On January 26, 2022, Wuhan University Zhongnan Hospital signed a contract with Wuhan Hankou Hospital Ophthalmology Specialty Alliance and Wuhan Hankou Hospital Guangming Center Project Awarding Meeting was held; on May 29, 2022, Professor Ke Min, Director of Ophthalmology at Wuhan University Zhongnan Hospital, and his team came to Jiayu County People's Hospital in Hubei Province (Jiayu Hospital, Wuhan University Zhongnan Hospital), and gathered with the hospital leaders, directors and experts in related disciplines, to provide guidance on the standardized diagnosis and treatment of fundus diseases in the form of a "Guangming Center Guidance Center Visit Meeting", and conducted academic discussions on the prevention and treatment of eye-systemic diseases.
In January this year, the National Health Commission issued the "14th Five-Year Plan" National Eye Health (2021-2025)". Among them, the diagnosis and treatment of fundus diseases are positioned as the focus of attention in the next five years. According to statistics, the total number of fundus disease patients in my country exceeds 40 million. Fundus disease is the first irreversible blinding eye disease. The awareness and standardized treatment rate of this disease are very low in China. To change this situation, the National Center for Clinical Medical Research on Eye Diseases and Beijing Bethune Charity Foundation jointly launched the "Light Center" project, focusing on standardized diagnosis and treatment of fundus diseases and promoting the realization of universal fundus health in my country. At present, more than 1,000 comprehensive and specialized hospitals and more than 10,000 ophthalmologists have joined the system in my country.
Strengthening the discipline of fundus disease talent team building
Ke Min told reporters that in the normal operation of the "Bright Center", she and the team actively think and constantly explore better plans for the sustainable development of the cause of preventing and treating chronic eye diseases. In more than a year, she summarized the "trilogy" of fundus health: first, establish a comprehensive in-hospital multidisciplinary consultation (MDT) model led by ophthalmology; second, jointly formulate full-process treatment goals with patients when they are diagnosed, establish treatment confidence for patients, and jointly complete the entire disease management; second, always improve the patient's original data so that they can trace the source at any time.
Ke Min, director of the Department of Ophthalmology at Zhongnan Hospital, Wuhan University,
Ke Min said that in the comprehensive management of patients with diabetic retinopathy, the "trilogy" has been fully reflected. Usually, patients with fundus disease need to run between the endocrinology and the ophthalmology department for follow-up examination and treatment. Therefore, during the treatment process, we must consider how to enhance the patient's confidence in treatment based on considering the patient's financial situation.
"Many patients run back and forth between the endocrinology and the ophthalmology department, which will cause anxiety. As doctors, on the one hand, they should maintain the treatment effect of the patient at a better stage; on the other hand, they should regularly follow up on the treatment progress and understand the patient's systemic condition to adjust the medication." Ke Min said that such patients often need medical staff to spend more time communicating.
It is worth thinking about how to intervene and manage the disease earlier, so as to achieve early detection, early diagnosis, and early benefits. It is not difficult to find clinically that some patients have not achieved the expected recovery of visual quality, which is due to the lack of strict management of early disease and the rapid development of the disease. Therefore, it is very important to increase the eye screening rate of diabetes patients, promptly conduct early intervention on patients, and strengthen cooperation with endocrinologists in the early stage. Ke Min said: "We say 'front forward', which means carrying out multidisciplinary chronic disease management in the early stage and truly serving patients from beginning to end." How to improve the follow-up management of patients by
regularly scheduled, early intervention, and timely popular science
for patients is also the focus of Ke Min's team's thinking. Follow-up management is an important link to connect with patients. In this regard, Ke Min constantly summarizes his experience and explores his own method in this regard. "Managing patients and always caring for and taking care of them is what they want most." From the perspective of patients, Ke Min led the team to truly implement the management model of regular timed, early intervention, clear goals, and popular science, establish a complete communication method, organize communication regularly and regularly, realize joint cooperation between medical, technical and nursing, conduct standardized follow-up of patients, and remind them to review regularly.
