Kwok Jason, Liao Walter, Baxter Stephanie
Department of Ophthalmology, Queen's University, Hotel Dieu Hospital, Kingston, ON.
Department of Ophthalmology, Queen's University, Hotel Dieu Hospital, Kingston, ON.
Can J Ophthalmol. 2017 Oct;52(5):441-446. doi: 10.1016/j.jcjo.2017.02.020. Epub 2017 May 3.
Direct ophthalmoscopy is an important clinical skill that is often poorly performed by medical professionals and students. This is attributable to a declining emphasis on ophthalmology in medical school. We present and evaluate a self-directed approach of teaching ophthalmoscopy to medical students that is suitable for the current medical curriculum.
Prospective medical education trial.
Ninety-five second-year medical students at Queen's University: 32 in the experimental group and 63 in the control group.
The experimental group consisted of medical students who practised ophthalmoscopy with one another using an online peer fundus photograph matching exercise created by the Department of Ophthalmology at Queen's University. To use the program, students first examined a peer with an ophthalmoscope and then selected an online photograph of a fundus corresponding to that of the examinee. The program notifies students if a correct selection is made. To encourage use of the program, students participated in a 2-week ophthalmoscopy competition during their ophthalmology rotation. The control group consisted of students who did not participate in the learning exercise.
On assessment at the end of the ophthalmology rotation, the experimental group (n = 32) was more accurate in matching fundus photographs compared with the control group (n = 63) (p = 0.02). Participants were faster at performing ophthalmoscopy at the end of the learning exercise (p < 0.01). All students in the experimental group reported increased confidence levels in ophthalmoscopy after participation in the learning exercise.
Matching online peer fundus photographs in a self-directed manner appeared to increase the skill and confidence of medical students in ophthalmoscopy.
直接检眼镜检查是一项重要的临床技能，但医学专业人员和学生的操作往往欠佳。这归因于医学院校对眼科的重视程度不断下降。我们提出并评估一种适合当前医学课程的针对医学生的自我指导式检眼镜检查教学方法。
前瞻性医学教育试验。
女王大学的95名二年级医学生，实验组32名，对照组63名。
实验组由医学生组成，他们使用女王大学眼科系创建的在线同伴眼底照片匹配练习相互练习检眼镜检查。使用该程序时，学生首先用检眼镜检查一名同伴，然后选择一张与被检查者眼底相对应的在线眼底照片。如果选择正确，程序会通知学生。为鼓励使用该程序，学生在眼科轮转期间参加了为期两周的检眼镜检查竞赛。对照组由未参与学习练习的学生组成。
在眼科轮转结束时进行评估，与对照组（n = 63）相比，实验组（n = 32）在匹配眼底照片方面更准确（p = 0.02）。在学习练习结束时，参与者进行检眼镜检查的速度更快（p < 0.01）。实验组的所有学生在参与学习练习后报告称检眼镜检查的信心水平有所提高。
以自我指导的方式匹配在线同伴眼底照片似乎提高了医学生在检眼镜检查方面的技能和信心。
