Boden K T, Rickmann A, Fries F N, Xanthopoulou K, Alnaggar D, Januschowski K, Seitz B, Käsmann-Kellner B, Schrecker J
Augenklinik Sulzbach, Knappschaftsklinikum Saar, An der Klinik 10, 66280, Sulzbach, Deutschland.
Klinik für Augenheilkunde, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland.
Ophthalmologe. 2020 Jan;117(1):44-49. doi: 10.1007/s00347-019-0909-z.
The use of direct ophthalmoscopy in non-ophthalmological specialties seems to be decreasing in the clinical routine. This could be due to a lack of training and thus an uncertain assessment.
The aim of this study was to evaluate the effectiveness and acceptance of learning direct ophthalmoscopy on a simulator in comparison to the classical teaching method among students.
Within the framework of the student block internship for ophthalmology, a total of 34 students took part in the project. The first group received classical training, the second group received simulator training. The learning success was assessed by an objective structured clinical examination (OSCE).
The simulator training group showed a significantly higher points score in individual disciplines. The subjects in the classical group achieved a learning success in the OSCE of 78%. In the simulator-based group a higher score of 91% was achieved with a lower scatter in all subdisciplines.
The patient and instructor-independent availability of the teaching materials, a reduction of light exposure for patients and test subjects, as well as a standardized and controlled mediation of physiological and pathological findings can be emphasized as advantages of the tested simulator.
The simulator-based training for learning direct funduscopy is effective. The virtual reality simulator evaluated in this project can improve the training of students and residents.
在临床实践中，直接检眼镜在非眼科专业的使用似乎正在减少。这可能是由于缺乏培训，因此评估结果不确定。
本研究的目的是评估与传统教学方法相比，学生在模拟器上学习直接检眼镜的有效性和接受度。
在眼科学生分组实习的框架内，共有34名学生参与了该项目。第一组接受传统培训，第二组接受模拟器培训。通过客观结构化临床考试（OSCE）评估学习成果。
模拟器培训组在各个学科的得分明显更高。传统组的受试者在OSCE中的学习成功率为78%。在基于模拟器的组中，所有子学科的得分更高，为91%，且离散度更低。
所测试的模拟器的优点包括教学材料不受患者和教师限制、减少患者和受试者的光照暴露，以及对生理和病理结果进行标准化和可控的呈现。
基于模拟器的直接眼底镜检查学习培训是有效的。本项目中评估虚拟现实模拟器可以改善学生和住院医生的培训。
