Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
Self-Efficacy Perceptions of Ophthalmology Residents on Cataract Surgery: A Qualitative Case Study
Göz Hastalıkları Asistanlarının Katarakt Cerrahisi Üzerine Öz Yeterlik Algıları: Nitel Bir Olgu Çalışması
Hale CEPEa , Bilge DELİBALTAb , Hidayet ERDÖLc
aKaradeniz Technical University Faculty of Medicine, Trabzon, Türkiye
bKaradeniz Technical University Faculty of Medicine, Department of Medical Education, Trabzon, Türkiye
cKaradeniz Technical University Faculty of Medicine, Department of Ophthalmology, Trabzon, Türkiye
Turkiye Klinikleri J Med Ethics. 2025;33(1):1-7
doi: 10.5336/mdethic.2024-103905
Article Language: EN
Full Text
ABSTRACT
 Cataracts continue to be an important cause of blindness in the world. The unique treatment of cataract is surgery. Self-efficacy plays an important role in learning new skills and knowledge. Since surgical outcomes depend on the skills and confidence of the ophthalmologist who performed the operation, it carries a crucial role in improving self-efficacy in ophthalmology residents. The aim of the study is to reveal ophthalmology residents' self-efficacy and needs in cataract surgery in a university hospital. Qualitative research designed to reveal ophthalmology residents' self-efficacy in cataract surgery. Individual interviews were conducted with 7 residents and one expert. The interviews were held between April and May 2023. Four themes emerged after thematic analysis. 1) The value of cataract surgery for ophthalmology residents; 2) The factors affecting self-efficacy; 3) The structure of postgraduate medical education in ophthalmology; 4) The role of self-directed learning on self-efficacy in postgraduate medical education. The results show that cataract surgery is the major surgery for residents and experts for an ophthalmologist. The self-efficacy perceptions are based on the cataract surgery number which primarily residents managed. The international recommendations on the number of cataract surgeries for ophthalmology training were similar to residents' expectations. The structure of ophthalmology residency may need to be considered again. Self-directed learning is one of the factors affecting self-efficacy in residents. Simulation-based training in residents training may be the best way to ensure gaining and assessing competency in cataract surgery.

Keywords: Self-efficacy; residency; medical education; professionalism
ÖZET
 Katarakt dünyada körlüğün önemli bir nedenidir ve tek tedavisi ameliyattır. Ameliyat sonuçları, ameliyatı gerçekleştiren cerrahın becerisi ve kendine olan güvenine bağlı olduğundan, oftalmoloji asistanlarının öz yeterliliğini artırmada katarakt cerrahisi becerisinin kazandırılması önemli bir rol oynamaktadır. Araştırmanın amacı bir üniversite hastanesinde göz hastalıkları asistanlarının katarakt cerrahisi konusundaki öz yeterliliklerini ve ihtiyaçlarını ortaya koymaktır. Oftalmoloji asistanlarının katarakt ameliyatındaki öz yeterliliğini ortaya çıkarmak için nitel desende bir araştırma tasarlanarak 7 asistan ve bir uzmanla bireysel derinlemesine görüşmeler gerçekleştirilmiştir. Tematik analiz sonucunda 4 tema ortaya çıkmıştır. 1) Göz hastalıkları asistanları için katarakt ameliyatının değeri; 2) Öz yeterliliği etkileyen faktörler; 3) Oftalmolojide mezuniyet sonrası tıp eğitiminin yapısı; 4) Mezuniyet sonrası tıp eğitiminde öz yeterlilik üzerinde kendi kendine öğrenmenin rolü. Sonuçlar katarakt ameliyatının asistanlar ve uzmanlar için bir göz doktoru için en önemli ameliyat olduğunu göstermektedir. Öz yeterlik algıları öncelikle asistanların yönettiği katarakt ameliyatı sayısına dayanmaktadır. Oftalmoloji eğitimi için katarakt ameliyatı sayısına ilişkin uluslararası öneriler, asistanların beklentilerine benzerlik göstermektedir. Öz yönetimli öğrenme, asistanların öz yeterliliğini etkileyen faktörlerden biridir. Asistan eğitiminde simülasyona dayalı eğitim, katarakt cerrahisinde yeterliliğin kazanılması ve değerlendirilmesi için önerilmektedir.

Anahtar Kelimeler: Öz yeterlik; asistanlar; tıp eğitimi; profesyonellik
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