Retina Today - Iqbal Ike K. Ahmed, MD, FRCSC (April 2018)

摘要

Dr. Ahmed is well known as an innovator in anterior segment surgery, particularly in the area of microinvasive glaucoma surgery (MIGS)—a term that he coined—and he has contributed to the development of numerous devices for cataract and glaucoma surgery. In this interview, Dr. Ahmed talks about the advantages of looking from the outside in, finding the courage to challenge the system, and the importance of developing a mindset that is open to innovation. Interviewed by Laura Straub, CRST/CRST Europe Editor-in-Chief Nominated by the Chief Medical Editors of CRST BMC: Who or what drew you to ophthalmology? Iqbal Ike K. Ahmed, MD, FRCSC: I always wanted to a be a surgeon, even before medical school. My career was heading toward trauma or orthopedic surgery, but I happened to apply for a scholarship with Steve A. Arshinoff, MD, FRCSC, and he was my first glimpse into ophthalmology. He convinced me to look at ophthalmology seriously, instead of going into orthopedic surgery. Once I did that, I fell in love with the technical side of ophthalmology—the fine art of microsurgery. I thought, “Wow, this is like taking surgery to the next level.” BMC: Early in your career, who else were your big influences? Ahmed: My dad is a physician, so I grew up in a household where medicine was part of the family. I think that drew me toward the field. I would also say, being a brown immigrant kid, medicine was one of those noble professions that parents always tried to push their kids toward. That’s probably why you see a lot of brown doctors these days. That may also have been part of my upbringing, valuing medicine in general. BMC: What kind of physician is your father? Ahmed: He’s a psychiatrist, which is a very different area of medicine. But I think he was also always interested in ophthalmology. I remember him talking about it when I was a kid. BMC: What do you consider to be your greatest professional achievement so far? Ahmed: I would hope that my greatest achievement has been giving my colleagues the courage to challenge the system. In medicine in general, and certainly in ophthalmology, there’s a feeling of reserve when it comes to challenging norms. When I do things that challenge the norms, hopefully in a respectful way, and people see what I do, I hope it gives them the impetus to say, “Hey, I can be who I am and be successful at it, and I don’t have to feel as though I must be a conformer.” There are obviously many individual accomplishments that people talk to me about. Two things, one would be glaucoma surgery and MIGS. The second would be tackling the most complicated surgeries I could find. But on a more global level, it would be the mindset I mentioned. I see myself as advocating for change, for letting voices be heard, no matter who they are, and for having an open dialogue. That’s what I try to teach residents and medical students. I feel that our education system is too tilted toward rote memory and following standard mindless protocols. It doesn’t encourage people to think critically and analytically. Analytical and lateral thinking are lacking because people have not been brought up to think that way. They’re brought up to answer a quiz or an exam, list a bunch of differentials, and list steps 1 to 10 on how to do something. That’s a good way to start, but it doesn’t stop there. I’m the opposite. I don’t follow instruction very well, I don’t follow rules, and I challenge every step. I think analytically and laterally around different issues, and part of the reason is because of the way I was brought up. So I feel a responsibility to push for that kind of mentality, to allow us to innovate and change the way we do things to help our patients. That’s what drives me and what is important to me. BMC: What other changes are needed in ophthalmology right now? Ahmed:

机译：Ahmed博士是前节手术领域的创新者，特别是在微创性青光眼手术（MIGS）领域（他创造了这个名词），他为白内障和青光眼手术的众多设备的开发做出了贡献。在这次采访中，艾哈迈德（Ahmed）博士谈到了从外部进行观察的优势，发现挑战该系统的勇气以及培养对创新开放的思维方式的重要性。 CRST / CRST欧洲总编辑Laura Straub的采访（由CRST BMC首席医学编辑提名）：谁或什么吸引您进入眼科？ Iqbal Ike K. Ahmed，医学博士，FRCSC：我一直想当外科医师，甚至在读医学院之前。我的职业生涯即将走向创伤或骨科手术，但是我碰巧向FRCSC的医学博士Steve A. Arshinoff申请了奖学金，他是我第一次了解眼科。他说服我认真看眼科，而不是去骨科手术。一旦这样做，我就爱上了眼科的技术方面-显微外科技术。我以为，“哇，这就像把手术带到了一个新的高度。” BMC：在您职业生涯的早期，您还有哪些重要影响？艾哈迈德（Ahmed）：我父亲是一名医生，所以我在一个家庭中成长为药物的家庭中长大。我认为这吸引了我前往该领域。我还要说，作为棕色移民的孩子，医学是父母一直试图将孩子推向的崇高职业之一。这可能就是为什么您最近看到很多棕色医生的原因。这也许也是我成长过程中的一部分，他对医学总体上很看重。 BMC：你父亲是什么样的医生？艾哈迈德（Ahmed）：他是精神病医生，这是一个非常不同的医学领域。但是我认为他也一直对眼科感兴趣。我记得他小时候谈论过它。 BMC：您认为到目前为止，您最大的职业成就是什么？艾哈迈德（Ahmed）：我希望我最大的成就就是让我的同事有勇气挑战这一体系。在一般医学中，当然在眼科学中，在挑战规范时也会有所保留。当我做一些挑战规范的事情时，希望能以一种尊重的方式去做，并且人们看到我的所作所为，我希望这能使他们有动力说：“嘿，我可以成为我自己并在其中取得成功，而我不会不必觉得我必须是一个守规矩的人。”人们显然在谈论我个人的许多成就。两件事，一件事是青光眼手术和MIGS。第二个是解决我能找到的最复杂的手术。但是从更全球化的角度来看，这就是我提到的心态。我认为自己是在倡导变革，无论别人是谁，都希望让他们听到自己的声音，并进行公开对话。这就是我要教给居民和医学生的方法。我觉得我们的教育系统过于倾向于死记硬背，并遵循标准的无意识协议。它不会鼓励人们进行批判性和分析性思考。缺乏分析和横向思考，因为还没有长大人们以这种方式思考。他们长大后会回答测验或考试，列出一堆差异，并列出有关操作方法的第1步到第10步。这是一个很好的起点，但并不仅限于此。我是相反的。我没有很好地遵循指示，我没有遵循规则，并且挑战每一步。我从侧面和侧面分析不同的问题，部分原因是因为我的成长方式。因此，我有责任推动这种心态，让我们创新并改变我们为患者服务的方式。那就是驱动我，对我来说重要的。 BMC：眼科目前还需要其他哪些改变？艾哈迈德：

Retina Today - Iqbal Ike K. Ahmed, MD, FRCSC (April 2018)

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