Research on knowledge dimension of ophthalmic chief resident / 中华医学教育探索杂志

ABSTRACT

Objective To investigate the ophthalmological consultation diseases in the duration of 1 year ophthalmic chief resident training,to identify the breadth and depth of knowledge an ophthalnic chief resident should have.Methods A retrospective analysis of ophthalmological consultation patients in the past 1 year,to identify proportion of the source department and constituent ratio of ophthalmologic consultation disease in top five sections,top five eye diseases and to understand five special consultation need routine ophthalmology examination which an ophthalmic chief resident should be confronted with.Results Among 25 departments which request ophthalmic consultation,the top five closely related sections were the Department of Endocrinology (452 cases,20.9％),Department of ENT (296 cases,14.5％),Department of Cardiology (194 cases,9.5％),Neurological department of internal medicine (154 cases,7.6％) and Department of gerontology (144 cases,7.1％).Among 32 ophthalmologic consultation diseases,clearly the top five diseases were cataract (630 cases,30.9％),refractive error (368 cases,18.1％),diabetic retinopathy (222 cases,10.9％),conjunctivitis (154 cases,7.6％),glaucoma (66 cases,3.2％) and pregnancy induced hypertension retinopathy (66 cases,3.2％).With the development of new technology and the new situation and the doctor's self-protection awareness,five special consultation circumstances were Department of ENT preoperative routine ophthalmology examination (196 cases,9.6％),further clarify the diagnosis of traumatic optic neuropathy (26 cases,1.28％),Department of Hematology pre-transplantation of stem cell ophthalmologic routine examination (22 cases,1.08％),glaucoma excluded before the atropine experiment checking (20 cases,0.98％) and cornea K-F ring further examination (16 cases,0.79％).Conclusion Ophthalmology-related consultation departments are widely distributed,involving more sorts of eye disease,and part of the consultation needs an eye check-up,which requires that ophthalmic chief resident should be a calm demeanor,who has ability on quick judgment of emergency and takes corresponding measures,and meanwhile,he should be a good communicator with other section practitioners and have quality of comprehensive,independent thinking and innovative consciousness of be a scholar ophthalmologist.