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首页> 外文期刊>Middle East African Journal of Ophthalmology >Assessing the Knowledge and Skills in Clinical Ophthalmology of Medical Interns: Survey Results from Enugu, South-Eastern Nigeria
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Assessing the Knowledge and Skills in Clinical Ophthalmology of Medical Interns: Survey Results from Enugu, South-Eastern Nigeria

机译：评估医学实习生的临床眼科知识和技能：来自尼日利亚东南部的Enugu的调查结果

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Purpose:To compare the skills and knowledge of clinical ophthalmology among medical interns in Enugu, Nigeria, to the recommendations of the International Council of Ophthalmology (ICO).Materials and Methods:A questionnaire-based cross-sectional survey was conducted of Medical Interns attending the University of Nigeria Teaching Hospital and Enugu State University Teaching Hospital, from April 2010 to June 2010. Data on cohort demographics, undergraduate ophthalmology exposure, clinical skills and diagnostic competencies were collected and analyzed. Statistical significance was indicated by P < 0.05.Results:The cohort comprised 81 males and 48 females (sex ratio = 1.7 : 1), aged 21–35 years (mean: 26.8 ± 2.4 years). The gender difference was significant (P < 0.05). The response rate was 88.7%. The duration of undergraduate ophthalmology exposure ranged from 1 to 4 weeks. Exposure was often adequate in cornea/external eye (95.3%), lens/cataract (95.3%) and glaucoma (92.2%); but not in vitreo-retinal disease (47.3%), neuro-ophthalmology (45.7%) and refractive surgery (0.0). The majority were competent at visual acuity testing (97.7%) and visual field examination (93.0%). There was lower competency at anterior chamber assessment (49.6%) and slit-lamp examination (39.5%). The majority could confidently diagnose conjunctivitis (96.1%) and cataract (90.7%), but not strabismus (42.6%) or macular degeneration (20.2%).Conclusions:Medical interns in Enugu displayed gaps in their undergraduate ophthalmology exposure, clinical knowledge and skills. This has implications for stakeholders in medical education and eye care delivery. Review of the curriculum, provision of training resources and compliance with ICO guidelines could address the deficiencies.
机译：目的：比较尼日利亚恩努古（Enugu）的医学实习生的临床眼科学技能和知识，以符合国际眼科理事会（ICO）的建议。材料和方法：对参加调查的医学实习生进行了基于问卷的横断面调查于2010年4月至2010年6月在尼日利亚大学教学医院和埃努古州立大学教学医院就读。收集并分析了有关队列人口统计学，本科眼科暴露，临床技能和诊断能力的数据。统计学显着性由P <0.05表示。结果：该队列包括81位男性和48位女性（性别比= 1.7：1），年龄21-35岁（平均：26.8±2.4岁）。性别差异显着（P <0.05）。回应率为88.7％。眼科本科生的暴露时间为1-4周。角膜/外眼（95.3％），晶状体/白内障（95.3％）和青光眼（92.2％）的暴露通常是足够的;但不适用于玻璃体视网膜疾病（47.3％），神经眼科（45.7％）和屈光手术（0.0）。大多数人能胜任视力测试（97.7％）和视野检查（93.0％）。前房评估（49.6％）和裂隙灯检查（39.5％）的能力较低。大多数人可以自信地诊断出结膜炎（96.1％）和白内障（90.7％），但不能斜视（42.6％）或黄斑变性（20.2％）。结论：Enugu的医学实习生在本科生眼科暴露，临床知识和技能上存在差距。这对医学教育和眼保健提供者有影响。审查课程，提供培训资源并遵守ICO准则可以解决这些缺陷。

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