Ah-Chan J J, Sanderson G, Vote B J, Molteno A C
Department of Ophthalmology, University of Otago Medical School, Dunedin, New Zealand.
Clin Exp Ophthalmol. 2001 Dec;29(6):416-25. doi: 10.1046/j.1442-9071.2001.d01-26.x.
To determine what New Zealand ophthalmologists, general practitioners and optometrists consider important ophthalmic topic areas requiring emphasis in the medical undergraduate curriculum.
A total of 793 questionnaires related to the content and teaching of undergraduate ophthalmology were sent to ophthalmologists, general practitioners and optometrists. Results were analysed separately for the three respondent groups and as a whole.
Four hundred and fourteen questionnaires were returned (52% return rate). Overall responses of the three participant groups were similar and agreed favourably with the current curriculum. The ability to measure visual acuity (97%) and pupillary reflexes (93%), perform ophthalmoscopy (92%), and assess visual fields (68%) were regarded as 'important or essential' by the majority of respondents. Only 53% of respondents consider the ability to diagnose chronic open angle glaucoma as important. The respondents stressed the importance of the diagnosis of predominantly anterior segment disease contrasting with the traditional bias towards the teaching of ophthalmoscopy and posterior segment disease. The majority of respondents stressed the importance of graduating medical students being able to treat bacterial and allergic conjunctivitis, styes, blepharitis, corneal abrasion, and corneal and conjunctival foreign bodies, areas present but not normally emphasized in current curricula.
The findings of this study provided additional data to facilitate curriculum design and illustrated the value of an integrated problem-based learning approach in ophthalmology undergraduate teaching.
确定新西兰眼科医生、全科医生和验光师认为在医学本科课程中需要重点强调的重要眼科主题领域。
共向眼科医生、全科医生和验光师发送了793份与本科眼科内容和教学相关的问卷。对三组受访者的结果分别进行了分析,并作为一个整体进行了分析。
共收回414份问卷(回复率为52%)。三组参与者的总体回答相似,并对当前课程表示认可。大多数受访者认为测量视力(97%)、瞳孔反射(93%)、进行检眼镜检查(92%)和评估视野(68%)的能力“重要或必不可少”。只有53%的受访者认为诊断慢性开角型青光眼的能力很重要。受访者强调了诊断主要为眼前节疾病的重要性,这与传统上偏向于检眼镜检查和眼后节疾病教学形成对比。大多数受访者强调了医学本科毕业生能够治疗细菌性和过敏性结膜炎、麦粒肿、睑缘炎、角膜擦伤以及角膜和结膜异物的重要性,这些领域在当前课程中存在但通常未得到强调。
本研究结果提供了更多数据以促进课程设计,并说明了基于问题的综合学习方法在眼科本科教学中的价值。