全科医师规范化培训中眼科培训的经验探讨

Ophthalmology rotation for general practice residency training

眼科培训是全科医师规范化培训中不可或缺的一部分,在33个月中仅为0.5个月,如何在短时间内培训全科医师准确及时识别眼科疾病,尤其是需要及时处理或转诊的眼科急症重症,对于能否最大程度保存患者视功能具有重要意义.本文对南京医科大学附属无锡市第二人民医院眼科在规范化培训中积累的教学经验进行了总结,提出学员应独立预检患者,亲自扮演眼科危急病症的标准化病人并接受带教老师问诊,而且针对急诊重症创建了一个简易转诊评估表,操作简易,使用效果良好.

Ophthalmology rotation is an integral part of standardized training for general practitioners.The duration of ophthalmology training is only half a month in whole 33-month general practice residency training.The main objective of training for general practice residents is to master the basic clinical skills of ophthalmology,to be able to accurately and timely identify eye diseases,especially those requiring urgent treatment,and to prevent the loss of visual function.This article introduces our teaching experience in ophthalmology training for general practice residents accumulated since 2014.We suggest that the trainees should pre-examine patients independently,play a role of standard patients and receive consultation from teachers.We developed a simple patient assessment form for primary care doctors,the patient who got 10 or more points of the form,should be referred to ophthalmological specialists.