Does use of multi-source feedback [MSF] affect the attitudes of postgraduate trainees: experience of a teaching hospital

Objective: To explore the affects of multi source feedback [MSF] on the attitudes of post-graduate trainees

Study Design: Prospective mixed method study

Place and Duration of Study: Department of Ophthalmology, Lahore General Hospital [LGH] and Postgraduate Medical Institute [PGMI] Lahore, from Jul 2012 to Jun 2013

Material and Methods: This prospective mixed method study was conducted in the Department of Ophthalmology, LGH and PGMI, Lahore from July 2012 to June 2013. Participants were FCPS trainees and raters were the consultants, postgraduate trainees, house officers, nursing and paramedical staff. Modified mini-PAT Questionnaire was used. Survey I was followed by Survey II conducted after three months to determine any change. SPSS version 20 was used and paired sample t-test was applied to compare residents' mean scores. A p-value <0.05 was considered significant

Results: Mean score for question 1-12 was 4.00 +/- 0.16 and 4.43 +/- 0.14 for survey I [before intervention] and survey II [post intervention] respectively. Mean difference in overall score from two surveys was 0.43 +/- 0.06, which was statistically significant [p-value=0.000] showing overall improvement in scores from survey I to survey II. The highest mean score was awarded to question number 7 i.e. trainee respects patient's confidentiality and lowest to question 4 i.e. ability to manage time effectively, in both surveys

Conclusion: There was improvement in practice if MSF was delivered in accurate and timely manner with maintenance of the confidentiality and facilitative feedback

Surgical outcome of 21 patients with congenital upper eyelid coloboma / 国际眼科杂志(Guoji Yanke Zazhi)

AIM:To evaluate the surgical outcome of congenital upper eyelid coloboma repair.METHODS:All patients underwent complete ophthalmic and general examination before going to surgery,and then examination under anesthesia was performed to assess the site and size of eyelid defect,conjunctival involvement.The status of cornea and ocular motility with forced duction test was also being noted.The surgical procedure was performed according to the size of defect.RESULTS:Out of 21 cases of congenital upper eyelid coloboma,18 occurred in isolation with upper eyelid medial defect,13 were bilateral and 5 were unilateral.Others were associated with Goldenhar syndrome and CHARGE syndrome with bilateral upper lid medial defects.All patients were presented for surgical corrections during age of 2.5-4.0 years except one that presented at 25 years of age.Cosmetically surgical results were acceptable,except one that was already presented with opaque corneal.CONCLUSION:In this study overall surgical results were satisfactory except one that was presented late with compromised cornea.