A survey of perceived training differences between ophthalmology residents in Hong Kong and China.
BMC Med Educ
; 15: 158, 2015 Sep 28.
Article
em En
| MEDLINE
| ID: mdl-26415932
ABSTRACT
BACKGROUND:
To study the differences in ophthalmology resident training between China and the Hong Kong Special Administrative Region (HKSAR).METHODS:
Training programs were selected from among the largest and best-known teaching hospitals. Ophthalmology residents were sent an anonymous 48-item questionnaire by mail. Work satisfaction, time allocation between training activities and volume of surgery performed were determined.RESULTS:
50/75 residents (66.7 %) from China and 20/26 (76.9 %) from HKSAR completed the survey. Age (28.9 ± 2.5 vs. 30.2 ± 2.9 years, p = 0.15) and number of years in training (3.4 ± 1.6 vs. 2.8 ± 1.5, p = 0.19) were comparable between groups. The number of cataract procedures performed by HKSAR trainees (extra-capsular, median 80.0, quartile range 30.0, 100.0; phacoemulsification, median 20.0, quartile range 0.0, 100.0) exceeded that for Chinese residents (extra-capsular median = 0, p < 0.0001; phacoemulsification median = 0, p < 0.0001). Chinese trainees spent more time completing medical charts (>50 % of time on charts 62.5 % versus 5.3 %, p < 0.0001) and received less supervision (≥90 % of training supervised 4.4 % versus 65 %, p < 0.0001). Chinese residents were more likely to feel underpaid (96.0 % vs. 31.6 %, p < 0.0001) and hoped their children would not practice medicine (69.4 % vs. 5.0 %, p = 0.0001) compared HKSAR residents.CONCLUSIONS:
In this study, ophthalmology residents in China report strikingly less surgical experience and supervision, and lower satisfaction than HKSAR residents. The HKSAR model of hands-on resident training might be useful in improving the low cataract surgical rate in China.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Oftalmologia
/
Internato e Residência
Tipo de estudo:
Evaluation_studies
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
BMC Med Educ
Assunto da revista:
EDUCACAO
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Hong Kong