{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T21:48:41Z","timestamp":1773265721241,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The University of Sydney \u2018Microsurgical Skills Course\u2019 (MSC) was made mandatory to the Royal Australian and New Zealand College of Ophthalmologists (RANZCO) Vocational Training Program in 2023. This study evaluates the MSC impact on first\u2010year ophthalmology trainees' cataract surgical performance compared to those who did not complete the MSC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study analysed de\u2010identified RANZCO surgical logbook data and EyeSi survey responses from first\u2010year trainees across Australia and New Zealand. The intervention cohort (2023\u20132024 first\u2010year trainees) completed the MSC, while the control cohort (2022 first\u2010year trainees) did not. Data included demographics, prior surgical experience, number of cataract surgeries, surgical role, senior surgeon takeovers and intraoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 112 trainees (intervention\u2009=\u200977; control\u2009=\u200935), 11\u2009613 cataract surgeries were recorded during the first 12\u2009months of training. By 3\u2009months, trainees in the intervention cohort performed more cataract surgeries (36.2\u2009\u00b1\u200922.6 vs. 26.0\u2009\u00b1\u200917.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017), assumed more senior roles in surgery (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), required fewer senior surgeon takeovers (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and had a lower rate of posterior capsule tear (PCT) (1.3% vs. 2.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared to the control cohort. By 12\u2009months, cataract surgery numbers and PCT rates (1.4% vs. 1.8%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.186) were similar; however, the intervention cohort still held a higher rate of leading surgical roles (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and less senior surgeon takeover (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The MSC accelerates early surgical proficiency while improving patient safety. This resource will serve as a foundation for assessing surgical outcomes beyond cataract surgery and extending past the first 12\u2009months of training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ceo.70035","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T01:08:51Z","timestamp":1764724131000},"page":"194-201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Microsurgical Skills Course Improves Cataract Surgery Proficiency in First Year Australia and New Zealand Ophthalmology Trainees"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5816-5156","authenticated-orcid":false,"given":"Vivien","family":"Nguyen","sequence":"first","affiliation":[{"name":"Save Sight Institute The University of Sydney  Sydney New South Wales Australia"},{"name":"Faculty of Medicine Macquarie University  Macquarie Park New\u00a0South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santosh","family":"Khanal","sequence":"additional","affiliation":[{"name":"The Royal Australian and New Zealand College of Ophthalmologists  Surry Hills Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7009-1476","authenticated-orcid":false,"given":"Graham","family":"Wilson","sequence":"additional","affiliation":[{"name":"The Royal Australian and New Zealand College of Ophthalmologists  Surry Hills Australia"},{"name":"Dunedin School of Medicine University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constantinos","family":"Petsoglou","sequence":"additional","affiliation":[{"name":"Save Sight Institute The University of Sydney  Sydney New South Wales Australia"},{"name":"The Royal Australian and New Zealand College of Ophthalmologists  Surry Hills Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Kerdraon","sequence":"additional","affiliation":[{"name":"Save Sight Institute The University of Sydney  Sydney New South Wales Australia"},{"name":"The Royal Australian and New Zealand College of Ophthalmologists  Surry Hills Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.02.004"},{"issue":"2","key":"e_1_2_9_3_1","first-page":"e216","article-title":"Evaluating the Efficacy of Microsurgical Training Methods in Ophthalmology Education: A Systematic Review and Meta\u2010Analysis","volume":"13","author":"Nguyen G.","year":"2017","journal-title":"Journal of the Academy of Ophthalmology"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318262f14a"},{"key":"e_1_2_9_5_1","unstructured":"The University of Sydney \u201cMicrosurgical Skills 2024 \u201d2024 https:\/\/www.sydney.edu.au\/medicine\u2010health\/study\u2010medicine\u2010and\u2010health\/professional\u2010development\u2010and\u2010short\u2010courses\/ophthalmology\/microsurgical\u2010skills.html."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajoc.2019.100576"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2008.09.038"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2022-321135"},{"key":"e_1_2_9_9_1","first-page":"753","volume-title":"EdMedia\u2009+\u2009Innovate Learning 2022","author":"Gin C.","year":"2022"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000006342"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjophth-2024-001765"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-025-03942-8"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/17469899.2025.2476580"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2023.0091"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2010.200832"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2020.4718"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-020-1057-z"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000708"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2018.04.034"}],"container-title":["Clinical &amp; Experimental Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ceo.70035","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ceo.70035","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ceo.70035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T05:42:43Z","timestamp":1773207763000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ceo.70035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,2]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/ceo.70035"],"URL":"https:\/\/doi.org\/10.1111\/ceo.70035","archive":["Portico"],"relation":{},"ISSN":["1442-6404","1442-9071"],"issn-type":[{"value":"1442-6404","type":"print"},{"value":"1442-9071","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,2]]},"assertion":[{"value":"2025-10-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}