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Am J Med Qual. 2013 May-Jun;28(3):250-5. doi: 10.1177/1062860612456069. Epub 2012 Aug 13.

Do ophthalmology training programs affect corrective procedure rates after cataract surgery?

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  • 1Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA. Dustin.French2@va.gov


The Veterans Health Administration (VHA) plays a major role in training surgeons in the United States. This study examined the rates of corrective procedures after routine cataract surgery stratified for VHA institutions according to the presence or absence of ophthalmology training programs. There was a wide range of rates of corrective surgeries in the 111 centers that performed cataract surgery. VHA medical centers affiliated with training programs had nearly twice the rates of corrective surgery after cataract extraction than those institutions without such programs. Variation in secondary procedure rates has implications for the development of quality improvement in ophthalmology.


ophthalmology medical ethics; patient safety; public health; quality

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