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必修眼科轮转:为医学生奠定眼部相关诊断和治疗基础。

A Required Ophthalmology Rotation: Providing Medical Students with a Foundation in Eye-Related Diagnoses and Management.

机构信息

Third-Year Medical Student, University of Pittsburgh School of Medicine.

Third-Year Medical Student, Stony Brook School of Medicine.

出版信息

MedEdPORTAL. 2021 Feb 12;17:11100. doi: 10.15766/mep_2374-8265.11100.

Abstract

INTRODUCTION

Current ophthalmologic training in medical school is inadequate in preparing medical students to handle basic eye complaints as nonophthalmology residents. Most medical students are uncomfortable performing eye examinations, but increased ophthalmology training improves confidence in this area. The University of Pittsburgh School of Medicine (UPSOM) teaches students the basics of ophthalmology with a required 1-week rotation during the 1-month specialty care clerkship (SCC), providing students with skills to perform rudimentary eye examinations as nonophthalmology providers.

METHODS

Within a 1-week ophthalmology rotation, we developed a series of interactive case-based teaching sessions, handouts, and homework that accompanied clinical instruction to familiarize third- and fourth-year medical students with ophthalmic equipment, terminology, diagnosis, and management. Of learners, 67 (roughly 11 per cohort) rotated on six consecutive SCCs beginning in May 2019. All learners completed an in-house exam and received resident clinical evaluations at the end of their rotation.

RESULTS

Of the 64 participants who responded to the survey, 100% rated the quality of teaching sessions or , and 83% of students strongly agreed or agreed with the statement, "I believe the overall teaching in the ophthalmology clinical settings was good quality." The average clinical and exam score for ophthalmology over 6 months was 4.5 out of 5, and 83% respectively.

DISCUSSION

Generally positive student feedback as well as high clinical and exam scores suggested that the required UPSOM ophthalmology clerkship was both engaging and effective. This course can be easily adapted to teach students at other medical institutions.

摘要

简介

目前医学院的眼科培训在让医学生能够处理非眼科住院医师的基本眼部投诉方面做得不够。大多数医学生不擅长进行眼部检查,但增加眼科培训可以提高他们在这方面的信心。匹兹堡大学医学院(UPSOM)通过在为期 1 个月的专科护理实习(SCC)期间进行为期 1 周的眼科轮转,向学生教授眼科基础知识,使学生能够作为非眼科医生进行基本的眼部检查。

方法

在为期 1 周的眼科轮转中,我们开发了一系列互动案例式教学课程、讲义和作业,以伴随临床指导,使三、四年级医学生熟悉眼科设备、术语、诊断和管理。从 2019 年 5 月开始,共有 67 名(大约每批 11 名)学习者连续参加了六次 SCC 轮转。所有学习者在轮转结束时都参加了内部考试并接受了住院医生的临床评估。

结果

在 64 名对调查做出回应的参与者中,100%的人对教学课程的质量评价为或,83%的学生强烈同意或同意“我相信眼科临床环境中的整体教学质量很好”这一说法。眼科在 6 个月内的平均临床和考试成绩分别为 5 分中的 4.5 分和 83%。

讨论

学生的反馈普遍较为积极,临床和考试成绩也较高,这表明 UPSOM 眼科实习课程既具有吸引力又有效。该课程可以轻松改编,以教授其他医疗机构的学生。

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本文引用的文献

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A systematic review of best practices in teaching ophthalmology to medical students.系统评价医学本科生眼科学教学的最佳实践。
Surv Ophthalmol. 2016 Jan-Feb;61(1):83-94. doi: 10.1016/j.survophthal.2015.09.001. Epub 2015 Sep 9.

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