EYESI双目间接检眼镜模拟训练系统作为眼底检查技能培训和考核平台的有效性  

Effectiveness of EYESI binocular indirect ophthalmoscope simulation training system as an assessment and training platform for ophthalmic residents

作　　者：刘子源[1] 敖明昕[1] 王薇[1] 侯志强[1] Liu Ziyuan;Ao Mingxin;Wang Wei;Hou Zhiqiang(Department of Ophthalmology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院眼科,100191

出　　处：《眼科》2020年第3期230-234,共5页Ophthalmology in China

摘　　要：目的 评价EYESI双目间接检眼镜模拟训练系统(简称EYESI系统)作为眼科住院医师眼底检查技能培训方法和考核手段的有效性.设计比较性教学研究.研究对象眼科在岗住院医师20人.方法 根据学习间接检眼镜的时间,将20名住院医师分为0组、1月组、3月组和6月组,利用EYESI系统对各组进行间接检眼镜操作技巧、眼底绘图技巧的考核,比较组间得分差异,评价EYESI系统作为考核手段的有效性.选10名住院医师随机分2组,分别利用EYESI系统、传统实践方法进行培训,比较两组在操作、眼底绘图方面的提高情况,评价EYESI系统作为培训方法的有效性.主要指标操作技巧指标:检查时长,光暴露时长,总分;眼底绘图技巧指标:绘图时长、光暴露时长、绘图精确性、总分.结果 0组住院医师检查时长最长(1359.25±729.82)s,其他组随使用经验增加检查时长逐渐缩短,3月组(553.67±87.37)s、6月组(489.40±107.16)s与0组差异显著(P=0.026,0.009).0组光暴露时长最长(442.00±188.79)s,其他三组均与0组有显著差异(P=0.018,0.011,0.006),但总分差异不明显;绘制眼底图时长随间接检眼镜使用经验的增加而逐渐递减,0组最长(1860.50±188.80)s,6月组最短(968.75±336.58)s,差异显著(P=0.026);绘图光暴露时长、精确度和总分组间差异不显著.经EYESI系统培训后,住院医师的检查时长由(1226.67±832.76)s降低为(761.00±307.32)s,缩短幅度为(30.58%±19.22%);绘图时长由(1001.00±507.72)s降为(667.00±333.75)s,缩短幅度为(33.90%±1.46%);精确度由81.28%±3.50%提升为88.88%±1.45%;增长幅度为9.41%±2.93%.经传统实践培训后,住院医师的检查时长由(765.00±306.92)s降低为(595.67±158.71)s,缩短幅度为(19.09%±12.87%);绘图时长由(1810.00±424.08)s降低为(1429.67±180.47)s,缩短幅度(19.40%±10.40%);绘图精确度由75.13%±11.29%提升为81.62%±10.31%,增长幅度为(15.59%±12.26%).结论 EYESI系统作为眼科住院医师学习间�Objective To evaluate the effectiveness of EYESI binocular indirect ophthalmoscope simulation training system(EYESI)as a training and assessment platform for indirect ophthalmoscope operation and fundus mapping skills of ophthalmic residents.Design Comparative teaching study.Participants Twenty residents in Ophthalmology Department.Methods The participants were divided into 0 group,1 month group,3 month group and 6 month group according to the experience of using indirect ophthalmoscope.Participants finished the examination on EYESI to evaluate the effectiveness of the system as a method of assessment.Five of the residents were trained by this system.The training contents of operation and fundus mapping were completed for 2 weeks each.The results were compared with other 5 residents who received the traditional practice training for 2 months.Main Outcome Measures The operation or drawing time,light exposure time,drawing accuracy and total score.Results The length of operation time in group 0 was the longest(1359.25±729.82)s,while in other groups it decreased with the increase of experience.The longest time of light exposure was(442.00±188.79)s in group 0.The time of drawing fundus map decreased gradually with the increase of experience in indirect ophthalmoscope use.The longest drawing time of group 0(1860.50±188.80)s and the drawing shortest time of group 6 month(968.75±336.58)s were significantly different(P=0.026).The operation time in EYESI training group decreased from(1226.67±832.76)s to(761.00±307.32)s,and the decreasing percentage was 30.58%±19.22%.However,the operation time in traditional practice training group decreased from(765.00±306.92)s to(595.67±158.71)s,and the decreasing percentage was 19.09%±12.87%.In EYESI training group the drawing time decreased from(1001.00±507.72)s to(667.00±333.75)s,and the decreasing percentage was 33.90%±1.46%.The accuracy of drawing inceased from 81.28%±3.50%to 88.88%±1.45%,and the increasing percentage was 9.41%±2.93%.After two months of traditional pr

关 键 词：住院医师培训 间接检眼镜 模拟培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]