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Needs assessment of ophthalmology education for primary care physicians in training: comparison with the International Council of Ophthalmology recommendations.

Chan TY, Rai AS, Lee E, Glicksman JT, Hutnik CM - Clin Ophthalmol (2011)

Bottom Line: The number of hours of ophthalmology training received by family medicine residents during medical school meets the International Council of Ophthalmology Task Force recommendations.However, family medicine residents appear to be uncomfortable in handling treatable but potentially sight-threatening ocular conditions.Standardizing the undergraduate medical education ophthalmology curriculum and increasing hours of ophthalmology training during postgraduate family medicine residency may be useful in bridging this gap in knowledge.

View Article: PubMed Central - PubMed

Affiliation: Ivey Eye Institute, Department of Ophthalmology.

ABSTRACT

Background: This cross-sectional survey assessed the adequacy of ophthalmology teaching in undergraduate medical education and evaluated the comfort level of family medicine residents in diagnosing and managing common ophthalmic conditions.

Methods: Postgraduate year 1 and 2 family medicine residents at the University of Western Ontario were recruited for this study. The main outcome measures were hours of classroom and clinic-based instruction on ophthalmology during undergraduate medical education, and the comfort level in ophthalmic clinical skills and managing various ophthalmic conditions.

Results: In total, 54 (33.3%) of 162 family medicine residents responded to the survey. Residents reported an average of 27.1 ± 35.1 hours and 39.8 ± 47.1 hours of classroom and clinical ophthalmology instruction, respectively. However, most residents (80%) responded as feeling only "somewhat comfortable" or "not at all comfortable" in assessing and managing common ophthalmic conditions, including ocular emergencies, such as acute angle closure glaucoma and ocular chemical burn. A positive correlation was seen between overall comfort level and hours of classroom instruction (P < 0.05).

Conclusion: The number of hours of ophthalmology training received by family medicine residents during medical school meets the International Council of Ophthalmology Task Force recommendations. However, family medicine residents appear to be uncomfortable in handling treatable but potentially sight-threatening ocular conditions. Standardizing the undergraduate medical education ophthalmology curriculum and increasing hours of ophthalmology training during postgraduate family medicine residency may be useful in bridging this gap in knowledge.

No MeSH data available.


Related in: MedlinePlus

Distribution of comfort level in managing ophthalmology cases.Abbreviations: CMGs, Canadian medical graduates; IMGs, international medical graduates.
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f1-opth-5-311: Distribution of comfort level in managing ophthalmology cases.Abbreviations: CMGs, Canadian medical graduates; IMGs, international medical graduates.

Mentions: The subjects reported that, on average, 6.3% ± 9.2% of their postgraduate rotations in family medicine involve exposure to eye-related cases (6.9% ± 10.6% for PGY 1, 5.3% ± 5.7% for PGY 2). Eighty percent of subjects reported that they were either “somewhat comfortable” or “not comfortable at all” in dealing with ophthalmology-associated conditions. Very few subjects felt “moderately comfortable” (14.8% overall) or “comfortable” (5.6% overall). No subject reported being “very comfortable” with ophthalmology-associated issues (Figures 1 and 2). There was no statistically significant difference in average comfort level rating from the Likert scale between PGY 1 and PGY 2 (1.9 ± 0.8 and 2.2 ± 0.8, respectively) and between Canadian medical graduates and international medical graduates (1.9 ± 0.8 and 2.1 ± 0.8, respectively).


Needs assessment of ophthalmology education for primary care physicians in training: comparison with the International Council of Ophthalmology recommendations.

Chan TY, Rai AS, Lee E, Glicksman JT, Hutnik CM - Clin Ophthalmol (2011)

Distribution of comfort level in managing ophthalmology cases.Abbreviations: CMGs, Canadian medical graduates; IMGs, international medical graduates.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3065573&req=5

f1-opth-5-311: Distribution of comfort level in managing ophthalmology cases.Abbreviations: CMGs, Canadian medical graduates; IMGs, international medical graduates.
Mentions: The subjects reported that, on average, 6.3% ± 9.2% of their postgraduate rotations in family medicine involve exposure to eye-related cases (6.9% ± 10.6% for PGY 1, 5.3% ± 5.7% for PGY 2). Eighty percent of subjects reported that they were either “somewhat comfortable” or “not comfortable at all” in dealing with ophthalmology-associated conditions. Very few subjects felt “moderately comfortable” (14.8% overall) or “comfortable” (5.6% overall). No subject reported being “very comfortable” with ophthalmology-associated issues (Figures 1 and 2). There was no statistically significant difference in average comfort level rating from the Likert scale between PGY 1 and PGY 2 (1.9 ± 0.8 and 2.2 ± 0.8, respectively) and between Canadian medical graduates and international medical graduates (1.9 ± 0.8 and 2.1 ± 0.8, respectively).

Bottom Line: The number of hours of ophthalmology training received by family medicine residents during medical school meets the International Council of Ophthalmology Task Force recommendations.However, family medicine residents appear to be uncomfortable in handling treatable but potentially sight-threatening ocular conditions.Standardizing the undergraduate medical education ophthalmology curriculum and increasing hours of ophthalmology training during postgraduate family medicine residency may be useful in bridging this gap in knowledge.

View Article: PubMed Central - PubMed

Affiliation: Ivey Eye Institute, Department of Ophthalmology.

ABSTRACT

Background: This cross-sectional survey assessed the adequacy of ophthalmology teaching in undergraduate medical education and evaluated the comfort level of family medicine residents in diagnosing and managing common ophthalmic conditions.

Methods: Postgraduate year 1 and 2 family medicine residents at the University of Western Ontario were recruited for this study. The main outcome measures were hours of classroom and clinic-based instruction on ophthalmology during undergraduate medical education, and the comfort level in ophthalmic clinical skills and managing various ophthalmic conditions.

Results: In total, 54 (33.3%) of 162 family medicine residents responded to the survey. Residents reported an average of 27.1 ± 35.1 hours and 39.8 ± 47.1 hours of classroom and clinical ophthalmology instruction, respectively. However, most residents (80%) responded as feeling only "somewhat comfortable" or "not at all comfortable" in assessing and managing common ophthalmic conditions, including ocular emergencies, such as acute angle closure glaucoma and ocular chemical burn. A positive correlation was seen between overall comfort level and hours of classroom instruction (P < 0.05).

Conclusion: The number of hours of ophthalmology training received by family medicine residents during medical school meets the International Council of Ophthalmology Task Force recommendations. However, family medicine residents appear to be uncomfortable in handling treatable but potentially sight-threatening ocular conditions. Standardizing the undergraduate medical education ophthalmology curriculum and increasing hours of ophthalmology training during postgraduate family medicine residency may be useful in bridging this gap in knowledge.

No MeSH data available.


Related in: MedlinePlus