ArticleBMC medical education2015
A survey of perceived training differences between ophthalmology residents in Hong Kong and China.
Article in BMC medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03458442 (China OLIMPICS), which is not on this map. Cited by 20 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
China OLIMPICS: China Ophthalmic Learning and Improvement Initiative in Cataract Surgery Trial, an Education-Intervention Randomized Control Study
Who cites it
20 citing papers in PubMed.
- The learning curve of a high-fidelity cataract surgical simulator.BMC medical education · 2026Article
- Prognostic factors for acute central retinal artery occlusion treated with hyperbaric oxygen: The Hong Kong study report number five.World journal of methodology · 2025Article
- Satisfaction survey on graduates of standardised training for resident doctors in Guizhou Province, China.BMJ open · 2024Article
- Automated detection of steps in videos of strabismus surgery using deep learning.BMC ophthalmology · 2024Article
- A survey on the willingness of outpatients to participate in fundus examination procedures conducted by ophthalmology training residents in China: A cross-sectional study.Health science reports · 2024Article
- Generative adversarial networks synthetic optical coherence tomography images as an education tool for image diagnosis of macular diseases: a randomized trial.Frontiers in medicine · 2024Article
- Attitudes toward ophthalmology as a prospective career among pre-clinical medical students in China.BMC medical education · 2023Article
- Shortening Training Duration to Address the Insufficiency of Ophthalmologists: A Deeper Look at the China Experience.Acta medica Philippina · 2023Article
- A practical continuous curvilinear capsulorhexis self-training system.Indian journal of ophthalmology · 2021Article
- The impact of distance cataract surgical wet laboratory training on cataract surgical competency of ophthalmology residents.BMC medical education · 2021Article
- Ophthalmology residency trainers' perspective on standardization of residency training in India.Indian journal of ophthalmology · 2021Article
- Using artificial intelligence to improve medical services in China.Annals of translational medicine · 2020Review
- Epidemiological characteristics and disease spectrum of emergency patients in two cities in China: Hong Kong and Shenzhen.World journal of emergency medicine · 2020Article
- Ophthalmology residency training in India: Comparing feedback about how the training equips ophthalmologists to combat retinal diseases. READS report #6.Indian journal of ophthalmology · 2019Article
- Ophthalmology specialist trainee survey in the United Kingdom.Eye (London, England) · 2019Article
- Survey of ophthalmologists-in-training in Eastern, Central and Southern Africa: A regional focus on ophthalmic surgical education.Wellcome open research · 2019Article
- Effect of wet-laboratory training on resident-performed manual small-incision cataract surgery.Indian journal of ophthalmology · 2018Article
- Residency Evaluation and Adherence Design Study III: Ophthalmology residency training in India: Then and now-Improving with time?Indian journal of ophthalmology · 2018Article
- Supervision and autonomy of ophthalmology residents in the outpatient Clinic in the United States: a survey of ACGME-accredited programs.BMC medical education · 2017Article
- Residency evaluation and adherence design study: Young ophthalmologists' perception of their residency programs - Clinical and surgical skills.Indian journal of ophthalmology · 2017Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo study the differences in ophthalmology resident training between China and the Hong Kong Special Administrative Region (HKSAR).
methodsTraining 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.
results50/75 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.
conclusionsIn 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.
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