关键词: 眼科见习, 眼科教育

Abstract:  Objective To explore the application effect of a new ophthalmic probationary assessment method. Design Prospective comparative teaching study. Participants 22 ophthalmic graduate students in probationary training. Methods After completing standardized training for 4 weeks, a clinical oriented assessment method with a total of 7 items scoring 100 points for each, covering the basic content of clinical work (diagnosis and management of common diseases, application of electronic consultation system, medical record writing, and surgical microscope suturing operation) were designed and applied.  There were slit lamp operation, surgical microscope operation, external eye examination, direct ophthalmoscope, diplopia imaging examination, electronic system application for consultation, outpatient medical record writing. 22 students were randomly divided into two groups, assessment group A and non-assessment group B. At the end of the probation, group A conducted all assessment, and the teacher provided a detailed explanation for error afterwards. Immediately after, all students started clinical work for 4 weeks, and all students participated in the same assessment. The scores of two groups were compared. Main Outcome Measures Assessment scores. Results After 4 weeks clinical work, the average score of seven assessments for two groups was 94.47±1.96 in group A, which was significantly higher than group B's 86.51±5.38 (t=12.83, P<0.001). Group A scored higher than Group B in each assessment (all P<0.05). For slit lamp operation, the score was 96.0±1.9 in group A and 89.0±3.9 in group B. For surgical microscope operation, the score was 94.0±2.0 in group A and 88.0±4.9 in group B. For external eye examination, the score was 95.0±2.0 in group A and 83.0±5.0 in group B. For direct ophthalmoscope, the score was 94.0±1.7 in group A and 83.0±1.8 in group B. For diplopia imaging examination, the score was 93.8±2.4 in group A and 83.0±7.1 in group B. For electronic system application for consultation, the score was 95.2±1.5 in group A and 91.0±3.2 in group B. For outpatient medical record writing, the score was 94.0±2.1 in group A and 87.0±3.0 in group B. Conclusion The ophthalmic probationary assessment method in this study can improve the effect of clinical learning in ophthalmic graduate students. (Ophthalmol CHN, 2024, 33: 150-153)

Key words: ophthalmic probation, ophthalmological education