一种使用虚拟格式教授检眼镜检查的新方法。
A Novel Approach to Teaching Fundoscopy Using a Virtual Format.
机构信息
Third-Year Resident, Department of Ophthalmology, University of Pittsburgh Medical Center.
Fourth-Year Medical Student, University of Pittsburgh School of Medicine.
出版信息
MedEdPORTAL. 2022 May 27;18:11252. doi: 10.15766/mep_2374-8265.11252. eCollection 2022.
INTRODUCTION
Ophthalmology education has been underemphasized in medical school curricula despite the fact that patient eye-related complaints are commonplace across primary care specialties. Although previous curricula used direct ophthalmoscopy to teach medical students the fundamentals of ophthalmic examination, there has been a growing call to teach these fundamentals through reading fundus photos due to the increasing prevalence and decreased costs of fundus cameras in primary care settings. We developed a virtual workshop to teach ophthalmoscopy to medical students using fundus photography.
METHODS
First-year medical students were enrolled in a 2-hour, synchronous, virtual ophthalmoscopy workshop as part of an advanced physical exam curriculum at the University of Pittsburgh School of Medicine. Students participated in a pretest, introductory lecture, interactive small-group session, and posttest. Breakout groups were led by senior medical students or residents. We compared pre- and posttest results for improved understanding of concepts covered in the workshop.
RESULTS
Of 147 students, the average scores on the pretest and posttest were 39% and 75%, respectively ( < .01). Students were significantly more confident in their ability to identify various pathologies on fundus photography. After the workshop, the student preceptors indicated increased comfort in a teaching role and greater interest in medical education. The preceptors were also more confident in their own ability to interpret fundus photography and in their understanding of various ocular pathologies.
DISCUSSION
Our virtual, interactive workshop is effective in teaching medical students a systematic approach to the interpretation of fundus photographs.
简介
尽管患者眼部相关投诉在初级保健专业中很常见，但眼科学教育在医学院课程中一直被低估。尽管以前的课程使用直接检眼镜来教授医学生眼科检查的基础知识，但由于眼底相机在初级保健环境中的普及和成本降低，越来越多的人呼吁通过阅读眼底照片来教授这些基础知识。我们开发了一个虚拟研讨会，使用眼底摄影来教授医学生检眼镜。
方法
匹兹堡大学医学院的高级体检课程将一年级医学生纳入了 2 小时的同步虚拟检眼镜研讨会。学生参加了预测试、介绍性讲座、互动小组会议和后测试。小组讨论由高年级医学生或住院医师领导。我们比较了预测试和后测试的结果，以了解研讨会涵盖的概念的理解程度。
结果
在 147 名学生中，预测试和后测试的平均分数分别为 39%和 75%（<0.01）。学生对在眼底摄影中识别各种病理的能力更有信心。在研讨会结束后，学生导师表示对教学角色的舒适度增加了，对医学教育的兴趣也增加了。导师们对自己解读眼底摄影的能力和对各种眼部病变的理解也更有信心。
讨论
我们的虚拟互动研讨会在教授医学生系统解读眼底照片方面是有效的。
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