MacLean Kyle, Hindman Holly B
University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
The Flaum Eye Institute, University of Rochester, Rochester, NY, USA ; Center for Visual Science, University of Rochester, Rochester, NY, USA.
Clin Ophthalmol. 2014 Nov 27;8:2397-401. doi: 10.2147/OPTH.S71724. eCollection 2014.
To assess medical student ophthalmic educational exposure and service provided through the University of Rochester's UR Well Eye Care (URWEC) program, a student-run initiative in which medical students provide supervised eye care to an uninsured urban population.
Retrospective chart review.
Consecutive patients seen at the student-run URWEC in Rochester, NY, USA between June 2008 and June 2013.
One hundred and forty-five of 148 charts of consecutive patients seen at URWEC over the 5-year period were identified and reviewed. Data on patient demographics, reason for visit, history, examination, diagnoses, and management were collected into a database.
Main outcome measures included reasons for referral, student performance of ophthalmic examination components, ophthalmic diagnoses, and hours of volunteer service rendered.
Patients came from a variety of countries and educational and racial backgrounds. The most common reason for referral to URWEC was diabetic screening eye exams (66/145, 46%). Student volunteers performed the following examination components in 79%-100% of visits under direct supervision of an attending ophthalmologist: visual acuity, pupils, extraocular movements, confrontation visual fields, intraocular pressure, drop administration, slit-lamp examination, and dilated fundoscopic exam. The most common diagnosis other than refractive error was cataract (29/145, 20%). Almost half of patients (66/145, 46%) were diagnosed with potentially vision-threatening conditions. Six hundred and thirty hours of community service were rendered by students and attending ophthalmologists during the 5-year period.
Student-run eye clinics provide a longitudinal setting where students can receive one-on-one training with attending ophthalmologists, attain a broad clinical exposure, and provide a needed service in their communities.
评估罗切斯特大学的UR健康眼保健（URWEC）项目所提供的医学生眼科教育机会及服务。该项目由学生主导，医学生在其中为未参保的城市人口提供受监督的眼保健服务。
回顾性病历审查。
2008年6月至2013年6月期间在美国纽约州罗切斯特由学生运营的URWEC诊所就诊的连续患者。
在这5年期间，从URWEC连续就诊患者的148份病历中识别并审查了145份。将患者人口统计学信息、就诊原因、病史、检查、诊断和治疗信息收集到一个数据库中。
主要观察指标包括转诊原因、学生进行眼科检查项目的情况、眼科诊断以及提供的志愿服务时长。
患者来自不同国家、具有不同教育背景和种族背景。转诊至URWEC最常见的原因是糖尿病筛查眼科检查（66/145，46%）。在眼科主治医生的直接监督下，学生志愿者在79% - 100%的就诊中完成了以下检查项目：视力、瞳孔、眼球运动、对侧视野、眼压测量、滴眼剂给药、裂隙灯检查和散瞳眼底检查。除屈光不正外，最常见的诊断是白内障（29/145，20%）。几乎一半的患者（66/145，46%）被诊断患有可能威胁视力的疾病。在这5年期间，学生和眼科主治医生提供了630小时的社区服务。
由学生运营的眼科诊所提供了一个长期的环境，学生可以在此与眼科主治医生进行一对一培训，获得广泛的临床经验，并为所在社区提供所需服务。
