当今世界范围内正在进行以“胜任力导向的医学教育(competency-based medical education,CBME)”为主要特征的第三次医学教育改革。但是,在实践过程中仍然存在无法与临床现实相联系的问题。本研究参考Mulder等提出的“基于置信职业行为(...
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当今世界范围内正在进行以“胜任力导向的医学教育(competency-based medical education,CBME)”为主要特征的第三次医学教育改革。但是,在实践过程中仍然存在无法与临床现实相联系的问题。本研究参考Mulder等提出的“基于置信职业行为(entrustable professional activities,EPAs)的CBME课程体系构建三步法”,结合国内外近年来相关政策及研究,通过细化专科临床操作EPAs的形式,构建了具有骨科专科特点的EPAs框架。并以此为基础,提出以胜任力导向的骨科住院医师规范化培训体系,辅以教学评估手段确保课程顺利实施,以期为构建外科学专科EPAs培训体系提供参考。
1 INTRODUCTIONTrochleitis usually presents as an orbital pain without obvious ocular signs. Diagnosis is confirmed by peritrochlear steroid injection, which produces quick relief of periocular symptoms and may improve...
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1 INTRODUCTION
Trochleitis usually presents as an orbital pain without obvious ocular signs. Diagnosis is confirmed by peritrochlear steroid injection, which produces quick relief of periocular symptoms and may improve headache control. Trochleitis is a local inflammatory process of the superior oblique tendon trochlea and is character- ized by severe periocular pain. Eye movement in supraduction typically aggravates the pain. Idiopathic trochleitis is a cause of superimposed ocular pain in patients with migraine. Physical examination shows exquisite point tenderness over trochlea of the superior oblique muscle.
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