住院医师培训评估与依从性设计研究：年轻眼科医生对其住院医师培训项目的看法——临床和手术技能
Residency evaluation and adherence design study: Young ophthalmologists' perception of their residency programs - Clinical and surgical skills.
作者信息
Gogate Parikshit, Biswas Partha, Natarajan Sundaram, Ramamurthy Dandapani, Bhattacharya Debashish, Golnik Karl, Nayak Barun Kumar
机构信息
All India Ophthalmology Society, New Delhi; Padmashree Dr D Y Patil Medical College; Dr. Gogate's Eye Clinic, Community Eye Care Foundation, Pune, Maharashtra, India.
All India Ophthalmology Society, New Delhi; BB Eye Foundation, Kolkata, West Bengal, India.
出版信息
Indian J Ophthalmol. 2017 Jun;65(6):452-460. doi: 10.4103/ijo.IJO_643_16.
BACKGROUND
Residency training is the basis of good clinical and surgical practice.
PURPOSE
The aim is to know the demographics, training experience, and perception of young ophthalmologists to improve the present residency programs in India.
SETTING
Young ophthalmologists trained in India.
METHODS
A survey was conducted by the Academic and Research Committee of the All India Ophthalmology Society, in 2014-2016 of young ophthalmologists (those trained between 2002 and 2012, with 2-10 years' postresidency experience) to gauge teaching of clinical and surgical skills during the postgraduate residency program.
STATISTICAL ANALYSIS
Statistical Package for Social Sciences version 16.
RESULTS
Of the 1005 respondents, 531 fulfilled inclusion criteria. Average age was 32.6 years (standard deviation [SD] 4). On a scale of 0-10, clinical skills teaching was graded as (mean, SD): Slit lamp examination (7.2, SD 2.8), indirect ophthalmoscopy (6.2, SD 3.3), gonioscopy (5.7, SD 3.4), perimetry (6.2, SD 3.2), optical coherence tomography (4.6, SD 4), and orthoptic evaluation (4.3, SD 3.1). The mean (SD) and median of surgeries performed independently was intracapsular cataract extraction 3.0 (14.9), 0; extracapsular cataract extraction 39.9 (53.2), 18; small incision cataract surgery 75.3 (64.4), 55; phacoemulsification 30 (52.6), 1; pterygium excision 31.5 (43.5), 15; dacryocystectomy 20.3 (38.1), 4; dacryocystorhinostomy 11.7 (26.2), 2; chalazion 46.4 (48.3), 30; trabeculectomies 4 (14.9), 0; strabismus correction 1.4 (4.9), 0; laser-assisted in situ Keratomileusis 1.5 (12.2), 0; retinal detachment 1.5 (12.5), 0; vitrectomy 3.0 (17.0), 0; keratoplasty 5.2 (17.8), 0; eyelid surgery 8.6 (18.9), 2 and ocular emergencies 41.7 (52.4), 20. Observed and assisted surgeries were more common. However, the range of grading was 0-10 in all categories.
CONCLUSION
Residency training in India varies considerably from program to program. Standardization is needed to assure all graduates are competent and render consistent quality of service.
背景
住院医师培训是良好临床和外科实践的基础。
目的
旨在了解年轻眼科医生的人口统计学特征、培训经历及看法，以改进印度目前的住院医师培训项目。
地点
在印度接受培训的年轻眼科医生。
方法
全印度眼科学会学术与研究委员会于2014 - 2016年对年轻眼科医生（2002年至2012年接受培训，毕业后有2 - 10年经验）进行了一项调查，以评估研究生住院医师培训项目期间临床和手术技能的教学情况。
统计分析
使用社会科学统计软件包第16版。
结果
1005名受访者中，531人符合纳入标准。平均年龄为32.6岁（标准差[SD]4）。在0 - 10分的评分中，临床技能教学评分（均值，SD）为：裂隙灯检查（7.2，SD 2.8），间接检眼镜检查（6.2，SD 3.3），前房角镜检查（5.7，SD 3.4），视野检查（6.2，SD 3.2），光学相干断层扫描（4.6，SD 4），以及斜视评估（4.3，SD 3.1）。独立完成手术的均值（SD）和中位数分别为：囊内白内障摘除术3.0（14.9），0；囊外白内障摘除术39.9（53.2），18；小切口白内障手术75.3（64.4），55；超声乳化白内障吸除术30（52.6），1；翼状胬肉切除术31.5（43.5），15；泪囊摘除术20.3（38.1），4；泪囊鼻腔吻合术11.7（26.2），2；睑板腺囊肿切除术46.4（48.3），30；小梁切除术4（14.9），0；斜视矫正术1.4（4.9），0；准分子激光原位角膜磨镶术1.5（12.2），0；视网膜脱离修复术1.5（12.5），0；玻璃体切除术3.0（17.0），0；角膜移植术5.2（17.8），0；眼睑手术8.6（18.9），2；眼部急诊手术41.7（52.4），20。观察手术和辅助手术更为常见。然而，所有类别评分范围均为0 - 10分。
结论
印度的住院医师培训项目之间差异很大。需要进行标准化以确保所有毕业生都具备能力并提供一致的服务质量。
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