Trainees Survey in Sub-Saharan Africa

Current Ophthalmology Training	
1	What is your age?		
2	What is your gender?		
3	What level of training are you?	Year 1:	⃝	
		Year 2:	⃝	
		Year 3:	⃝	
		Year 4:	⃝	
		2016 graduate*	⃝	
		2015 graduate*	⃝	
		2014 graduate*	⃝	
4	What is/was the name of your Training Institution?		
5	Which Country do you currently work in?		
6	Current work status of graduates*: If you graduated between 2014 and 2016, what is your current work status?
(select any/all that apply)

Other:	Government hospital	⃝	
		Private practice	⃝	
		Mission hospital	⃝	
		Fellowship Training	⃝	
		Academic practice	⃝	
			
7	Are regular assessments of your surgical competency carried out during training?		

Ophthalmology Surgical Training Programme Satisfaction	
		Very Satisfied	Somewhat satisfied	Neutral	Somewhat dissatisfied	Very dissatisfied	Not Applicable	
8	What is your overall level of satisfaction with your ophthalmolgy  residency programme?	⃝	⃝	⃝	⃝	⃝	⃝	

How do you feel about your surgical operating experience in the following areas:							
9	Cataract case volume	⃝	⃝	⃝	⃝	⃝	⃝	
10	Non-Cataract case volume	⃝	⃝	⃝	⃝	⃝	⃝	
11	Non-Cataract case complexity/difficulty	⃝	⃝	⃝	⃝	⃝	⃝	
How do you feel about the quality of teaching/supervision in the following settings?							
12	Surgical dry-lab / wet-lab / skills centre	⃝	⃝	⃝	⃝	⃝	⃝	
13	Operating theatre	⃝	⃝	⃝	⃝	⃝	⃝	
14	Surgical outreach 	⃝	⃝	⃝	⃝	⃝	⃝	

Future Aspirations	
15	At this time, what is your career preference?	Academic, Cataract, Community, Cornea, General, Medical retina, Oculo-plastics, Paediatric & Strabismus, Vitreo-retinal, Other	
16	Where would you plan to mostly work (>50% of your time)?	University Teaching hospital, Government Hospital, Private practice, Mission hospital, Academic work, Community/Public Health	
17	What is the reason for this preference of work-place?		
18	Geographically, where would you plan to work?	Home country, city, rural area, abroad (state where).	
19	What is the reason for your preference?		

Current Simulation/Wet-lab/Dry-lab Surgical Training	
20	Is there a dry lab / simulation training centre / wet lab in your institution?		
21	Is there a specific dry lab / simulation training centre / wet lab training curriculum?		
22	How much time (during your training) do/did you spend in the dry lab / simulation training centre / wet lab? (Average number of hours per week)		
23	If you are/were supervised by a Consultant / Professor ophthalmologists when working in the dry lab / simulation training centre / wet lab in your institution, how much of the time were you supervised?		
24	If you are/were supervised by a Fellow / Senior Registrar ophthalmologists when working in the dry lab / simulation training centre / wet lab in your institution, how much of the time were you supervised?		
25	Is/was there an adequate supply of consumables in the dry lab / simulation training centre / wet lab in your institution?		
26	Is/was there an adequate availability of ophthalmic surgical instruments in the dry lab / simulation training centre / wet lab in your institution?		
27	Is/was there an adequate selection of educational materials (DVDs, books, manuals etc) in the dry lab / simulation training centre / wet lab in your institution?		

Current Surgical Training	
28	How many ECCE cataract surgeries should trainees perform by the end of their training (minimum number suggested for graduation)?		
29	How many SICS cataract surgeries should trainees perform by the end of each year of their training?		
30	How many Phaco cataract surgeries should trainees perform by the end of each year of their training?		
31	During training, are you required to use biometry on all cataract patients operated?		
32	How many Lid surgeries for trichiasis should trainees perform by the end of each year of their training?		
33	How many retinal laser procedures for diabetic retinopathy should trainees perform by the end of each year of their training?		
34	How many Trabeculectomy surgeries should trainees perform by the end of each year of their training?		
35	Do you have any further comments about the numbers of surgical procedures that trainees are required to perform by their end of the training (in your institution)?		

36-46  At the present time, are you confident in performing the following types of procedure independently?	
	Strongly agree	Slightly agree	Neutral	Slightly disagree	Strongly
Disagree	N/A	
SICS	⃝	⃝	⃝	⃝	⃝	⃝	
Anterior vitrectomy	⃝	⃝	⃝	⃝	⃝	⃝	
ECCE	⃝	⃝	⃝	⃝	⃝	⃝	
Phaco	⃝	⃝	⃝	⃝	⃝	⃝	
Paediatric cataract 	⃝	⃝	⃝	⃝	⃝	⃝	
Lid surgery	⃝	⃝	⃝	⃝	⃝	⃝	
Enucleation / evisceration	⃝	⃝	⃝	⃝	⃝	⃝	
Penetrating keratoplasty	⃝	⃝	⃝	⃝	⃝	⃝	
Trabeculectomy	⃝	⃝	⃝	⃝	⃝	⃝	
Squint surgery (recti)	⃝	⃝	⃝	⃝	⃝	⃝	
Retinal Laser	⃝	⃝	⃝	⃝	⃝	⃝	
Glaucoma Laser (Iridoplasty/ALT/SLT/Diode)	⃝	⃝	⃝	⃝	⃝	⃝	
47	Do you routinely monitor the outcomes (post-operative VA) of your cataract operations?		

48-60   During your training, what is the TOTAL number of procedures you have performed (as the PRIMARY SURGEON)?	
	Total number	N/A	
SICS		⃝	
ECCE		⃝	
Phaco		⃝	
Paediatric cataract 		⃝	
Lid surgery total		⃝	
Lid surgery specifically for trichaisis		⃝	
Enucleation / evisceration		⃝	
Exenteration		⃝	
Penetrating keratoplasty		⃝	
Trabeculectomy		⃝	
Squint surgery (recti)		⃝	
Retinal Laser		⃝	
Glaucoma Laser (Iridoplasty/ALT/SLT/Diode)		⃝	
61	Do you have any further comments about the numbers of procedures you have performed during training?		

62	If you think about the BEST surgical trainer you have had, what made her/him so good as a surgeon trainer? (in general terms, please don't mention any names|)		

63	If you think about the LEAST GOOD surgical trainer you have had, what made her/him so bad as a surgeon trainer? (in general terms, please don't mention any names)		

64	What is/was the part of your surgical training that you most feel needs improving?		

65	What is/was the best part of your training that you would replicate if setting up a training programme elsewhere?