Ke Min said that medicine is rigorous and every sentence can be evidence-based. Therefore, popular science is more about helping patients understand the disease profile.
Fundus chronic disease management is a new concept for medical staff, and it is also a chronic disease prevention and treatment model established based on the cooperation of patients, doctors, nurses and other disciplines. It is a timely measure for the occurrence, development and all stages of chronic diseases, and jointly fight the disease in the form of teamwork. She believes that the basic concept of chronic disease management is that patients actively manage themselves. That is to say, in the prevention and treatment of chronic diseases, patients should change their bad living habits and master basic knowledge of medication, and at the same time master effective communication skills with medical staff, actively prevent and treat diseases, and become the protagonists in fighting diseases.
For patients, medical staff will accompany them as a "coach" for life. Through repeated communication with patients, continuous education and correct guidance, medical staff submit their self-management capabilities, reduce relevant risk factors for disease occurrence and development, effectively control disease development, and reduce the economic burden on individuals and society.
tutors lead the teaching,
adopts "multi-energy integration" training mechanism
On February 23, 2021, the first batch of Wuhan municipal hospitals in Hubei Province and the first "Bright Center" was created in Wuhan First Hospital .
Xiao Zefeng, director of the ophthalmology department of Wuhan First Hospital, introduced that the hospital's "Guangming Center" has formulated a standardized diagnosis and treatment process for fundus diseases. By building a training platform for doctors, nurses and technicians at all levels, the introduction of patient management platforms and the application of Internet technology, it effectively improves the diagnosis and treatment and management capabilities of doctors, nurses and technicians in the diagnosis and treatment of fundus diseases, and provides an innovative and standardized model for the effective management of fundus diseases patients in Wuhan, thereby improving patients' awareness of fundus diseases.
After Xiao Zefeng performed the operation on a patient over 90 years old, the old man sent a plaque to express his gratitude to
Under such a model, Xiao Zefeng implemented the "multi-energy integration" talent training mechanism. After coming to ophthalmology, young doctors will not immediately determine their development direction. Instead, they will comprehensively and systematically exercise their skills, comprehensively improve the diagnosis and treatment level of each ophthalmology sub-specialties, and at the same time adopt a tutor-led teaching model for them.
Xiao Zefeng said that the tutor-led teaching model allows young doctors to rotate among various sub-specialties, improving their ability to deal with various problems. Especially the subspecialty of fundus, it is divided into two subspecialty groups: internal and external fundus. Young doctors have a long rotation in the subspecialties of the fundus for a long time, which is conducive to solid basic fundus diagnosis and treatment. In the subspecialty of fundus, young doctors can master the use of fundus anterior lens and the reading methods of routine fundus imaging pictures. In addition, through weekly routine department business study sessions, young doctors carefully review the literature, carefully prepare case sharing, and analyze and discuss with senior doctors. In such a learning atmosphere, young doctors have developed the ability to discover and solve problems, and have exercised clinical thinking .
In the "Guangming Center" of Wuhan First Hospital, senior residents have mastered the diagnosis of common fundus diseases and vitreous cavity injection technology, which is also the "fruit" formed by the hospital's talent training system over the years. Xiao Zefeng believes that by improving the clinical skills of young doctors, the ophthalmologist team will be more dynamic. In addition, the "Light Center" also actively carried out projects such as "diagnostic picture reading check-in" and "Fundament Elite Training Camp". Through practical drills, young doctors' diagnosis and picture reading skills have been rapidly improved.
Benefiting patients is the common pursuit of the team. In terms of patient management, the "Bright Center" of Wuhan First Hospital organized nurses to conduct telephone follow-up of patients and promptly reminded them to return to the hospital for follow-up visit. For patients who are unwilling to come for follow-up visits for various reasons, the hospital carries out targeted activities, such as the "Bright Four Seasons Tour" free consultation activity, thus organizing fundus disease experts to conduct free fundus OCT examinations, intraocular pressure measurements, fundus photography, etc. to remind patients to follow-up visits in a timely manner.
