Anonymous survey results of ophthalmology residents of Russian medical universities on the status of their visual analyzer

Abstract

BACKGROUND: A widespread visual impairment among medical students is known, but there are no data on the ophthalmic status of clinical residents.

AIM: To carry out an assessment of the visual analyzer status in Russian medical universities graduates who begin the clinical residency according to the specialty 31.08.59 Ophthalmology.

MATERIALS AND METHODS: An anonymous residents’ online survey was conducted in 15 universities from 14 cities using an original interactive questionnaire. Responses were received from 249 respondents (mostly females: n = 188, 75.5%; mean age 24.80 ± 0.06 years). To compare, we used previously published data on a survey of senior students from 5 Russian medical universities, including 549 respondents (425 females, 77.4%; mean age 22.4 ± 0.06 years).

RESULTS: In comparison to students, residents were significantly more likely to rate their vision as excellent (20.8% and 28.9%, respectively, p = 0.01), to report emmetropia (16.2% versus 26.9%, p < 0.001), to deny continuing vision deterioration (33.0% and 43.5%, p < 0.005), to rate higher the importance of good vision (9.25 ± 0.06 and 9.73 ± 0.05 conditional points, respectively, p < 0.01). Students significantly more often did not know the meaning of the “clinical refraction” term (2.6% and 0.4%, respectively, p = 0.04), more often reported vision problems interfering with their studies (26.2% and 15.7%, p = 0.01), and reported ongoing vision deterioration (57.9% versus 45.0%, p < 0.001). Otherwise, survey results were comparable.

CONCLUSIONS: Visual impairments are widespread among clinical residents-ophthalmologists of Russian medical universities, 58.2% of the responders had ametropia (including 56.1% of myopia), 28.5% had astigmatism, 3.6% had other ocular conditions. The majority of survey participants (59.8%) used or felt a need in optical correction, 19.7% rated their vision as “poor” or “very poor”, about a half (45.0%) believed their vision to worsen during recent years, and about as much (46.6%) reported that they experience limitations in everyday life related to decreased vision. Insufficient awareness of a part of the responders about their vision, and in some responders, a lack in basic ophthalmological knowledge were revealed.

Keywords

visual functions / ophthalmology / clinical resident / student / Russian Medical University / self-assessment / anonymous survey / myopia

References

[1] Alqudah AA, Bauer AJ, Aleshawi A. Refractive errors among medical students in Jordan: prevalence, types and possible risk factors. Future Sci OA. 2023;9(2):FSO839. doi: 10.2144/fsoa-2022-0075

[2] Alqudah A.A., Bauer A.J., Aleshawi A. Refractive errors among medical students in Jordan: prevalence, types and possible risk factors // Future Sci OA. 2023. Vol. 9, N 2. P. FSO839. doi: 10.2144/fsoa-2022-0075

[3] Alqudah AA, Bauer AJ, Aleshawi A. Refractive errors among medical students in Jordan: prevalence, types and possible risk factors. Future Sci OA. 2023;9(2):FSO839. doi: 10.2144/fsoa-2022-0075

[4] Khalili AF, Razzaghi S, Motlagh BF, et al. Prevalence of refractive errors and its associated risk factors among medical students of Jazan University, Saudi Arabia: A cross-sectional study. Middle East Afr J Ophthalmol. 2021;27(4):210–217. doi: 10.4103/meajo.MEAJO_240_20

[5] Khalili A.F., Razzaghi S., Motlagh B.F., et al. Prevalence of refractive errors and its associated risk factors among medical students of Jazan university, Saudi Arabia: A cross-sectional study // Middle East Afr J Ophthalmol. 2021. Vol. 27, N 4. P. 210–217. doi: 10.4103/meajo.MEAJO_240_20

[6] Khalili AF, Razzaghi S, Motlagh BF, et al. Prevalence of refractive errors and its associated risk factors among medical students of Jazan University, Saudi Arabia: A cross-sectional study. Middle East Afr J Ophthalmol. 2021;27(4):210–217. doi: 10.4103/meajo.MEAJO_240_20

[7] Aprelev AE, Setko NP, Korshunova RV. Frequency of myopia and functional indicators of visual organ in students of a medical institution. Practical Medicine. 2017;2(9):21–24. EDN: ZNLTHJ

[8] Апрелев А.Е., Сетко Н.П., Коршунова Р.В. Частота миопии и функциональные показатели органа зрения у студентов медицинского вуза // Практическая медицина. 2017. Т. 2, № 9. С. 21–24. EDN: ZNLTHJ

[9] Aprelev AE, Setko NP, Korshunova RV. Frequency of myopia and functional indicators of visual organ in students of a medical institution. Practical Medicine. 2017;2(9):21–24. EDN: ZNLTHJ

