基础医学与临床 ›› 2021, Vol. 41 ›› Issue (7): 1076-1080.

• 医学教育 • 上一篇    下一篇

中国眼科住院医师手术带教现状调查及分析

陈迪1,于伟泓2,3,张潇4,高斐1,吴婵5,陈欢5,张美芬4   

  1. 1. 中国医学科学院北京协和医院
    2.
    3. 中国医学科学院北京协和医学院北京协和医院
    4. 中国医学科学院北京协和医院眼科
    5. 北京协和医院
  • 收稿日期:2020-05-16 修回日期:2020-07-22 出版日期:2021-07-05 发布日期:2021-06-17
  • 通讯作者: 张美芬 E-mail:meifen_zhang@hotmail.com
  • 基金资助:
    北京协和医学院小规模特色办学教学改革项目;北京协和医学院研究生教育教学改革项目

Current investigation and analysis of surgical teaching for Chinese ophthalmology residents

  • Received:2020-05-16 Revised:2020-07-22 Online:2021-07-05 Published:2021-06-17

摘要: 目的 调查中国目前眼科住院医师手术带教的现状。方法 对全国各大眼科教学医院、规范化培训基地的眼科主治及以上职称医师进行随机调查问卷,收集手术带教情况及难度分级。结果 共有238名眼科医师参与调查问卷,其中194名开展手术带教(占比81.51%),白内障类手术是最常带教的手术类型(占比51.03%);住院医师在整个培训阶段可以观摩的手术台数中位数(4分位数间距)为135(450)台,可部分完成的台数为30(50)台,可全部独立完成的台数为5(19)台。带教老师认为较难的3项工作依次为建立一个好的Wet Lab项目、在手术带教过程中避免并发症的发生和手术带教本身,占比分别为56.19%,51.55%和50.52%;认为“非常困难”比例最高的问题是向患者交代手术步骤有住院医师的参与(占比36.60%);认为白内障手术带教最难的步骤是劈核。结论 目前中国眼科住院医师手术带教已普遍开展,但仍然面临诸多困难,住院医师能独立完成的手术例数较少。

关键词: 眼科, 手术带教, 住院医师规范化培训, 问卷调查

Abstract: Objective To investigate the current situation of surgical teaching for Chinese ophthalmology residents. Methods Questionnaires were collected from ophthalmology teaching hospitals and standardized training centers across China. Results A total of 238 ophthalmologists were enrolled, of which 194(81.51%) participated in surgical teaching. Cataract surgery was most frequently taught (51.03%). The median number (interquartile range) of surgeries that residents could observe was 135(450), the number of surgeries that residents could perform some steps was 30(50), and the number of surgeries that residents could perform independently was 5(19). The three tasks that teachers considered most difficult were to establish a good Wet Lab program (56.19%), the prevention of complications (51.55%) and the overall work of surgical teaching (50.52%). The response with the highest proportion of "very difficult" was to explain the involvement of residents to patients (36.60%). The most difficult step in cataract surgery teaching was nucleus fragmentation. Conclusions Although resident surgical teaching is widely carried out in China, many difficulties still exist. The number of the surgery that can independently be finished by the residents is relatively low.

Key words: Ophthalmology, Surgical teaching, Resident standardized training, Questionnaire survey

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