Deuchler Svenja, Sebode Christina, Ackermann Hanns, Schmack Ingo, Singh Pankaj, Kohnen Thomas, Koch Frank
Augenklinik, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.
Institut für Biostatistik und Mathematische Modellierung, Johann Wolfgang Goethe-Universität, Frankfurt am Main, Deutschland.
Ophthalmologe. 2022 Jan;119(1):20-29. doi: 10.1007/s00347-020-01313-0. Epub 2021 Jan 15.
Ophthalmoscopy is part of the medical curriculum but the teaching of medical contents is often unsatisfactory. No systematic learning of pathologies and their treatment options is possible because appropriate patient populations are often unavailable; instead of that healthy students examine each other. For this reason, we have developed a project to improve teaching at the medical faculty of the JWG University in Frankfurt/Main, which offers the opportunity for training in ophthalmoscopy using a newly developed online platform (EyesiNet) in addition to simulator training. Defined learning contents are reproducible and made equally available to everyone.
The aim of this study was to evaluate a format for improving the teaching of direct and indirect ophthalmoscopy for students. Practical exercises on virtual reality-based simulators were intertwined with newly developed theoretical content adapted to the teaching catalog in the online platform EyesiNet.
On the first and last days of the internship, the students worked on cases in Eyesi Direct and Eyesi Indirect. In the meantime, they were able to deal with the theoretical basics of these ophthalmological clinical pictures in the web-based EyesiNet on a voluntary basis.
Eyesi Direct: with p = 0.29, both groups had the same state of knowledge and did not have significantly different results in case processing on the first day of the internship. In the group without training (n = 54), a significant improvement in simulator training was observed on the last day of the practical training with p = 0.02 but with a small effect size of 0.1. Among the trainees (n = 32) a highly significant improvement with an effect size of 0.3 was observed with p = 0.0004. Eyesi Indirect: both groups had no significant difference in the stage of knowledge in the Eyesi Indirect at the beginning of the training period (p = 0.10). After training both groups performed slightly better but without significance (without training p = 0.41/with training p = 0.17).
The online platform EyesiNet supports the learning of the most important disease patterns. Learning contents are made available in a reproducible and standardized way for all students. The skills of direct ophthalmoscopy can be learned much faster than those of indirect ophthalmoscopy.
检眼镜检查是医学课程的一部分，但医学内容的教学往往不尽人意。由于通常无法获得合适的患者群体，因此不可能对病理学及其治疗方案进行系统学习；取而代之的是健康的学生相互检查。因此，我们开展了一个项目，以改进法兰克福/美因河畔JWG大学医学院的教学，该项目除了提供模拟器训练外，还提供了使用新开发的在线平台（EyesiNet）进行检眼镜检查训练的机会。明确的学习内容具有可重复性，并且对每个人都是平等可用的。
本研究的目的是评估一种改进学生直接和间接检眼镜检查教学的形式。基于虚拟现实的模拟器上的实践练习与在线平台EyesiNet中根据教学目录改编的新开发的理论内容交织在一起。
在实习的第一天和最后一天，学生们在Eyesi Direct和Eyesi Indirect上处理病例。与此同时，他们能够自愿在基于网络的EyesiNet中学习这些眼科临床图像的理论基础。
Eyesi Direct：p = 0.29，两组在实习第一天的知识水平相同，病例处理结果无显著差异。在未经训练的组（n = 54）中，在实践训练的最后一天观察到模拟器训练有显著改善，p = 0.02，但效应量较小，为0.1。在受训者组（n = 32）中，观察到有高度显著的改善，效应量为0.3，p = 0.0004。Eyesi Indirect：在训练期开始时，两组在Eyesi Indirect的知识阶段无显著差异（p = 0.10）。训练后，两组表现均略有改善，但无显著性差异（未训练组p = 0.41/训练组p = 0. 17）。
在线平台EyesiNet支持对最重要疾病模式的学习。学习内容以可重复和标准化的方式提供给所有学生。直接检眼镜检查的技能比间接检眼镜检查的技能学得更快。