[10] Tikhomirova IYu, Zagidullina ASh, Valieva LS, Rakhmatullina RR. Analysis of risk factors accompanying myopia of various degrees in first-year students of Bashkir State Medical University. Bulletin of Bashkir State medical University. 2020;(S2):111–115. EDN: OCKOBM

[11] Тихомирова И.Ю., Загидуллина А.Ш., Валиева Л.С., Рахматуллина Р.Р. Анализ факторов риска, сопровождающих миопию различных степеней у студентов первого курса Башкирского государственного медицинского университета // Вестник Башкирского государственного медицинского университета. 2020. № S2. C. 111–115. EDN: OCKOBM

[12] Tikhomirova IYu, Zagidullina ASh, Valieva LS, Rakhmatullina RR. Analysis of risk factors accompanying myopia of various degrees in first-year students of Bashkir State Medical University. Bulletin of Bashkir State medical University. 2020;(S2):111–115. EDN: OCKOBM

[13] Tretiakova YuD, Bobykin EV, Korotkikh SA. Results of an anonymous survey of the fifth-year students of the medical and prophylactic faculty of the Ural State Medical University on self-assessment of eye condition and visual functions. In: Proceeding of the VIII International science and practice conferences of young scientists and students: “Topical issues of modern medical science and public health care”; 19–20 Apr 2023; Yekaterinburg. Yekaterinburg: USMU; 2023. P. 2285–2290. (In Russ.)

[14] Третьякова Ю.Д., Бобыкин Е.В., Коротких С.А. Результаты анонимного опроса студентов пятого курса лечебно-профилактического факультета Уральского государственного медицинского университета о самооценке состояния глаз и зрительных функций. В кн.: Материалы VIII Международной научно-практической конференции молодых учёных и студентов: «Актуальные вопросы современной медицинской науки и здравоохранения»; Апрель 19–20, 2023; Екатеринбург. Екатеринбург: Издательство УГМУ, 2023. С. 2285–2290.

[15] Tretiakova YuD, Bobykin EV, Korotkikh SA. Results of an anonymous survey of the fifth-year students of the medical and prophylactic faculty of the Ural State Medical University on self-assessment of eye condition and visual functions. In: Proceeding of the VIII International science and practice conferences of young scientists and students: “Topical issues of modern medical science and public health care”; 19–20 Apr 2023; Yekaterinburg. Yekaterinburg: USMU; 2023. P. 2285–2290. (In Russ.)

[16] Plotnikov DYu, Agliullina ST, Ashryatova LSh, et al. Analysis of the prevalence of myopia in medical students. Medicine. 2023;11(1): 25–34. EDN: CFIVDI doi: 10.29234/2308-9113-2023-11-1-25-34

[17] Плотников Д.Ю., Аглиуллина С.Т., Ашрятова Л.Ш., и др. Анализ распространённости миопии среди студентов медицинского вуза // Медицина. 2023. Т. 11, № 1. С. 25–34. EDN: CFIVDI doi: 10.29234/2308-9113-2023-11-1-25-34

[18] Plotnikov DYu, Agliullina ST, Ashryatova LSh, et al. Analysis of the prevalence of myopia in medical students. Medicine. 2023;11(1): 25–34. EDN: CFIVDI doi: 10.29234/2308-9113-2023-11-1-25-34

[19] Avkhadeeva SR, Aliverdieva EV, Astakhov SYu, et al. On the self-assessment of ocular status and of visual functions by senior students at Russian medical universities (anonymous survey results). Ophthalmology Reports. 2023;16(4):23–34. EDN: IWFEOE doi: 10.17816/OV609533

[20] Авхадеева С.Р., Аливердиева Э.В., Астахов С.Ю., и др. О самооценке состояния зрительного анализатора и функций органа зрения студентами старших курсов медицинских вузов России (результаты анонимного опроса) // Офтальмологические ведомости. 2023. Т. 16, № 4. С. 23–34. EDN: IWFEOE doi: 10.17816/OV609533

[21] Avkhadeeva SR, Aliverdieva EV, Astakhov SYu, et al. On the self-assessment of ocular status and of visual functions by senior students at Russian medical universities (anonymous survey results). Ophthalmology Reports. 2023;16(4):23–34. EDN: IWFEOE doi: 10.17816/OV609533

[22] Hasan SJ, Castanes MS, Coats DK. A survey of ophthalmology residents’ attitudes toward pediatric ophthalmology. J Pediatr Ophthalmol Strabismus. 2009;46(1):25–29. doi: 10.3928/01913913-20090101-09

