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眼科专业精神调查工具:印度中部多中心研究的结果。

An ophthalmology professionalism survey tool: outcomes from a multi-center study in Central India.

机构信息

UIC Department of Ophthalmology and Visual Sciences, University of Illinois, Chicago, 1855 West Taylor Street, Chicago Illinois, USA.

Department of Epidemiology and Public Health, King Khalid Eye Specialist Hospital, Riyadh, Saudi Arabia.

出版信息

Indian J Ophthalmol. 2023 Aug;71(8):2953-2958. doi: 10.4103/IJO.IJO_47_23.

DOI:10.4103/IJO.IJO_47_23
PMID:37530263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10538811/
Abstract

PURPOSE

To describe a professionalism survey tool and its use to assess knowledge of medical professionalism in ophthalmology training programs in Central India.

SETTINGS AND DESIGN

Multi-center survey study.

METHODS

A validated 33-question, scenario-based survey addressing professionalism attributes was administered at five centers in central India. The attributes tested included "personal characteristics," "physician-patient relationships," "workplace practice and relationships," and "socially responsible behaviors." A mean attribute score (%) was calculated and compared to "gold standard" responses by a group of expert senior ophthalmologists (100% agreement for responses).

RESULTS

A total of 225 participants completed the survey; 124 residents, 47 fellows, and 54 consultants (98.4% response rate). The total mean attribute score was 80.7 ± 9.1 (min 16.67, max 100). There was variation in the mean attribute score by professionalism attribute (P < 0.001), and a trend toward higher mean attribute scores for consultants compared to trainees across all attribute groups. The scores for "personal characteristics" (93 ± 9.7) and "physician-patient relationship" (82 ± 15.8) were the highest, whereas scores for "socially responsible behaviors" (73.9 ± 18.6) and "workplace practices" were low (72 ± 13).

CONCLUSIONS

There is a generally high level of professionalism knowledge among ophthalmologists in central India. The results suggest that experience does impact knowledge of professionalism. Potential for improvement in professionalism exists in around "workplace practices", and around "socially responsible behaviors". These findings may serve as a valuable discussion starter and teaching tool to enhance professionalism in ophthalmology training programs.

摘要

目的

描述一种专业精神调查工具及其在印度中部眼科培训计划中评估医学专业精神知识的用途。

背景和设计

多中心调查研究。

方法

在印度中部的五个中心进行了一项经过验证的 33 个问题、基于情景的调查,涉及专业精神属性。测试的属性包括“个人特征”、“医患关系”、“工作场所实践和关系”以及“对社会负责的行为”。计算了每个属性的平均属性得分(%),并与一组专家高级眼科医生的“黄金标准”(对答复的 100% 一致)进行比较。

结果

共有 225 名参与者完成了调查;124 名住院医师、47 名研究员和 54 名顾问(98.4%的答复率)。总平均属性得分为 80.7 ± 9.1(最小值 16.67,最大值 100)。专业精神属性的平均属性得分存在差异(P < 0.001),并且在所有属性组中,顾问的平均属性得分均高于受训者。“个人特征”(93 ± 9.7)和“医患关系”(82 ± 15.8)的得分最高,而“对社会负责的行为”(73.9 ± 18.6)和“工作场所实践”的得分较低(72 ± 13)。

结论

印度中部的眼科医生普遍具有较高的专业精神知识水平。结果表明,经验确实会影响专业精神知识。在“工作场所实践”和“对社会负责的行为”方面,存在提高专业精神的潜力。这些发现可以作为一个有价值的讨论起点和教学工具,以提高眼科培训计划中的专业精神。

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本文引用的文献

1
Perception of Medical Professionalism Among Ophthalmology Residents in Saudi Arabia: A National Survey Study.沙特阿拉伯眼科住院医师对医学职业精神的认知:一项全国调查研究。
Middle East Afr J Ophthalmol. 2022 Nov 23;29(1):27-32. doi: 10.4103/meajo.meajo_239_21. eCollection 2022 Jan-Mar.
2
Medical professionalism in ophthalmology: design and testing of a scenario based survey.眼科医学职业精神:基于情景的调查设计与测试。
BMC Med Educ. 2020 May 19;20(1):160. doi: 10.1186/s12909-020-02071-y.
3
High volume and high quality eye care - Bridging the paradox. A unique rural based approach - The Chitrakoot model.高容量和高质量的眼科护理——弥合悖论。一种独特的基于农村的方法——奇塔克奥模式。
Indian J Ophthalmol. 2020 Feb;68(2):294-298. doi: 10.4103/ijo.IJO_61_20.
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Ophthalmology residency training in India: ?印度的眼科住院医师培训:?
Indian J Ophthalmol. 2017 Jun;65(6):427-428. doi: 10.4103/ijo.IJO_502_17.
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Assessing medical professionalism: A systematic review of instruments and their measurement properties.评估医学职业精神:对工具及其测量属性的系统评价。
PLoS One. 2017 May 12;12(5):e0177321. doi: 10.1371/journal.pone.0177321. eCollection 2017.
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Indian J Ophthalmol. 2014 Jul;62(7):814-7. doi: 10.4103/0301-4738.138628.
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Med Teach. 2014 Jan;36(1):47-61. doi: 10.3109/0142159X.2014.850154. Epub 2013 Nov 19.
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Surv Ophthalmol. 2013 Jul-Aug;58(4):359-69. doi: 10.1016/j.survophthal.2013.01.002.
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Residency education professionalism vignettes.住院医师培训中的职业素养案例
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