Associate Professor, Department of Ophthalmology, University of Colorado School of Medicine; Ophthalmology Division Chief, Denver Health Medical Center.
Consultant Ophthalmologist and Vitreoretinal and Uveitis Specialist, Nyeri County Referral Hospital.
MedEdPORTAL. 2024 Aug 9;20:11431. doi: 10.15766/mep_2374-8265.11431. eCollection 2024.
Global ophthalmology opportunities are becoming increasingly popular, and international partnerships are becoming more common among academic training institutions in the United States. There is need for training in the complex relational, motivational, ethical, and logistical issues that may arise in these partnerships.
We developed a 3-hour case-based session featuring four characters in a fictitious international ophthalmology partnership scenario. Facilitators used structured questions for each of the four parts to foster interaction and discussion among learners. After the activity, participants completed an evaluation/questionnaire consisting of Likert-scale and open-ended questions.
A total of 23 ophthalmology residents and seven medical students underwent the activity over four iterations. The activity was well received, with 100% of learners either strongly agreeing (90%) or agreeing (10%) when asked if the session was worthwhile and 100% of learners either strongly agreeing (87%) or agreeing (13%) when asked if the format was conducive to achieving the learning objectives. Answers to questions on how learners would change how they practice ophthalmology in their residency and in their future careers revolved around the following topics: consideration of other perspectives, humility, self- and situational awareness, complexities of partnerships, reciprocity and exchange, importance of communication, and connection of principles between international and domestic medical practice.
While this case study explores an international ophthalmology partnership scenario, the principles and themes presented can be applicable to other fields of medicine, and can be applicable to the practice of medicine both internationally and domestically.
全球眼科领域的机会越来越多，美国的学术培训机构之间的国际合作也越来越普遍。这些合作中可能会出现复杂的关系、动机、道德和后勤问题，因此需要进行相关培训。
我们开发了一个 3 小时的基于案例的课程，以虚构的国际眼科合作场景为特色，其中有四个角色。主持人使用结构化问题引导每个部分的讨论，以促进学习者之间的互动和交流。活动结束后，参与者完成了一份评估/问卷，其中包括李克特量表和开放式问题。
共有 23 名眼科住院医师和 7 名医学生参加了四轮活动。该活动受到了高度评价，当被问及该课程是否有价值时，100%的学习者表示非常同意（90%）或同意（10%），当被问及该格式是否有助于实现学习目标时，100%的学习者表示非常同意（87%）或同意（13%）。关于学习者将如何在住院医师期间以及未来的职业生涯中改变眼科实践的问题的答案，主要围绕以下几个主题展开：考虑其他观点、谦逊、自我意识和情境意识、合作伙伴关系的复杂性、互惠和交流、沟通的重要性以及国际和国内医疗实践之间原则的联系。
虽然本案例研究探讨了国际眼科合作场景，但提出的原则和主题也适用于医学的其他领域，并且可以应用于国内外的医学实践。
