Surgical Curriculum for Ophthalmology Residents (SCOR) Advanced Cataract and Anterior Segment Skills

Thank you to all the trainers and residents who participated in the March 24 and 25 AUPO SCOR Workshop in Las Vegas, Nevada!

The next SCOR workshop is scheduled for November 3 during the AAO 2023 Annual Meeting in San Francisco, California. The call for trainers and resident nominations will open this summer.

AUPO’s Surgical Curriculum for Ophthalmology Residents (SCOR) program is a unique opportunity for PGY4 residents to receive advanced, hands-on, one-on-one training in cataract and anterior segment skills. The program consists of three components: a skills transfer workshop, distance learning and assessments.

This page provides an overview of the AUPO SCOR program.

SCOR Program History

AUPO has been actively working on a standardized surgical curriculum for ophthalmology residents since 2018. The objective is to help programs achieve their goal of training residents who are expected to be competent in a broad range of basic and advanced surgical skills. These efforts were spurred by discussions with the American Board of Ophthalmology (ABO), ophthalmology chairs and residency program directors, along with encouragement from industry.

“The lab was fantastic. I think this is a terrific undertaking and the future potential seems incredible. I loved the one-on-one time with an attending.”

 - Michigan resident, May/June 2021

SCOR Program Mission

The mission of AUPO’s SCOR program is to provide a standardized system of surgical training and assessment of competency for ophthalmology residents.

Root Problems Addressed by the SCOR Program

  • The lack of a definition of surgical “competence” creates variability in proficiency among board certified ophthalmologists.
  • The lack of accessible educational resources to support surgical competency creates variability in skill sets among board certified ophthalmologists.
  • Variability of surgical competency among ophthalmology residents can lead to adverse patient outcomes.

New York Faculty: “Fantastic. The best wet lab for trainees I've ever attended or participated in.”

 - New York faculty, May/June 2021

SCOR Program Goals

To provide:

  • Equal opportunity for all ophthalmology residents to access outstanding, standardized surgical training and assessment
  • Access to multiple surgical platforms and training in basic and advanced surgical techniques
  • Equitable representation of equipment and supplies
  • Standardization of objective in-program and in-person assessment
  • Data-driven curriculum
  • Blended learning (online and in-person) and learner-centric design (built for residents)

Skills Covered

Phaco Lab

  • Small Pupil Management with Nuclear Disassembly with Quick Chop Technique
  • Stop and Chop with Zonulopathy and Placement of Sulcus IOL
  • Nuclear Disassembly with Quick Chop with IOL Explantation
  • Use of miLOOP to Fragment Lens
  • Anterior Vitrectomy and AC IOL Insertion

Advanced Anterior Segment Skills Lab

  • MIGS: Glaukos Istent; Alcon Hydrus; Omni Surgical; Kahook Dual Blade
  • Iris Repair and/or Intrascleral Haptic Fixation (ISHF) via the Yamane Technique

Advanced Suturing and Intraocular Knot Tying

  • Standard and slip knots with knot tying block with uneven knot tension
  • Dangle knot
  • Ogawa intraocular knot
  • Modified Ahmed-Siepser intraocular knot
  • Iridodialysis repair with iridodialysis repair model with horizontal mattress suture
  • Iris needle passes and tying
  • Torque-anti torque IOL placement principles
  • Scleral suture lens placement using gortex suture

Femtosecond Laser Assisted Cataract Surgery (FLACS)

  • Introduce the clinical scenarios where FLACS may be beneficial
  • Review the safety and efficacy of FLACS 
  • Learn and practice the steps of FLACS including docking, mapping via anterior segment imaging, centration, creation of incisions and capsulotomy, lens fragmentation and astigmatism correction on a simulated model

Online Resources

View the educational modules and resources available on the AUPO SCOR learning management system platform.

Upcoming SCOR Workshops

  • November 3, San Francisco, CA


The AUPO Surgical Curriculum for Ophthalmology Residents (SCOR) program is supported by educational grants from:

  • Alcon
  • Bausch + Lomb
  • Johnson & Johnson

SCOR Team Leaders

Shahzad Mian, MD, Director
Grace Sun, MD, Skills Transfer Team Leader
Stephen Armenti, MD, PhD, Trainer Team Leader
Yousuf Khalifa, MD, Learning Management System Leader
Seth Pantanelli, MD, MBA, Multimedia Committee Leader
Steven Feldon, MD, MBA, AUPO Executive Vice President

Many volunteers have contributed to the development of this program. Our deepest gratitude to all who have helped make the AUPO SCOR program a reality.


Contact the AUPO office at or (415) 561-8548.

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