Community Eye Care Foundation, Dr. Gogate's Eye Clinic, Pune; Department of Ophthalmology, D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India; School of Medicine, Dentistry and Biomedical Engineering, Queens University, Belfast, United Kingdom.
B. B. Eye Foundation, Kolkata, West Bengal, India.
Indian J Ophthalmol. 2021 Apr;69(4):836-841. doi: 10.4103/ijo.IJO_2358_20.
The aim of this study was to study the perception of residency trainers about an optimum residency program.
A survey, using a pre-validated questionnaire, was conducted by the Academic and Research Committee of the All India Ophthalmological Society, in 2019-20 with questions directed to teachers in medical colleges and national board of examination's ophthalmology residency programs on demography, teaching experience, imparting clinical and surgical skills, ideal academic schedule and dissertation in the post-graduate residency program.
The response rate in the survey was 47.6%. Valid responses were obtained from 309 residency trainers. Of these, 132 of 309 (42.7%) were females. The mean age was 45.3 ± 9.5 years, range 26-68 years. The trainers believed that on a scale of 0-10, clinical skills teaching should be taught, mean ± SD: slit lamp 9.8 ± 0.7; indirect ophthalmoscopy 9.3 ± 1.3; gonioscopy 9.2 ± 1.5; perimetry 8.9 ± 1.5; OCT 8.4 ± 1.9; applanation tonometry 9.5 ± 1.2 and orthoptic evaluation 8.1 (±1.9). A resident should ideally perform independently surgeries (median, inter-quartile range IQR): SICS 50 (IQR 40-100); phaco 50 (20-60); pterygium excision 20 (10-40); DCR 10 (5-20); chalazion 20 (10-50), trabeculectomy 7 (5-15); strabismus 5 (2-10), LASIK and retinal detachment 0. Ideally there should be four lectures, four seminars, four case presentations, five journal clubs and four wet labs every month.
Teachers expected their wards to become competent professionals. There was near unanimity about the content of clinical skills training, non-medical skills and academics, but there was a significant variation on extent of surgical training that should be imparted to the residents.
本研究旨在探讨住院医师培训者对理想住院医师培训计划的看法。
2019-20 年，全印度眼科协会学术与研究委员会使用预先验证的问卷进行了一项调查，问题针对医学院教师和国家委员会眼科住院医师培训计划的人口统计学、教学经验、传授临床和手术技能、理想的学术时间表和研究生住院医师培训计划的论文。
调查的回复率为 47.6%。从 309 名住院医师培训师中获得了有效回复。其中，309 名中的 132 名（42.7%）为女性。平均年龄为 45.3±9.5 岁，范围 26-68 岁。培训师认为，临床技能教学应按 0-10 分制进行教学，平均值±标准差：裂隙灯 9.8±0.7；间接检眼镜 9.3±1.3；房角镜 9.2±1.5；视野计 8.9±1.5；OCT 8.4±1.9；压平眼压计 9.5±1.2 和斜视评估 8.1（±1.9）。理想情况下，住院医师应独立完成手术（中位数，四分位距 IQR）：SICS 50（IQR 40-100）；白内障 50（20-60）；翼状胬肉切除 20（10-40）；DCR 10（5-20）；霰粒肿 20（10-50），小梁切除术 7（5-15）；斜视 5（2-10），LASIK 和视网膜脱离 0。理想情况下，每月应进行四场讲座、四场研讨会、四场病例汇报、五场期刊俱乐部和四场湿实验室。
教师期望他们的学生成为有能力的专业人员。关于临床技能培训、非医学技能和学术内容，几乎达成了一致意见，但对于应向住院医师传授的手术培训程度存在显著差异。
