ABSTRACT
The intraocular tumor has a serious impact on patient's vision and even life.Early and correct diagnosis can guide the treatment,most patients can retain the eyeball and visual function to some extent,and even save their lives.We have been engaged in the diagnosis and treatment of intraocular tumors for nearly 20 years.We have summarized the important ideas for the diagnosis of intraocular tumors.At present,the diagnosis of intraocular tumors mainly depends on fundus examination combined with various imaging examinations.For the diagnosis of intraocular tumors,ophthalmologists should establish a systematic clinical thinking mode according to the mechanism,tissue source,morphological characteristics and imaging features of different intraocular tumors,so as to achieve early diagnosis and guide correct treatment.The diagnostic thinking of intraocular tumors is described in detail in our article.
ABSTRACT
Objective To explore the application of mini-clinical evaluation exercise (Mini-CEX) in training the diagnostic thinking ability for clinical interns.Methods 83 interns who came to the First People's Hospital of Lianyungang for clinical practice in June 2015 were divided into the experimental group (45 interns) and the control group (38 interns) according to their schools.The two groups received the same clinical teaching according to internship program of five-year clinical medicine,while the experimental group had to take a weekly Mini-CEX training in chnical sections.The diagnostic thinking ability of the two groups was measured by the Diagnostic Thinking Inventory in Chinese version at the beginning and the end of the internship respectively.SPSS 21.0 was applied to processing the data.Measurement data were expressed as mean plus or minus standard deviation,and t test was used in the comparison between groups.Results At the end of the internship,the total score of diagnostic thinking,the score of knowledge structure in memory and the score of flexibility in thinking of the experimental group were higher than scores at the beginning statistically,and the experimental group had a statistically higher score than the control groups in knowledge structure in memory [(69.36 ± 4.28) vs.(66.95 ± 4.78),P=0.018].Conclusion Mini-CEX training can enhance the clinical diagnostic thinking ability of interns by improving their knowledge structure in memory.