Ophthalmology residency training in Jordan: an evaluation of quality and comparison with international standards
Ophthalmology residency training in Jordan: an evaluation of quality and comparison with international standards
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DOI：
10.3980/j.issn.2222-3959.2014.05.28
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发表时间：
2014-10-18
影响因子：
1.4
通讯作者：
Schaal, Shlomit
中科院分区：
文献类型：
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作者：
Al-Salem, Khalil M.;Al-Sarayra, Fawwaz A.;Schaal, Shlomit
目的：评估约旦眼科住院医师项目在实现国际眼科理事会（ICO）所列能力方面的情况，以及住院医师对约旦现有培训项目的满意度，并突出可以改进和加强的弱点。方法：向2006年至2011年间在约旦机构完成培训的所有眼科医生分发了一份封闭式问卷，衡量住院医师培训的质量和对临床会议、期刊俱乐部、科学讲座、湿实验室会议、模拟、门诊和手术室培训的满意度。有人提到了阻碍董事会考试成功的障碍。所有眼科医生在约旦医院正式居住培训，这包括军队，大学，政府和私营部门hospites.Results：61份问卷完成了69个流传。男性（75.4%）多于女性。平均年龄为32.5 ± 3.27岁。共有21例（34.4%）应答者表示总体满意，38例（62.3%）不满意，2例（3.3%）不明确。57名受访者（93.4%）表示接受低视力康复治疗不足，34名受访者（55.7%）表示屈光和眼镜处方不足。关于手术经验，每位住院医师的平均白内障摘除术为43例白内障;每位住院医师的超声乳化手术数量为2.96例，46例（75.4%）应答者在住院期间从未进行过单次超声乳化手术。9例（14.8%）接受过屈光手术培训，15例（24.6%）接受过辅助眼眶手术。44例（72.1%）从未协助过玻璃体视网膜手术。在接受调查的毕业生中，（23.0%）在第一次尝试时就通过了约旦执照委员会的考试，并认为他们的居留计划为考试做了充分的准备。约三分之二（62.3%）的眼科医生对约旦项目的住院医师培训表示不满，需要进一步研究，分别评估每个方案，并评估约旦居留方案的认证制度。
AIM: To evaluate Jordanian ophthalmology residency programs in achieving competencies outlined by the International Council of Ophthalmology (ICO) and residents satisfaction with available training programs in Jordan, and to highlight weakness points that may be improved and strengthened.METHODS: A closed -ended questionnaire was circulated to all ophthalmologists who completed their training in Jordanian institutions between 2006 and 2011, to measure the quality of residency training and satisfaction level with regards to clinical conferences, journal clubs, scientific lectures, wet lab sessions, simulations, outpatient clinics and operating room training. Barriers to a successful board exam were cited. All ophthalmologists had official residency training in Jordanian Hospitals; this includes military, university, governmental and private sector hospitals.RESULTS: Sixty-one questionnaires completed out of 69 circulated. Males (75.4%) were more than females. Mean age was 32.5 +/- 3.27y. A total 21 (34.4%) responders expressed an overall satisfaction, 38 (62.3%) were dissatisfied and 2 (3.3%) were equivocal. Respondents reported insufficient exposure to low-vision rehabilitation 57(93.4%),or refraction and glasses prescription 34 (55.7%). Regarding operative experiences, the mean cataract extraction per-resident was 43 cataracts; the number of phacoemulsification surgery was 2.96 per-resident, 46(75.4%) of responders never did a single phacoemulsification during residency. Nine (14.8%) had training in refractive surgery, and 15 (24.6%) assisted orbital surgery. Fortyfour (72.1%) never assisted in vitreoretinal surgery. Among The graduates surveyed, 14 (23.0%) passed Jordanian licensing board exam at the first attempt, and felt that their residency programs adequately prepared them for the examinations.CONCLUSION: Around two thirds (62.3%) of ophthalmologists expressed dissatisfaction with residency training at Jordanian programs, further study is required to assess each program separately and evaluate the system of accreditation in Jordanian residency programs.