Grant.
The authors have no financial interest in the product discussed in the article.
The Massachusetts Eye and Ear Infirmary owns the copyright to the form developed at the Infirmary to assess surgical activities.