[23] Hasan S.J., Castanes M.S., Coats D.K. A survey of ophthalmology residents’ attitudes toward pediatric ophthalmology // J Pediatr Ophthalmol Strabismus. 2009. Vol. 46, N 1. P. 25–29. doi: 10.3928/01913913-20090101-09

[24] Hasan SJ, Castanes MS, Coats DK. A survey of ophthalmology residents’ attitudes toward pediatric ophthalmology. J Pediatr Ophthalmol Strabismus. 2009;46(1):25–29. doi: 10.3928/01913913-20090101-09

[25] Thomas A.S., Redd T., Hwang T. Improving the transition to ophthalmology residency: a survey of first-year ophthalmology residents. J Clin Acad Ophthalmol. 2016;08(01):e10–e18. doi: 10.1055/s-0036-1581109

[26] Thomas A.S., Redd T., Hwang T. Improving the transition to ophthalmology residency: a survey of first-year ophthalmology residents // J Clin Acad Ophthalmol. 2016. Vol. 8, N 1. P. e10–e18. doi: 10.1055/s-0036-1581109

[27] Thomas A.S., Redd T., Hwang T. Improving the transition to ophthalmology residency: a survey of first-year ophthalmology residents. J Clin Acad Ophthalmol. 2016;08(01):e10–e18. doi: 10.1055/s-0036-1581109

[28] Musa KO, Aribaba OT, Rotimi-Samuel A, et al. Subspecialty preferences among ophthalmology resident doctors in Nigeria. Nigerian Journal of Ophthalmology. 2017;25(2):123–128. doi: 10.4103/njo.njo_25_17

[29] Musa K.O., Aribaba O.T., Rotimi-Samuel A., et al. Subspecialty preferences among ophthalmology resident doctors in Nigeria // Nigerian Journal of Ophthalmology. 2017. Vol. 25, N 2. P. 123–128. doi: 10.4103/njo.njo_25_17

[30] Musa KO, Aribaba OT, Rotimi-Samuel A, et al. Subspecialty preferences among ophthalmology resident doctors in Nigeria. Nigerian Journal of Ophthalmology. 2017;25(2):123–128. doi: 10.4103/njo.njo_25_17

[31] Binenbaum G, Volpe NJ. Ophthalmology resident surgical competency: a national survey. Ophthalmology. 2006;113(7):1237–1244. doi: 10.1016/j.ophtha.2006.03.026

[32] Binenbaum G., Volpe N.J. Ophthalmology resident surgical competency: a national survey // Ophthalmology. 2006. Vol. 113, N 7. P. 1237–1244. doi: 10.1016/j.ophtha.2006.03.026

[33] Binenbaum G, Volpe NJ. Ophthalmology resident surgical competency: a national survey. Ophthalmology. 2006;113(7):1237–1244. doi: 10.1016/j.ophtha.2006.03.026

[34] Abdelfattah NS, Radwan AE, Sadda SR. Perspective of ophthalmology residents in the United States about residency programs and competency in relation to the International Council of Ophthalmology guidelines. J Curr Ophthalmol. 2016;28(3):146–151. doi: 10.1016/j.joco.2016.06.001

[35] Abdelfattah N.S., Radwan A.E., Sadda S.R. Perspective of ophthalmology residents in the United States about residency programs and competency in relation to the International Council of Ophthalmology guidelines // J Curr Ophthalmol. 2016. Vol. 28, N 3. P. 146–151. doi: 10.1016/j.joco.2016.06.001

[36] Abdelfattah NS, Radwan AE, Sadda SR. Perspective of ophthalmology residents in the United States about residency programs and competency in relation to the International Council of Ophthalmology guidelines. J Curr Ophthalmol. 2016;28(3):146–151. doi: 10.1016/j.joco.2016.06.001

[37] Harkins K, Agraz D, Aggarwal K, et al. Survey of ophthalmology residents to assess techniques for diagnosing macular edema. Invest Ophthalmol Vis Sci. 2017;58(8):4628.

[38] Harkins K., Agraz D., Aggarwal K., et al. Survey of ophthalmology residents to assess techniques for diagnosing macular edema // Invest Ophthalmol. Vis. Sci. 2017. Vol. 58, N 8. P. 4628.

[39] Harkins K, Agraz D, Aggarwal K, et al. Survey of ophthalmology residents to assess techniques for diagnosing macular edema. Invest Ophthalmol Vis Sci. 2017;58(8):4628.

