A survey of perceived training differences between ophthalmology residents in Hong Kong and China

BMC Medical Education

Dennis SC Lam⁶  Hunter GL Yuen³  Zhong Lin¹  Mingming Yang⁵  Xiaofei Man⁵  Xiujuan Zhang⁵  Fenghua Wang⁸  Simon Chow⁴  Nathan Congdon⁷  Yuanbo Liang⁴  Vishal Jhanji²  Alvin L. Young⁵ 

[1] Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital, Hong Kong SAR, Hong Kong;Centre for Eye Research Australia, University of Melbourne, Melbourne, VIC, Australia;Zhongshan Ophthamic Center, Sun Yat-sen University, Guangzhou, China;The Affiliated Eye Hospital, School of Optometry and Ophthalmology, Wenzhou Medical University, No. 270 West College Road, Wenzhou 325027, Zhejiang, China;Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, Hong Kong;Hong Kong Eye Hospital, Hong Kong SAR, Hong Kong;Queen’s University Belfast, Belfast, UK;Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Science Key Lab, Beijing, China

关键词: Cataract;    Hong Kong;    China;    Ophthalmology;    Training;    Residency;   

Others  :  1228682
DOI  :  10.1186/s12909-015-0440-0

 received in 2014-11-20, accepted in 2015-09-11,  发布年份 2015

【 摘 要 】

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.

【 授权许可】

   
2015 Young et al.

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