目的：评估EYESI双目间接检眼镜模拟系统作为基层全科医师眼底检查技能培训工具的效用。

方法：前瞻性随机对照研究。选择2021年1月至2024年12月在深圳市眼科医院接受眼科临床技能培训的基层全科医师40名，使用随机数字表分为研究组20名、对照组20名。研究组接受EYESI双目间接检眼镜模拟系统培训，对照组接受传统实践方法培训，分析两组教学效果。

结果：两组一般资料具有可比性。研究组经过EYESI双目间接检眼镜模拟系统培训后，检查总分及绘图总分均高于培训前(均P<0.001)； 检查时长、视网膜光暴露时间及绘图时长均短于培训前(均P<0.001)。研究组在EYESI双目间接检眼镜模拟系统考核中的检查总分及绘图总分均高于对照组(均P<0.001)； 检查时长、视网膜光暴露时间及绘图时长均短于对照组(均P<0.001)。研究组对培训方式新颖性及培训整体满意度的评分均高于对照组(均P<0.001)； 研究组对培训期间心理压力的评分低于对照组(P<0.001)。

结论：EYESI双目间接检眼镜模拟系统能有效提升基层全科医师的眼底检查技能培训效果及基层全科医师对培训的满意度。

METHODS:Prospective randomized study. A total of 40 general practitioners who received clinical ophthalmology training at Shenzhen Eye Hospital from January 2021 to December 2024 were selected and randomly divided into two groups by random number table method, with 20 cases in the study group and 20 cases in the control group. The study group was trained by EYESI binocular indirect ophthalmoscope simulation system and the control group was trained by conventional teaching. Training effects of the two groups were analyzed.

RESULTS: The general information of the two groups was comparable. Through training with the EYESI binocular indirect ophthalmoscope simulator, the study group showed significant improvements in total examination and drawing scores compared to pre-training results(all P<0.001). Additionally, examination duration, retinal light exposure time, and drawing time were all significantly shorter than those before training(all P<0.001).The study group achieved significantly higher total examination and drawing scores than the control group during the EYESI binocular indirect ophthalmoscope simulator assessment(all P<0.001). Furthermore, examination duration, retinal light exposure time, and drawing time were all significantly shorter in the study group compared to the control group(all P<0.001). Moreover, ratings for the novelty of the training method and overall satisfaction with the training were significantly higher in the study group than in the control group(all P<0.001); while the perceived psychological stress during training was significantly lower in the study group(P<0.001).

CONCLUSION:The EYESI binocular indirect ophthalmoscope simulaton system effectively enhances both the proficiency in fundus examination skills and overall training satisfaction among general practitioners.