{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T17:43:13Z","timestamp":1754156593545,"version":"3.41.2"},"reference-count":10,"publisher":"Association of University Professors of Ophthalmology","issue":"02","license":[{"start":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T00:00:00Z","timestamp":1636502400000},"content-version":"vor","delay-in-days":132,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Academic Ophthalmology"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003The aim of the study is to assess the state of glaucoma surgical training in United States ophthalmology residency programs, including experience with microinvasive glaucoma surgery (MIGS).<\/jats:p><jats:p>\n          Design\u2003The design of the study is anonymous, internet-based national survey.<\/jats:p><jats:p>\n          Participants\u2003Current United States ophthalmology residents of residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME).<\/jats:p><jats:p>\n          Methods\u2003An anonymous survey link was emailed to all 120 accredited United States ophthalmology residency programs inviting residents to participate in an assessment of residency glaucoma surgical experience. Survey responses were collected between January 21, 2019 and March 4, 2019 and analyzed using descriptive statistics.<\/jats:p><jats:p>\n          Main Outcome Measures\u2003The main outcomes of the study are demographic information, practice intentions, and anticipated primary surgical experience with ACGME-required glaucoma procedures and MIGS procedures, as self-reported by U.S. ophthalmology residents.<\/jats:p><jats:p>\n          Results\u2003Of the estimated 1,479 U.S. ophthalmology residents, 161 residents participated (10.9%). A total of 118 residents (73.2%) reported any degree of anticipated MIGS primary surgical experience during residency, with the iStent being the most familiar technique. The likelihood of any anticipated MIGS experience during residency was not significantly different by geographic region (p\u2009=\u20090.16), however, anticipated volume varied significantly (p\u2009=\u20090.037). Of the 113 respondents who reported an intention to manage glaucoma surgically in their eventual practice, 25 (22.1%) reported no anticipated primary MIGS experience during residency. 73.3% of residents anticipating MIGS experience anticipated 0 to 10 cases, with 42.9% anticipating less than 5 cases as primary surgeon.<\/jats:p><jats:p>\n          Conclusion\u2003MIGs are not a required component of the glaucoma surgical curriculum for U.S. ophthalmology residents. Although the majority of ophthalmology residents surveyed intend to manage glaucoma surgically in eventual practice, most receive minimal experience with these novel techniques during residency. Surgical training is variable by geographic region.<\/jats:p>","DOI":"10.1055\/s-0040-1721072","type":"journal-article","created":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T18:30:30Z","timestamp":1636569030000},"page":"e108-e113","source":"Crossref","is-referenced-by-count":0,"title":["Survey of Microinvasive Glaucoma Surgery and Other Glaucoma Surgical Experience among United States Ophthalmology Residency Programs"],"prefix":"10.62199","volume":"13","author":[{"given":"Kevin M.","family":"Halenda","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Medical College of Georgia at Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Jin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Population Health Science, Medical College of Georgia at Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashok","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Population Health Science, Medical College of Georgia at Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy J.","family":"Estes","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Medical College of Georgia at Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn E.","family":"Bollinger","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Medical College of Georgia at Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"48610","published-online":{"date-parts":[[2021,11,10]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1016\/j.ophtha.2014.05.013","article-title":"Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis","volume":"121","author":"Y C Tham","year":"2014","journal-title":"Ophthalmology"},{"issue":"18","key":"ref2","doi-asserted-by":"crossref","first-page":"1901","DOI":"10.1001\/jama.2014.3192","article-title":"The pathophysiology and treatment of glaucoma: a review","volume":"311","author":"R N Weinreb","year":"2014","journal-title":"JAMA"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"S123","DOI":"10.4103\/0301-4738.73692","article-title":"Surgical management of glaucoma: evolving paradigms","volume":"59","author":"T Sharaawy","year":"2011","journal-title":"Indian J Ophthalmol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1097\/ICU.0b013e32834ff1e7","article-title":"Micro-invasive glaucoma surgery: current perspectives and future directions","volume":"23","author":"H Saheb","year":"2012","journal-title":"Curr Opin Ophthalmol"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ogla.2019.12.003","article-title":"American Glaucoma Society Position Paper: microinvasive glaucoma surgery","volume":"3","author":"R L Fellman","year":"2020","journal-title":"Ophthalmol Glaucoma"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s40662-019-0154-1","article-title":"Micro-invasive glaucoma surgery\u2014an interventional glaucoma revolution","volume":"6","author":"M Shah","year":"2019","journal-title":"Eye Vis (Lond)"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"1615","DOI":"10.1016\/j.ophtha.2015.04.015","article-title":"Use of various glaucoma surgeries and procedures in medicare beneficiaries from 1994 to 2012","volume":"122","author":"K S Arora","year":"2015","journal-title":"Ophthalmology"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"303","DOI":"10.2147\/OPTH.S185529","article-title":"Seven- and eight-year trends in resident and fellow glaucoma surgical experience","volume":"13","author":"N Chadha","year":"2019","journal-title":"Clin Ophthalmol"},{"issue":"07","key":"ref11","first-page":"2694","article-title":"Retrospective analysis of resident-performed microinvasive glaucoma surgery with the iStent","volume":"56","author":"W Reardon","year":"2015","journal-title":"Invest Ophthalmol Vis Sci"},{"issue":"07","key":"ref12","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1016\/j.ophtha.2006.03.026","article-title":"Ophthalmology resident surgical competency: a national survey","volume":"113","author":"G Binenbaum","year":"2006","journal-title":"Ophthalmology"}],"container-title":["Journal of Academic 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