Eze Boniface I, Oguego Ngozi C, Uche Judith N, Shiwoebi Jude O, Mba Chibuike N
Department of Ophthalmology, University of Nigeria Teaching Hospital (UNTH), PMB 01139, Ituku-Ozalla, Enugu, Nigeria.
Middle East Afr J Ophthalmol. 2012 Jan;19(1):135-40. doi: 10.4103/0974-9233.92130.
To compare the skills and knowledge of clinical ophthalmology among medical interns in Enugu, Nigeria, to the recommendations of the International Council of Ophthalmology (ICO).
A questionnaire-based cross-sectional survey was conducted of Medical Interns attending the University of Nigeria Teaching Hospital and Enugu State University Teaching Hospital, from April 2010 to June 2010. Data on cohort demographics, undergraduate ophthalmology exposure, clinical skills and diagnostic competencies were collected and analyzed. Statistical significance was indicated by P < 0.05.
The cohort comprised 81 males and 48 females (sex ratio = 1.7 : 1), aged 21-35 years (mean: 26.8 ± 2.4 years). The gender difference was significant (P < 0.05). The response rate was 88.7%. The duration of undergraduate ophthalmology exposure ranged from 1 to 4 weeks. Exposure was often adequate in cornea/external eye (95.3%), lens/cataract (95.3%) and glaucoma (92.2%); but not in vitreo-retinal disease (47.3%), neuro-ophthalmology (45.7%) and refractive surgery (0.0). The majority were competent at visual acuity testing (97.7%) and visual field examination (93.0%). There was lower competency at anterior chamber assessment (49.6%) and slit-lamp examination (39.5%). The majority could confidently diagnose conjunctivitis (96.1%) and cataract (90.7%), but not strabismus (42.6%) or macular degeneration (20.2%).
Medical interns in Enugu displayed gaps in their undergraduate ophthalmology exposure, clinical knowledge and skills. This has implications for stakeholders in medical education and eye care delivery. Review of the curriculum, provision of training resources and compliance with ICO guidelines could address the deficiencies.
比较尼日利亚埃努古市医学实习生的临床眼科技能和知识与国际眼科理事会（ICO）的建议。
2010年4月至2010年6月，对尼日利亚大学教学医院和埃努古州立大学教学医院的医学实习生进行了一项基于问卷的横断面调查。收集并分析了有关队列人口统计学、本科眼科接触情况、临床技能和诊断能力的数据。P < 0.05表示具有统计学意义。
该队列包括81名男性和48名女性（性别比 = 1.7 : 1），年龄在21 - 35岁之间（平均：26.8 ± 2.4岁）。性别差异具有统计学意义（P < 0.05）。应答率为88.7%。本科眼科接触时间为1至4周。在角膜/外眼（95.3%）、晶状体/白内障（95.3%）和青光眼（92.2%）方面的接触通常足够；但在玻璃体视网膜疾病（47.3%）、神经眼科（45.7%）和屈光手术（0.0）方面不足。大多数人在视力测试（97.7%）和视野检查（93.0%）方面表现合格。在前房评估（49.6%）和裂隙灯检查（39.5%）方面能力较低。大多数人能够自信地诊断结膜炎（96.1%）和白内障（90.7%），但不能诊断斜视（42.6%）或黄斑变性（20.2%）。
埃努古市的医学实习生在本科眼科接触、临床知识和技能方面存在差距。这对医学教育和眼保健服务的利益相关者具有影响。审查课程、提供培训资源以及遵守ICO指南可以解决这些不足。