In addition to standardized treatment in the hospital, the "Bright Center" relies on its patient management platform to use digital technology and digital operation capabilities, and through online drug guidance, community operations and disease popularization, patients can enjoy the same high-quality care services as in the hospital.
Hospital style
Wuhan University Zhongnan Hospital
Wuhan University Zhongnan Hospital is located under Luojia Mountain . The environment is beautiful and the scenery is pleasant. The hospital has 3,300 beds, 49 clinical medical and technical departments, 36 teaching and research departments, 4,285 employees, including 3,801 health professionals, of which 535 have senior professional titles (including 77 doctoral supervisors and 241 master's supervisors). The hospital has 5 national key clinical construction specialties, 3 key specialties of Wuhan National Medical and Health Service Center, 6 national platforms, 3 provincial key laboratories, and 11 provincial medical clinical research centers.
Wuhan University Zhongnan Hospital Exterior View
Wuhan University Zhongnan Hospital Ophthalmology Department was established in 1956. After more than 60 years of development, it has strong technical strength and advanced diagnosis and treatment equipment. The department currently has more than 50 medical staff, including more than 30 doctors, including 28 doctoral degrees, 8 senior professional titles, 2 doctoral supervisors, and 3 master's supervisors. The
department has a large number of advanced diagnosis and treatment equipment, including the world's first-class optical coherence tomography examination equipment, Heidelberg laser confocal microscopy, etc. It is the first in the province to carry out blood flow imaging optical coherence tomography examination for fundus diseases, laser confocal microscopy examination for ocular surface diseases, and open-angle glaucoma SLT treatment, and actively carry out retinopathy screening, and perform fundus imaging examination and corresponding treatment for retinopathy in premature infants. The department can carry out various modern ophthalmic surgeries in a comprehensive manner and vigorously carry out day surgery .
The ophthalmology department of the hospital is a national clinical drug trial base and a national standardized training base for resident physicians. It undertakes the teaching of ophthalmology in the Second Clinical College of Wuhan University. It presides over a number of national and ministries, provincial and municipal scientific research projects, and is committed to providing patients with high-quality and efficient medical services.
Wuhan University Central South Hospital Ophthalmology Team
Wuhan First Hospital
Wuhan First Hospital ( Wuhan Integrated Traditional Chinese and Western Medicine Hospital ) is a modern comprehensive tertiary grade A hospital integrating medical care, teaching, and scientific research. It is the first batch of key integrated traditional Chinese and Western medicine hospitals in the country. It is the Wuhan Integrated Traditional Chinese and Western Medicine Hospital and the Fourth Clinical College affiliated to Tongji Medical College of Huazhong University of Science and Technology, and the Integrated Traditional Chinese and Western Medicine Hospital affiliated to Hubei University of Traditional Chinese and Western Medicine.
Wuhan First Hospital Ophthalmology Department is a key clinical specialty in Hubei Province and Wuhan City, a technical guidance center for low vision disability rehabilitation, a member of the Standing Committee of the Hubei Ophthalmology Association of the Chinese Medical Association and a vice chairman of the Hubei Association of Traditional Chinese and Western Medicine and Traditional Chinese Medicine Ophthalmology. The number of ophthalmic surgeries is firmly ranked among the top three in the number of surgeries in the hospital's surgical department. At the same time, the hospital's day surgery center was created, reducing the average number of patients' hospitalization days to about 2 days, and reducing the burden on patients while simplifying the process. The department will always adhere to the service concept of "guarding the light and striving for excellence", and strive to build a first-class ophthalmology brand in combination with traditional Chinese and Western medicine in accordance with the hospital's development goal of "five years of reshaping and ten years of leap forward" and strive to build it into a first-class domestic ophthalmology brand in combination with traditional Chinese and Western medicine.
Wuhan First Hospital Ophthalmology Team
Text: Li Ji Xia Yi
Edited by: Liu Lixia
Review: Han Lu
