Ophthalmology specialist trainee survey in the United Kingdom
Ophthalmology specialist trainee survey in the United Kingdom
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DOI：
10.1038/s41433-019-0344-z
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发表时间：
2019-06-01
期刊：
影响因子：
3.9
通讯作者：
Spencer, Fiona
中科院分区：
文献类型：
--
作者：
Dean, William H.;Grant, Susannah;Spencer, Fiona
背景目前，英国共有780名眼科研究生学员。英国的研究生眼科培训为期7年，并遵循全面的能力为基础的课程。培训的变化已被提议作为政府的培训paper.Methods的形状的一部分，英国眼科学员和培训师，在合作伙伴关系与皇家学院的眼科医生，设计了一个全国性的问卷调查，探讨在不同的临床和非临床方面的眼科学员的信心。通过皇家眼科医师学院培训委员会和学员小组对问题和可能的回答进行了改进。在线调查平台用于问卷调查，并发送给英国境内的所有眼科实习生。通过皇家眼科医师学院和区域培训方案主任发出了提醒函。给予4周的答复时间。定量数据进行了分析，和定性数据分析包括整理和自由文本的responses.Results的主题化，共有188名学员（24.1%的响应率）回答。94%的受训人员在全时培训岗位上。最受欢迎的职业选择是眼科整形（31.4%），其次是玻璃体视网膜（25.1%），青光眼（24.6%）和角膜（24.0%）。四分之一的人选择退出欧洲工作时间指令（EWTD），54.8%的人同意他们的工作合同反映了实际工作时间。总的来说，34.4%的学员认为眼科专科培训应从目前的7年计划缩短。总体而言，79.9%的受访者对独立进行超声乳化白内障手术充满信心。对于4-7年的更高级别的受训者，100%对超声乳化术有信心。然而，总体而言，只有47.9%的人有信心独立进行前部玻璃体切除术（91.1%的最后一年学员）。总体而言，77.6%的人认为所有眼科医生都应该接受白内障手术培训。对于非临床技能，学员对“准备商业案例”最没有信心，64.5%的人不同意他们对这项任务有信心。最有信心的是与患者的沟通：100%的学员（所有这些人都完成了至少2年的医疗工作后quality. Conclusions）报告感觉自信，在英国的眼科专业培训的研究生大多数医生的目的是专门从事外科专科。本次调查收集的主观报告提出了加强联合王国高度评价的培训系统的目标。有必要进一步研究，以确定对培训的总体满意度，在最近的培训形式审查中改变培训的影响;以及最近新实施的初级医生合同以及英国脱欧如何影响培训。
Background Currently there are a total of 780 post-graduate ophthalmology trainees in the United Kingdom (UK). Postgraduate ophthalmology training in the UK is 7 years in duration, and follows a comprehensive competency-based curriculum. Changes to training have been proposed as part of the government's Shape of Training paper.Methods UK ophthalmic trainees and trainers, in partnership with the Royal College of Ophthalmologists, designed a national questionnaire to explore the confidence of trainees in different clinical and non-clinical aspects of ophthalmology. The questions and possible responses underwent a process of refinement through the Royal College of Ophthalmologists Training Committee and Trainee Group. An online survey platform was used for the questionnaire, which was sent to all ophthalmology trainees within the UK. Reminders were sent via the Royal College of Ophthalmologists and Regional Training Programme Directors. A 4-week period was allowed for responses. Quantitative data were analysed, and qualitative data analysis included collation and thematisation of free-text responses.Results A total of 188 trainees (24.1% response rate) replied. Ninety-four percent of trainees were in full-time training posts. The most popular career choice was oculoplastics (31.4%), followed by vitreo-retina (25.1%), glaucoma (24.6%) and cornea (24.0%). One-quarter had opted out of the European working time directive (EWTD), and 54.8% agreed that their work contract reflected the number of hours actually worked. In total, 34.4% of trainees thought that ophthalmic specialist training should be shortened from the current 7-year programme. Overall, 79.9% of respondents felt confident in performing phacoemulsification cataract surgery independently. For more senior trainees in years 4-7, 100% felt confident in phacoemulsification. However, overall, only 47.9% were confident in independently performing an anterior vitrectomy (91.1% of final-year trainees). Overall, 77.6% thought that all surgical ophthalmologists should be trained to perform cataract surgery. For non-clinical skills, trainees felt least confident in 'preparing a business case', with 64.5% disagreeing that they felt confident in this task. The most confidence was felt for communication with patients: 100% of trainees (all of whom have completed at least 2 years of medical work following qualification) reported feeling confident.Conclusions Most doctors in post-graduate specialist training in ophthalmology in the UK aim to specialise in surgical subspecialities. The subjective reports collected in this survey suggest targets for strengthening of the UK's highly rated training system. Further research is necessary to determine overall satisfaction with training, the effect of changing training within the recent Shape of Training review; and how recent newly imposed junior doctor contracts as well as Brexit affects training.