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Program accreditation

Author: Karl C. Golnik.
Ann Eye Sci 2017; 2:45.

Program accreditation is usually a voluntary process based on published standards and performed by a governmental or non-governmental agency of peers. The accreditation process has several components: self-assessment guide completion, site visit and review of program data by the accrediting body. Program accreditation’s primary function is to facilitate self-assessment, provide standards of education and lead to program improvement. It also serves to protect the student’s education and ultimately improve patient care. The International Council of Ophthalmology has developed International Guidelines for accreditation of ophthalmology residency programs and is launching a pilot program to accredit programs on demand.

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* I have no financial interest to disclose (GP).

Continuing professional development: progress beyond continuing medical education.

Author: Helena Prior Filipe, Heather Gwen Mack, Karl C. Golnik.
Ann Eye Sci 2017; 2:46.

Continuing medical education (CME) is rapidly evolving into competency-based continuing professional development (CPD) and this is driving change in self-directed CPD programs undertaken by individual practitioners as well as CPD programs or frameworks offered by CPD educators. This progression is being led by many factors including the rapid change in medical knowledge and medical practitioners along with changes in patients and society, healthcare systems, regulators and the political environment. We describe our experiences primarily concerning low-resource environments, in creating the International Council of Ophthalmology (ICO) Guide to Effective CPD/CME and in developing a CPD program for the Cambodian Ophthalmological Society (COS) twinned with the Royal Australian and New Zealand College of Ophthalmologists (RANZCO). At the conclusion of the project, 47 (100%) Cambodian practicing ophthalmologists were registered in the CPD program and 21 (45%) were actively participating in the online COS-CPD program recording. We discuss challenges in CPD, propose solutions to overcome them and recommend developing research in CPD as needed to effectively enhance educational activities with impact in public health.

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* I have no financial interest to disclose (GP).

A fundamental (often neglected) lecture skill: presenting with credibility

Author: Ana Gabriela Palis, MD.
Ann Eye Sci 2017; 2:38.

Being credible as medical speakers is a fundamental quality to achieve. Although there are many factors that determine the credibility of a medical presenter, the way presentations are delivered (the lecture’s structure, visual aids, and the lecturer’s communication skills and engagement with the audience) will influence the effect speakers have on their audience and how credible people consider the lecturer, which will ultimately affect students’ learning. This perspective provides recommendations to increase speakers’ credibility through applying common presentation and communication principles in four domains: expertise and competence (e.g., know your audience, organize your presentation, introduce yourself, hold your arguments with evidence, avoid information overload, be prepared to answer questions), authenticity (be an accessible and honest speaker), personal presence (rehearse your presentation, get organized early, enjoy the moment), and dynamism (engage your audience, do not read your slides, explain the data, use images rather than text, avoid distracting your audience, ask and encourage questions).

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* I have no financial interest to disclose (GP).

The good doctor: more than medical knowledge and surgical skill

Authors: Andreas K. Lauer, Dariah A. Lauer.
Annals of Eye Science, July 2017. doi: 10.21037/aes.2017.05.04.

In this Editorial, authors explain the whole spectrum of medical competencies as defined by the Accreditation Council for Graduate Education, and other attributes (open-mindedness, empathy, compassion, calmness, attentiveness, adaptability, self-improvement, passion, confidence, and humility) that, in addition to strong medical knowledge and outstanding surgical skills are essential to becoming a good doctor.

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* I have no financial interest to disclose (GP).

Operating Room Performance Improves after Proficiency-Based Virtual Reality Cataract Surgery Training

Authors: Ann Sofia Skou Thomsen, Daniella Bach-Holm, Hadi Kjaerbo, Klavs Hojgaard Olsen, Yousif Subhi, George Saleh, Yoon Soo Park, Morten la Cour, Lars Konge.
Ophthalmology 2017; 124(4):524-31.

Authors’ main purpose for this study was to investigate the effect of virtual reality proficiency-based training on cataract surgery performance. Their secondary objective was to define which surgeons benefit from virtual reality training. Through a multicenter masked clinical trial, eighteen cataract surgeons with different levels of experience received training in cataract surgery on a virtual simulator (EyeSi) until a proficiency-based test was passed. Results showed that non-independently operating surgeons and surgeons having performed fewer than 75 independent cataract surgeries showed significant improvements in the operating room, while more experienced cataract surgeons did not benefit from simulation.

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* I have no financial interest to disclose (GP).

An evidence-based approach to surgical teaching in ophthalmology.

Authors: Alice C. Lorch, Carolin E. Kloek
Surv Ophthalmol 2017; 62(3):371-7.

In this article authors delineate a program of preprocedural, intraprocedural, and postprocedural teaching of ophthalmic surgery to maximize resident’s skill acquisition in a constructive learning environment.

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* I have no financial interest to disclose (GP).

How to Become an Authentic Speaker

Author: Nick Morgan
Harvard Business Review 2008;86(11):115-9.

Communication expert Nick Morgan describes four aims to meet when rehearsing a presentation: 1) Being open to your audience 2) Connecting with your audience 3) Being passionate about your topic 4) Listening to your audience. He provides useful and practical examples to work on all of these areas.

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* I have no financial interest to disclose (GP).

The Reliability, Validity, and Feasibility of Multisource Feedback Physician Assessment: A Systematic Review

Authors: Tyrone Donnon, Ahmed Al Ansari, Samah Al Alawi, and Claudio Violato.

In this systematic review the authors analyze 43 articles to investigate the reliability, generlizability, validity, and feasibility of 360-degree evaluations for the assessment of physicians.

They found out that this kind of assessment is an effective method for providing feedback to physicians about their clinical and nonclinical (professionalism, interpersonal skills, management) performance.

They conclude that the use of multisource feedback by peers, coworkers, and patients to assess physicians has high reliability, validity, and feasibility.

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* I have no financial interest to disclose (GP).

Twelve tips for addressing medical student and resident physician lapses in professionalism

Authors: Steven Rougas, Bethany Gentilesco, Emily Green, Libertad Flore
Medical Teacher 2016; 37(10):901-7

This article reviews the literature related to addressing unprofessional behavior among trainees in medicine and provides a framework to provide practical guidance and empowerment for educators responsible for addressing medical student and resident physician lapses in professionalism.

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* I have no financial interest to disclose (GP).

http://www.tandfonline.com/doi/full/10.3109/0142159X.2014.1001730

What do I do? Developing a competency inventory for postgraduate (residency) program directors.

Authors: Susan J. Lieff, Ari Zaretsky, Glen Bandiera, Kevin Imrie, Salvatore Spadafora, Susan Glover Takahashi
Medical Teacher 2016; 38(10):1011-6

In this articles the authors publish a Postgraduate Program Director Competency Inventory in order to frame the performance of program directors for a multisource feedback program and improve effective leadership of postgraduate programs. They included five domains of leadership competence: communication and relationship management, leadership, professionalism and self-management, environmental engagement, and management skills and knowledge.

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* I have no financial interest to disclose (GP).