眼科检查模拟器在提高家庭医生住院医师筛查糖尿病视网膜病变能力方面的临床效用。

The clinical utility of eye exam simulator in enhancing the competency of family physician residents in screening for diabetic retinopathy.

作者信息

Bukhari Amal A

机构信息

Ophthalmology Department, Faculty of Medicine, King Abdulaziz University, PO Box 80215, Jeddah 21589, Kingdom of Saudi Arabia. Tel. +966 (12) 6408222. E-mail.

出版信息

Saudi Med J. 2014 Nov;35(11):1361-6.

PMID:25399213

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4362141/

Abstract

OBJECTIVES

To evaluate the utility of eye exam simulators in the training and assessment of family medicine residents for screening diabetic retinopathy (DR) utilizing direct ophthalmoscopy (DO).

METHODS

This prospective, single arm, cross-sectional study was conducted at King AbdulAziz University Hospital, Jeddah, Kingdom of Saudi Arabia in April 2013, wherein the final year family medicine residents of the Saudi Board family medicine training program, underwent a practical session on DO using an eye exam simulator. The cognitive and motor skills of the participating family residents in performing DO, and their competency at diagnosing DR was assessed before, and after a practical session with the eye simulator.

RESULTS

A total of 14 out of total 20 final year residents consented to join the study. Of these, 57.1% were females. A total of 42.9% (6/14) showed initial motor skill competency, and 35.7% showed cognitive skill competency to diagnose DR. Before the session on the eye simulator, merely 7.1% of the residents expressed confidence in performing DO. After the practical session, 78.6% (11/14) showed motor, and 64.3% (9/13) showed cognitive skill competency, in diagnosing DR. A total of 50% were adequately confident in performing DO. A total of 71.4% (10/14) of the residents preferred learning DO via simulation practical sessions than clinical rotation in ophthalmology clinics.

CONCLUSION

Eye exam simulators are good tools in learning and assessment of DO skills leading to significant improvement in the efficiency and confidence of family physicians in screening for DR.

摘要

目的

评估眼科检查模拟器在培训和评估家庭医学住院医师使用直接检眼镜筛查糖尿病视网膜病变（DR）方面的效用。

方法

2013年4月在沙特阿拉伯王国吉达的阿卜杜勒阿齐兹国王大学医院进行了这项前瞻性、单臂横断面研究，沙特委员会家庭医学培训项目的最后一年家庭医学住院医师使用眼科检查模拟器进行了一次直接检眼镜的实践课程。在使用眼科模拟器进行实践课程之前和之后，评估参与的家庭住院医师在进行直接检眼镜检查时的认知和运动技能，以及他们诊断DR的能力。

结果

20名最后一年住院医师中共有14名同意参加该研究。其中，57.1%为女性。共有42.9%（6/14）表现出初始运动技能能力，35.7%表现出诊断DR的认知技能能力。在眼科模拟器课程之前，只有7.1%的住院医师表示对进行直接检眼镜检查有信心。实践课程之后，78.6%（11/14）表现出诊断DR的运动技能能力，64.3%（9/13）表现出认知技能能力。共有50%的人对进行直接检眼镜检查有足够的信心。共有71.4%（10/14）的住院医师更喜欢通过模拟实践课程而不是眼科诊所的临床轮转来学习直接检眼镜检查。