Khan A K, Hussain A Z M I
Department of Ophthalmology, Gonosayastha Somaj Vittik Medical College, Savar & Dhanmondi, Dhaka.
Bangladesh Med Res Counc Bull. 2012 Aug;38(2):51-8. doi: 10.3329/bmrcb.v38i2.12881.
The curriculum represents the expression of educational ideas in practice. Ophthalmic education is the corner stone to improve eye care globally. Curriculum needs continuous modification varying in different geographic locations. Though 90% of common conditions are either preventable or curable but emphasis on the common conditions is inadequate. This is a stepwise descriptive study aiming to develop a community based ophthalmology curriculum for undergraduate medical course in Bangladesh conducted during March 2007 to February 2008 at UniSA School of Public Health and Life Sciences, University of South Asia, Banani, Dhaka. Delphi technique, a modified qualitative method was used to accumulate data and reaching a consensus opinion for developing the curriculum. Study approach includes two iterative rounds and finally a workshop. Iteration of round-I was "What are the eye diseases with overall knowledge of their management one MBBS physician should acquire"; followed by a list of eye diseases and topics for expert opinion. The response was collated. Iteration round-II was "How much a MBBS student should have percentage of knowledge, attitude and skills on each topic while being taught". The response was collated and presented to panel of expert ophthalmologists for discussion and validation. In the round-I Delphi, 400 (62%) out to total 641 ophthalmologist were randomly selected dividing in categories (62% in each) of Professor-22, Associate Professor-12, Assistant Professor-26, Consultant-27, ophthalmologists working in NGO-56 and ophthalmologists in private sector-257. Sixty (15%) responded with opinion. In the round-II, 200 (31%) including 60 of round-I, selected randomly but proportionately as before. Forty five (22.5%) responded with opinion. Result collated. The results and opinion of respondents were presented at a workshop attended by 24 (80%), out of 30 invited expert ophthalmic specialists for discussion, criticism, opinion, addition, modification and finally for validation. On the basis of the opinion of the respondents, reviewing literature, analyzing the ocular disease pattern in Bangladesh and also analyzing the present ophthalmology curriculum, a community and need based ophthalmology curriculum for undergraduate medical course in Bangladesh was developed. This research would help developing community and need based ophthalmology curriculum for undergraduate medical course in Bangladesh.
该课程代表了教育理念在实践中的体现。眼科教育是全球改善眼保健的基石。课程需要不断修改，在不同地理位置有所差异。尽管90%的常见眼病是可预防或可治愈的，但对常见眼病的重视程度不足。这是一项逐步描述性研究，旨在为孟加拉国本科医学课程制定基于社区的眼科课程，于2007年3月至2008年2月在达卡巴纳尼的南亚大学公共卫生与生命科学学院进行。采用德尔菲技术，一种改良的定性方法来收集数据并就课程开发达成共识意见。研究方法包括两轮迭代，最后举办一次研讨会。第一轮迭代是“一名医学学士医生应该掌握哪些眼病及其总体管理知识”；随后列出眼病清单和供专家发表意见的主题。对回复进行了整理。第二轮迭代是“医学学士学生在接受每个主题教学时应具备的知识、态度和技能的百分比是多少”。对回复进行了整理并提交给眼科专家小组进行讨论和验证。在第一轮德尔菲调查中，从总共641名眼科医生中随机抽取400名（62%），分为教授22名（各占62%）、副教授12名、助理教授26名、顾问27名、在非政府组织工作的眼科医生56名和私营部门眼科医生257名等类别。60名（15%）回复了意见。在第二轮中，随机抽取200名（31%），包括第一轮的60名，与之前一样按比例抽取。45名（22.5%）回复了意见。对结果进行了整理。将受访者的结果和意见在一次研讨会上展示，30名受邀的眼科专家中有24名（80%）出席，进行讨论、批评、发表意见、补充、修改并最终进行验证。根据受访者的意见、查阅文献、分析孟加拉国的眼病模式以及分析当前的眼科课程，为孟加拉国本科医学课程制定了基于社区和需求的眼科课程。这项研究将有助于为孟加拉国本科医学课程制定基于社区和需求的眼科课程。