[40] Robles-Holmes H, Kolli A, Cox V, et al. Perspectives of U.S. ophthalmology residents and medical students on ophthalmology exposure during medical school. J Acad Ophthalmol (2017). 2023;15(1): e119–e125. doi: 10.1055/s-0043-1769463

[41] Robles-Holmes H., Kolli A., Cox V., et al. Perspectives of U.S. ophthalmology residents and medical students on ophthalmology exposure during medical school // J Acad Ophthalmol (2017). 2023. Vol. 15, N 1. P. e119–e125. doi: 10.1055/s-0043-1769463

[42] Robles-Holmes H, Kolli A, Cox V, et al. Perspectives of U.S. ophthalmology residents and medical students on ophthalmology exposure during medical school. J Acad Ophthalmol (2017). 2023;15(1): e119–e125. doi: 10.1055/s-0043-1769463

[43] Tsai ASH, Yeo BSY, Anaya Alaminos R, et al. Survey of ophthalmology training experiences among young ophthalmologists in the Asia-pacific. Asia Pac J Ophthalmol (Phila). 2022;11(5):434–440. doi: 10.1097/APO.0000000000000556

[44] Tsai A.S.H., Yeo B.S.Y., Anaya Alaminos R., et al. Survey of ophthalmology training experiences among young ophthalmologists in the Asia-pacific // Asia Pac J Ophthalmol (Phila). 2022. Vol. 11, N 5. P. 434–440. doi:10.1097/APO.0000000000000556

[45] Tsai ASH, Yeo BSY, Anaya Alaminos R, et al. Survey of ophthalmology training experiences among young ophthalmologists in the Asia-pacific. Asia Pac J Ophthalmol (Phila). 2022;11(5):434–440. doi: 10.1097/APO.0000000000000556

[46] Chemodanov IG, Shestakov EA, Kamelskikh DV, et al. Assessement of knowledge and skills of clinical ordinators in transfusiology. Bulletin of Pirogov National Medical & Surgical Center. 2018;13(1):124–126. EDN: YVXIYX

[47] Чемоданов И.Г., Шестаков Е.А., Камельских Д.В. и др. Оценка знаний и навыков клинических ординаторов по трансфузиологии // Вестник Национального медико-хирургического центра им. Н.И. Пирогова. 2018. Т. 13, № 1. С. 124–126. EDN: YVXIYX

[48] Chemodanov IG, Shestakov EA, Kamelskikh DV, et al. Assessement of knowledge and skills of clinical ordinators in transfusiology. Bulletin of Pirogov National Medical & Surgical Center. 2018;13(1):124–126. EDN: YVXIYX

[49] Deriushkin VG, Gatsura OA, Kochetkova IO, et al. Testing of residents as a tool for assessing quality of their training in the discipline of public health and health care. Medical Education and Professional Development. 2022;13(3):20–29. EDN: KCVKYE doi: 10.33029/2220-8453-2022-13-3-20-29

[50] Дерюшкин В.Г., Гацура О.А., Кочеткова И.О. и др. Тестирование ординаторов как инструмент оценки их подготовки по дисциплине «Общественное здоровье и здравоохранение» // Медицинское образование и профессиональное развитие. 2022. Т. 13, № 3. С. 20–29. EDN: KCVKYE doi: 10.33029/2220-8453-2022-13-3-20-29

[51] Deriushkin VG, Gatsura OA, Kochetkova IO, et al. Testing of residents as a tool for assessing quality of their training in the discipline of public health and health care. Medical Education and Professional Development. 2022;13(3):20–29. EDN: KCVKYE doi: 10.33029/2220-8453-2022-13-3-20-29

[52] Ivanov DO, Aleksandrovich YuS, Kulbakh OS, et al. The quality of post-graduate training of residents. Annals of the Russian Academy of Medical Sciences. 2019;74(5):333–341. EDN: RREUVG doi: 10.15690/vramn1177

[53] Иванов Д.О., Александрович Ю.С., Кульбах О.С. и др. Качество последипломной подготовки ординаторов // Вестник РАМН. 2019. Т. 74, № 5. С. 333–341. EDN: RREUVG doi: 10.15690/vramn1177

[54] Ivanov DO, Aleksandrovich YuS, Kulbakh OS, et al. The quality of post-graduate training of residents. Annals of the Russian Academy of Medical Sciences. 2019;74(5):333–341. EDN: RREUVG doi: 10.15690/vramn1177

[55] Trukhacheva NV. Mathematical statistics in medico-biological research using Statistica package. Moscow: GEOTAR-Media; 2013. 384 p. EDN: THVXOF (In Russ.)

[56] Трухачёва Н.В. Математическая статистика в медико-биологических исследованиях с применением пакета Statistica. Москва: ГЭОТАР-Медиа, 2013. 384 с. EDN: THVXOF

[57] Trukhacheva NV. Mathematical statistics in medico-biological research using Statistica package. Moscow: GEOTAR-Media; 2013. 384 p. EDN: THVXOF (In Russ.)

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