Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026
Trends in retinopathy of prematurity (ROP) training and future practice intentions among retina and pediatric ophthalmology fellows.
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Daniel Yannet, Young Benjamin K, Besirli Cagri G, Eton Emily A
Аннотация
PURPOSE: To assess the perspectives of pediatric ophthalmology and retina fellows on retinopathy of prematurity (ROP) training in fellowship and future ROP practice intentions.
METHODS: A 16-item web-based questionnaire was administered to pediatric ophthalmology, medical retina, and vitreoretinal surgery fellows completing fellowships between 2021 and 2023.
RESULTS: A total of 74 participants responded from 142 programs contacted, a 12% response rate. Sixty-three fellows (91%) received ROP training in fellowship, though the exposure to various training components differed between pediatric ophthalmology and retina fellowships (P = 0.002). Screening examinations were performed by 100% and 68% of pediatric ophthalmology and retina fellows, respectively. The most common ROP treatment modality encountered was laser/cryotherapy across both groups, but at different rates for pediatric ophthalmology (n = 18 [72%]) and retina fellowships (n = 36 [95%]). Overall, only 7 fellows (10%) had telemedicine incorporated into their training. Pediatric ophthalmology fellows were more likely than retina fellows to indicate intent to incorporate ROP care in future practice (68% vs 30% [P = 0.004]). Thirty-nine fellows (57%) were either unsure or did not plan to provide ROP care, most commonly citing liability concerns (n = 12, 28%) as the reason.
CONCLUSIONS: Although most fellows are trained in some aspect of ROP care, discrepancies remain in training across subspecialties, and few trainees have exposure to telemedicine. Continued efforts should be made to improve ROP training in fellowship to reflect the changing nature of the field.
METHODS: A 16-item web-based questionnaire was administered to pediatric ophthalmology, medical retina, and vitreoretinal surgery fellows completing fellowships between 2021 and 2023.
RESULTS: A total of 74 participants responded from 142 programs contacted, a 12% response rate. Sixty-three fellows (91%) received ROP training in fellowship, though the exposure to various training components differed between pediatric ophthalmology and retina fellowships (P = 0.002). Screening examinations were performed by 100% and 68% of pediatric ophthalmology and retina fellows, respectively. The most common ROP treatment modality encountered was laser/cryotherapy across both groups, but at different rates for pediatric ophthalmology (n = 18 [72%]) and retina fellowships (n = 36 [95%]). Overall, only 7 fellows (10%) had telemedicine incorporated into their training. Pediatric ophthalmology fellows were more likely than retina fellows to indicate intent to incorporate ROP care in future practice (68% vs 30% [P = 0.004]). Thirty-nine fellows (57%) were either unsure or did not plan to provide ROP care, most commonly citing liability concerns (n = 12, 28%) as the reason.
CONCLUSIONS: Although most fellows are trained in some aspect of ROP care, discrepancies remain in training across subspecialties, and few trainees have exposure to telemedicine. Continued efforts should be made to improve ROP training in fellowship to reflect the changing nature of the field.