Margolis K L, Money B E, Kopietz L A, Rich E C
Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota 55415.
J Gen Intern Med. 1989 Jul-Aug;4(4):296-9. doi: 10.1007/BF02597400.
To evaluate a short educational intervention instructing primary care physicians in the recognition of glaucomatous changes of the optic disc.
Comparison of performances on a pretest and a posttest consisting of fundus slides in color.
Educational conferences at two university-affiliated teaching hospitals and one staff-model health maintenance organization.
Thirty-six internal medicine residents and ten practicing internists.
A 20-minute slide/narration educational program, which covered diagnostic criteria for open-angle glaucoma, normal and abnormal optic disc anatomy, and funduscopic signs of open-angle glaucoma.
Following the intervention, residents showed improved sensitivity (0.76 to 0.88, p = 0.007), specificity (0.65 to 0.88, p less than 0.001), and accuracy (0.71 to 0.88, p less than 0.001). Internists showed similar increments in sensitivity, specificity, and accuracy: 0.67 to 0.86 (p = 0.01), 0.59 to 0.84 (p = 0.01), and 0.63 to 0.85 (p = 0.002), respectively.
A brief educational intervention can result in meaningful improvement in physician diagnostic accuracy in recognizing ophthalmoscopic signs of open-angle glaucoma.
评估一项简短的教育干预措施，该措施指导初级保健医生识别视盘的青光眼性改变。
对由彩色眼底幻灯片组成的预测试和后测试的表现进行比较。
两家大学附属医院和一家员工型健康维护组织举办的教育会议。
36名内科住院医师和10名执业内科医生。
一个20分钟的幻灯片/旁白教育项目，内容涵盖开角型青光眼的诊断标准、正常和异常视盘解剖结构以及开角型青光眼的眼底镜检查体征。
干预后，住院医师的敏感度（从0.76提高到0.88，p = 0.007）、特异度（从0.65提高到0.88，p < 0.001）和准确度（从0.71提高到0.88，p < 0.001）均有所提高。内科医生在敏感度、特异度和准确度方面也有类似的提高，分别为：从0.67提高到0.86（p = 0.01）、从0.59提高到0.84（p = 0.01）、从0.63提高到0.85（p = 0.002）。
一项简短的教育干预可使医生在识别开角型青光眼眼底镜检查体征时的诊断准确度得到显著提高。
