Roohipoor Ramak, Alvarez Rodrigo, Brodowska Katarzyna, Yaseri Mehdi, Kloek Carolyn, Riazi Mohamad, Nourinia Ramin, Nikkhah Homayoun, Prajna N Venkatesh, Krishnan Chandrasekharan, Tuli Sonal, Green Laura, Srikumaran Divya, Shah Ankoor S, Mantagos Iason S, Chiang Michael, Chan R V Paul, Loewenstein John
Massachusetts Eye and Ear, Harvard Medical School, Department of Ophthalmology, Boston, Massachusetts; Farabi Eye Hospital, Eye Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Pontifical Catholic University, Santiago, Chile.
J AAPOS. 2019 Apr;23(2):86.e1-86.e7. doi: 10.1016/j.jaapos.2018.11.008. Epub 2019 Mar 16.
To evaluate the effect of a computer-based training program-Massachusetts Eye & Ear ROP Trainer-on residents' knowledge of retinopathy of prematurity (ROP) management.
In this prospective, randomized study, ophthalmology residents from nine different training programs consented to participate. Those who completed the study were randomly assigned to either the Trainer or the control group. The ROP Trainer was created using clinical cases encompassing the stages of ROP in digital pictures and videos. It includes sections on screening decisions, examination techniques, and diagnosis, and a reference section with the expert video clips and a searchable image library. Subjects in the control group were asked to study standard print material on ROP. A pre- and post-test, consisting of theoretical and practical (diagnosis) questions, and a post-intervention satisfaction test were administered. Accuracy of ROP diagnosis was assessed.
A total of 180 residents agreed to participate, of whom 60 completed the study. Residents in the Trainer group had statistically significant improvements (P = 0.003) in ROP knowledge and diagnostic ability (P = 0.005). Residents randomized to the Trainer group were more satisfied with the training materials than were those in the control group. There was no significant difference in improving knowledge by year of training, sex, or country. Considering all training levels, a statistically significant increase was observed in sensitivity for the diagnosis of preplus or worse, zone I or II, ROP stage, category, and aggressive posterior ROP in the Trainer group.
In this study, the Trainer was shown to significantly improve ROP knowledge and diagnostic skills of residents, regardless of sex, year, of training, or country.
评估基于计算机的培训项目——马萨诸塞眼耳医院ROP培训师对住院医师早产儿视网膜病变（ROP）管理知识的影响。
在这项前瞻性随机研究中，来自九个不同培训项目的眼科住院医师同意参与。完成研究的人员被随机分配到培训师组或对照组。ROP培训师使用包含数字图片和视频中ROP各阶段的临床病例创建。它包括筛查决策、检查技术和诊断部分，以及一个带有专家视频片段和可搜索图像库的参考部分。对照组的受试者被要求学习关于ROP的标准印刷材料。进行了包括理论和实践（诊断）问题的前后测试以及干预后满意度测试。评估ROP诊断的准确性。
共有180名住院医师同意参与，其中60名完成了研究。培训师组的住院医师在ROP知识和诊断能力方面有统计学显著改善（P = 0.003）（P = 0.005）。随机分配到培训师组的住院医师对培训材料的满意度高于对照组。在通过培训年份、性别或国家提高知识方面没有显著差异。考虑所有培训水平，培训师组在诊断预加或更严重、I区或II区、ROP阶段、类别和侵袭性后部ROP的敏感性方面有统计学显著提高。
在本研究中，培训师被证明能显著提高住院医师的ROP知识和诊断技能，无论其性别、培训年份或国家如何。
