Carlisle Aaron, Habib Sofia, Lin Zhiheng, Ching Jared, Niyadurupola Nuwan
Norwich Medical School, University of East Anglia, Norwich, UK.
Department of Ophthalmology, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK.
Int Ophthalmol. 2023 Oct;43(10):3595-3600. doi: 10.1007/s10792-023-02766-3. Epub 2023 Jun 24.
The purpose of this observational study was to determine whether ophthalmology residents know how to check Goldmann applanation tonometer (GAT) calibration.
The step-by-step technique for checking the calibration of a GAT was taken from the manufacturer's manual and developed into a mark sheet. Ophthalmology residents in years 2-8 of training from 11 hospitals were individually observed and assessed checking calibration of a GAT. Participation was voluntary. Contact between participants was minimised to prevent communication about the study.
Sixty-eight per cent (n = 30) of eligible ophthalmology residents (years 2-8) from 11 hospitals (three teaching hospitals and eight local general hospitals) were observed checking GAT calibration. Only 33% (n = 10; 95% CI: 16-50%) of ophthalmology residents were able to correctly check GAT calibration. Those participants who were previously taught (p = 0.046) or assessed (p = 0.015) were more likely to be successful in GAT calibration.
Most ophthalmology residents were unable to correctly check GAT calibration. Although better than previously published results, this observational study shows that further training and assessment is required for ophthalmology residents to learn the technique of checking GAT calibration.
本观察性研究旨在确定眼科住院医师是否知道如何检查Goldmann压平眼压计（GAT）的校准。
检查GAT校准的逐步技术取自制造商手册，并编制成一份评分表。对来自11家医院的接受2 - 8年培训的眼科住院医师进行单独观察，并评估其对GAT校准的检查情况。参与是自愿的。尽量减少参与者之间的接触，以防止关于该研究的交流。
观察了来自11家医院（3家教学医院和8家当地综合医院）的符合条件的眼科住院医师（2 - 8年级）中的68%（n = 30）检查GAT校准。只有33%（n = 10；95%置信区间：16 - 50%）的眼科住院医师能够正确检查GAT校准。那些之前接受过培训（p = 0.046）或评估（p = 0.015）的参与者在GAT校准方面更有可能成功。
大多数眼科住院医师无法正确检查GAT校准。尽管比之前发表的结果要好，但这项观察性研究表明，眼科住院医师需要进一步的培训和评估来学习检查GAT校准的技术。
