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Ophthalmology training and competency levels in care of patients with ophthalmic complaints in United States internal medicine, emergency medicine and family medicine residents
Journal of Educational Evaluation for Health Professions Pub Date : 2019-08-29 , DOI: 10.3352/jeehp.2019.16.25
Christopher Daniel Gelston 1 , Jennifer Landrigan Patnaik 1
Affiliation  

Purpose To evaluate ophthalmic educational training and confidence in caring for patients with ophthalmic complaints among internal, emergency, and family medicine residents in the United States. Methods A 41-item cross-sectional survey was sent to the directors of 529 internal medicine, 237 emergency medicine, and 629 family medicine residency programs, who distributed it to residents in those programs. The survey included the number of ophthalmic education hours residents received. Respondents were asked to rate their confidence in performing an ophthalmic exam and treating patients with ocular conditions using a 5-point Likert scale ranging from “not confident” to “very confident.” Results In total, 92.5% of internal medicine, 66.8% of emergency medicine, and 74.5% of family medicine residents received less than 10 hours of ophthalmic education during residency. Most respondents (internal medicine, 59.1%; emergency medicine, 76.0%; family medicine, 65.7%) reported that patients with ocular complaints constituted 1%–5% of visits. Mean±standard deviation confidence levels in performing an eye exam and treating patients with ophthalmic conditions were highest in emergency medicine residency programs (2.9±0.7), followed by family medicine (2.3±0.6) and internal medicine (2.2±0.6). A higher reported number of ophthalmic education hours in residency was associated with greater confidence among emergency (P<0.001), family (P<0.001), and internal (P=0.005) medicine residents. Conclusion Internal, emergency, and family medicine residents receive limited ophthalmic education, as reflected by their overall low confidence levels in performing an ophthalmic exam and treating patients with ocular complaints. An increase in ophthalmic educational hours during their residencies is recommended to improve upon this knowledge gap.

中文翻译:

美国内科,急诊科和家庭医学科住院患者眼科疾病患者的眼科培训和能力水平

目的评估美国内部,急诊和家庭医学居民对眼科教育培训和对照顾眼科疾病患者的信心。方法向529种内科,237种急诊医学和629个家庭医学住院医师计划的负责人发送了41个项目的横断面调查,然后由他们分发给这些计划的居民。调查包括居民接受的眼科教育时间。要求受访者使用从“不自信”到“非常自信”的5点Likert量表对他们进行眼科检查和治疗患有眼部疾病的信心进行评分。结果总共有92.5%的内科药物,66.8%的急诊药物和74。5%的家庭医学居民在住院期间接受少于10个小时的眼科教育。大多数受访者(内科为59.1%;急诊为76.0%;家庭医学为65.7%)报告说,有眼疾的患者占就诊的1%–5%。在紧急医疗住院计划中,进行眼科检查和治疗眼科疾病患者的均值±标准差置信度最高(2.9±0.7),其次是家庭医学(2.3±0.6)和内科药物(2.2±0.6)。据报道,住院期间眼科教育时间的增加与紧急情况(P <0.001),家庭(P <0.001)和内部(P = 0.005)居民的信心增强有关。结论内部,急诊和家庭医学居民接受的眼科教育有限,从他们在进行眼科检查和治疗患有眼部不适的患者中总体上的低置信度反映出来。建议增加住院期间的眼科教育时间,以改善这一知识差距。
更新日期:2019-08-29
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