There are many super-speciality eye hospitals which provide Cataract Surgery training to the new ophthalmologist coming to ophthalmology practice. These training courses are for Small Incision Cataract surgery ( SICS) and Phacoemulsification. Type of cataract surgery training in India.
Why are you going for cataract surgery training?
In spite of the facts that you have completed your ophthalmology degree, doesn’t automatically means you should go for cataract surgery. Cataract surgery training, however good it might be, does not make you a good cataract surgeon. Later is a journey not a destination. A cataract surgery training might well be the beginning of that long journey. Make sure everything else is in order before you start it. You should ensure that, you will continue to have opportunity to operate cases regularly once you finish your training. If that is not the case, training in itself will not help you much. The most important question is “are you in position to make best of your training.
It is not the hands on few cases in training, but the continuous practice after the end of training, that will help.
Timing of training, in your career.
All surgical training involves a training surgeon supervising the surgery of a trainee surgeon. A fixed numbers of cases are promised during the tenure of the training, but the general rule is “more you can do, more you get”. So a trainee surgeon well trained in the use of operating microscopes and machines, having a good hand to eye co-ordination and well versed with steps of the surgery, will gain far more out of training than one who has poor hand to eye co-ordination, struggles with the settings of microscope and is totally oblivious to the surgical steps. Poorly organized trainee surgeons are asked to start a case, but soon find themselves assisting the training surgeon, who overtake them for the concern of patients safety. So you make sure that you are actually “’ trainable” before you apply for a training course.
What is offered in cataract surgery training courses
Most of the centres offer cataract surgery training in Small Incision Cataract surgery ( SICS) and Phacoemulsification. The training in Phacoemulsification is most sought after among the trainee surgeon.
- Phacoemulsification ( Phaco).
- Small Incision Cataract surgery ( SICS) .
- Femto assisted cataracts surgery ( FALC).
Most of the training centers have a training schedule design to accommodate surgeons coming with diverse level of surgical skills, which include those who have little or no exposure to cataract surgery. So the schedules include classes discussing basic anatomy and surgical steps and basic ophthalmology, which you may not find quite appealing. Actual “hands on” the cases is only small fractions of the training.
- Interactive lectures .
- Observing the senior surgeons perform surgeries.
- Wet lab training on animal eyes.
- Enhanced training on the virtual reality module.
- Augmentation of OPD skills e.g., Gonioscopy and Indirect Ophthalmology.
The Candidates are taught the basics and
techniques of Small Incision Cataract surgery ( SICS) and Phacoemulsification
in a structured manner. The trainee ophthalmologists are first familiarized
with the techniques through lectures by hingly experienced senior consultants about
the machine, steps in surgery, the pre and postoperative care of the patients.
Then the doctors observe senior consultants and other trainees operate upon
patients there by learning first-hand how to hold the instrument, seating
posture, adjusting microscope, phaco machine etc.
The candidate are than given
many independent Small Incision Cataract surgery ( SICS) and Phacoemulsification
cases. The candidate can also see the post operative patients to assess the
success of their operations.
In the final stage each trainee ophthalmologists
operates under supervision and learn the
nuances of Small Incision Cataract surgery ( SICS) and Phacoemulsification.The surgery
is preformed with live records to enable review and correction wherever
necessary. The trainer is present at all times during the Surgery to impart necessary skill to the trainee ophthalmologists.
The trainee is also trained in preoperative assessment and postoperative management of the patients. In the event of a complication the trainee will assist the trainer to learn it is being managed with post operative care. The candidate will be provided a Log Book where they can record all their cases, complications, and other details.
Educational Qualification joining these courses ?
If you are MS/ MD in ophthalmology from a MCI recognized medical institution in India , and you are registered with MCI for practice of ophthalmology in India, than you can be a candidate for training. Some institutions accept DOMS doctors a candidates. Foreign nationals with MCI recognized medical degree and have temporary registration with MCI are also accepted.
Most of the institutions insist for a No Objection Certificate from the employer at the time of interview and have the relevant certificates in the original.
Most institutions select the candidates on first cum first serve basis or a personal interview. Institutions like Sankar Netralaya have a selection exam to decide the candidates for training.
Cataract Surgery Training Centers in India
The purpose of the training is to learn tracts of the trade, so that you can operate cases without complications. It is also an opportunity to find a mentor who can advise you at every turn of your professional career. Select the institution and the trainer cautiously, and do not get overwhelmed by someone offering more case in less time.
Duration of training courses
The training duration range from 2 weeks to 2 months. It depends upon the number of cases you will get to operate. A trainee gets around one to two cases per day. Initial one week is allocated
As a general rule, longer a training you can afford, better it is. It gives you opportunity to learn about practice habits, organizational skills and work culture . Anyone offering training in duration less than 15 days can be easily avoided .
Cost of the training
30,000 to 60,000 INR
It depend upon the duration of training and the number of cases given to the candidate in the training. Cost of phaco training is higher than the SICS training.