简介:Simulationcanbedefinedasmalingering,orsometimesfunctionalvisualloss(FVL).Itmanifestsaseithersimulatinganophthalmicdisease(positivesimulation),ordenialofophthalmicdisease(negativesimulation).Consciousbehaviorandcompensationorindemnityclaimsareprominentfeaturesofsimulation.Sincesomeauthorssuggestthatthisisamanifestationofunderlyingpsychopathology,evenconversionisincludedinthiscontext.Intoday’sworld,everyophthalmologistcanfacewithsimulationofophthalmicdiseaseordisorder.Incaseofsimulationsuspect,thephysician’sresponsibilityistoprovethesimulationconsideringthedisease/disorderfirst,andsimulationasanexclusion.Insimulationexaminations,thephysicianshouldbefirmandsmarttoselectappropriatetest(s)toconvincenotonlythesubject,butalsothejudgeincaseofindemnityorcompensationtrials.Almostallophthalmicsensoryandmotorfunctionsincludingvisualacuity,visualfield,colorvisionandnightvisioncanbethesubjectofsimulation.Examinermustbeskillfulinselectingthemostappropriatetest.Apartfromthoseintheliterature,weincludedallkindsofsimulationinophthalmology.Inaddition,simulationexaminationtechniques,suchas,useofOCT(opticalcoherencetomography),frequencydoublingperimetry(FDP),andmodifiedpolarizationtestswerealsoincluded.Inthisreview,wemadeathoroughliteraturesearch,andaddedourexperiencestogivethereadersup-to-dateinformationonmalingeringorsimulationinophthalmology.
简介:摘要:目的:对情景模拟教学法在眼科教学临床带教中的应用效果进行分析与研究。方法:选取 100例实习生进行研究与对比,实习时间为 2018-2019学年,将 100例实习生平均分为对照组和实验组,接受情景模拟教学法的小组为实验组,利用传统教学法行实习的则为对照组,然后就两组实习生的实习成绩和效果进行测评与分析。结果:实验组实习生当中大多数认为情景模拟教学法有利,且实验组( 92±8.53)实习生的临床考核成绩明显优于对照组( 79±10.01), P<0.05,差异具备统计学意义。结论:在眼科学的临床带教当中,以案例为基础的情景模拟教学法有着较强的优势和价值,是提高实习生技能和水平,也是提高临床教学效果的重要手段。