title: Cost analysis of objective resident cataract surgery assessments.
abstract: OBJECTIVE
  To compare 8 ophthalmology resident surgical training tools to determine which is most cost effective.
  
  
  METHODS
  University of Rochester Medical Center, Rochester, New York, USA.
  
  
  METHODS
  Retrospective evaluation of technology.
  
  
  METHODS
  A cost-analysis model was created to compile all relevant costs in running each tool in a medium-sized ophthalmology program. Quantitative cost estimates were obtained based on cost of tools, cost of time in evaluations, and supply and maintenance costs.
  
  
  RESULTS
  For wet laboratory simulation, Eyesi was the least expensive cataract surgery simulation method; however, it is only capable of evaluating simulated cataract surgery rehearsal and requires supplementation with other evaluative methods for operating room performance and for noncataract wet lab training and evaluation. The most expensive training tool was the Eye Surgical Skills Assessment Test (ESSAT). The 2 most affordable methods for resident evaluation in operating room performance were the Objective Assessment of Skills in Intraocular Surgery (OASIS) and Global Rating Assessment of Skills in Intraocular Surgery (GRASIS).
  
  
  CONCLUSIONS
  Cost-based analysis of ophthalmology resident surgical training tools are needed so residency programs can implement tools that are valid, reliable, objective, and cost effective. There is no perfect training system at this time.
authors.affiliation: From the University of Rochester School of Medicine and Dentistry (Nandigam, Soh), Flaum Eye Institute (Gensheimer), and Department of Urology (Ghazi), University of Rochester Medical Center, Rochester, New York, and Emory University (Khalifa), Atlanta, Georgia, USA.
authors.forename: Kiran
authors.initials: K
authors.lastname: Nandigam
authors.affiliation: From the University of Rochester School of Medicine and Dentistry (Nandigam, Soh), Flaum Eye Institute (Gensheimer), and Department of Urology (Ghazi), University of Rochester Medical Center, Rochester, New York, and Emory University (Khalifa), Atlanta, Georgia, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Soh
authors.affiliation: From the University of Rochester School of Medicine and Dentistry (Nandigam, Soh), Flaum Eye Institute (Gensheimer), and Department of Urology (Ghazi), University of Rochester Medical Center, Rochester, New York, and Emory University (Khalifa), Atlanta, Georgia, USA.
authors.forename: William G
authors.initials: WG
authors.lastname: Gensheimer
authors.affiliation: From the University of Rochester School of Medicine and Dentistry (Nandigam, Soh), Flaum Eye Institute (Gensheimer), and Department of Urology (Ghazi), University of Rochester Medical Center, Rochester, New York, and Emory University (Khalifa), Atlanta, Georgia, USA.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Ghazi
authors.affiliation: From the University of Rochester School of Medicine and Dentistry (Nandigam, Soh), Flaum Eye Institute (Gensheimer), and Department of Urology (Ghazi), University of Rochester Medical Center, Rochester, New York, and Emory University (Khalifa), Atlanta, Georgia, USA. Electronic address: yousuf.khalifa@emory.edu.
authors.forename: Yousuf M
authors.initials: YM
authors.lastname: Khalifa
mesh_terms: D002387:Cataract Extraction / Q000191:economics* / Q000193:education*; D002983:Clinical Competence / Q000191:economics*; D003365:Costs and Cost Analysis; D004503:Education, Medical, Graduate / Q000191:economics / Q000379:methods; D004521:Educational Measurement / Q000379:methods*; D006801:Humans; D007396:Internship and Residency; D009885:Ophthalmology / Q000193:education*; D012189:Retrospective Studies