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- Title
Is there a need of reform in undergraduate Ophthalmology curriculum?
- Authors
Mashhood, Shama; Mashhood-uz-Zafar; Shaikh, Arshad
- Abstract
Objective: To assess the adequacy of ophthalmology undergraduate curriculum as perceived by interns working in a tertiary care sett ing of Pakistan. Methods: A descriptive cross-sectional survey was conducted at Abbassi Shaheed Hospital, from October, 2016 till December, 2016. All eligible medical graduates doing internship at Abbassi Shaheed Hospital aft er satisfying the inclusion and exclusion criteria were invited to participate in the study through non probability convenience sampling technique. A validated self-administered questionnaire was used to assess the level of competence in diagnosing ophthalmic conditions, profi ciency in performing core ophthalmic clinical skills and adequacy of exposure to core ophthalmic areas during undergraduate study from the study participants. Ethical approval was granted by the institutional ethical review committ ee of Karachi Medical and Dental College (KMDC), Pakistan and writt en informed consent was obtained from all participants prior to recruitment in the study. Th e data was entered and analyzed using SPSS version 21 (IBM, Chicago, IL). Results: Th e data of one hundred and one participants was analyzed. Th e majority (88.1%) of study participants was female while the overall mean (SD) age was 25.1(1.2). Lowest competence was observed in diagnosing following ophthalmic conditions; Macular degeneration( 15.8%), Pappiloedema(25.7%), Corneal ulcer(35.6%) and Leukocoria(35.6%); whereas lowest profi ciency was observed in performing following core ophthalmic skills; anterior segment examination(18.8%), removal of superfi cial corneal/conjunctival foreign body(28.7%), upper lid eversion(28.7%), distant direct ophthalmoscopy(31.7%) and direct ophthalmoscopy( 36.6%). Lowest adequacy was reported for the following core ophthalmic areas during undergraduate study; Vitreoretinal diseases(19.8%), Neuro-ophthalmology(21.8%), pediatric ophthalmology/squint(23.8%) and refractive surgery(37.6%). Conclusion: Th e self rated adequacy of undergraduate ophthalmology education in terms of core knowledge and skills of medical graduates of Pakistan lack competence, profi ciency, and adequacy in diagnosis and management of eye disorder to signifi cant extent. Th ough, International council of ophthalmology (ICO) task force recommendations are incorporated in the undergraduate curriculum developed by Pakistan medical and dental council (PMDC) however, certain reforms in curriculum design and structure is required to positive infl uence the eff ective learning, academic progress and achievement.
- Subjects
PAKISTAN; REFORMS; OPHTHALMOLOGY education; CURRICULUM; INTERNS
- Publication
Pakistan Journal of Surgery, 2017, Vol 33, Issue 2, p140
- ISSN
0258-8552
- Publication type
Article