Department of Ophthalmology, Icahn School of Medicine at Mount Sinai/New York Eye & Ear Infirmary, Eye and Vision Research Institute, New York, USA.
Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, USA.
BMC Med Educ. 2023 Aug 9;23(1):559. doi: 10.1186/s12909-023-04514-8.
To evaluate medical student perceptions of a novel ophthalmology resource delivered through facilitated workshops in the core clerkship curriculum.
We created www.2020sim.com, a free case-based learning (CBL) ophthalmology tool, adapted from NephSIM (www.nephsim.com). The tool was first piloted with the internal medicine (IM) residents. After confirming a need, we focused on undergraduate medical education (UME) by expanding the 20/20 SIM content and partnering with the neurology (pilot academic year [AY] 2020-2021) and pediatric clerkships (pilot AY 2021-2022) to deliver a facilitated one-hour ophthalmology workshop within each clerkship's didactic curriculum. We evaluated the tool using pre- and post-surveys and knowledge assessments.
Of 80 IM residents, 33 (41.3%) completed the needs assessment. Of the 25 residents who attended the workshop, 23 (92.0%) completed the exit survey. IM residents reported discomfort in several ophthalmology domains (9 of 14 rated mean score < 3.0), confirming a need. Most (n = 21/23, 91.3%) rated the tool as good/excellent. Of 145 neurology clerkship students, 125 (86.2%) and at least 88 (60.7%) students completed the pre- and post-test/exit surveys, respectively. On average, participants highly rated the tool, perceiving 20/20 SIM to be relevant to their education [4.1 (0.8)]. Mean pre- to post-test knowledge scores increased from 7.5 to 8.5/10.0 points (p < 0.001). Of the 136 pediatric clerkship students, 67 (49.3%) and 51 (37.5%) completed the pre- and post-surveys, respectively. Respondents perceived increased comfort with ophthalmology topics after the facilitated workshop [3.8 (0.8)]. Mean pre- to post-test knowledge scores trended from 1.8 to 2.0/5.0 points (p = 0.30). Collectively, 20/139 (14.4%) of exit survey respondents visited www.2020sim.com within 1 month after the workshop.
After identifying areas of greatest need with residents, we partnered with core clerkships to deliver cross-disciplinary ophthalmology content in UME. We found high engagement with 20/20 SIM, with trends toward increased knowledge.
评估通过在核心实习课程中举办的研讨会向医学生提供的新型眼科资源的认知情况。
我们创建了一个名为 www.2020sim.com 的免费基于案例的学习（CBL）眼科工具，该工具改编自 NephSIM（www.nephsim.com）。在内部医学（IM）住院医师中进行了试点后，我们确认了需求，然后通过扩展 20/20 SIM 内容并与神经病学（试点学年[AY] 2020-2021）和儿科学实习（试点 AY 2021-2022）合作，在每个实习课程的理论课程中提供了一个小时的研讨会，专注于本科医学教育（UME）。我们使用预调查和后调查以及知识评估来评估该工具。
在 80 名 IM 住院医师中，有 33 名（41.3%）完成了需求评估。在参加研讨会的 25 名住院医师中，有 23 名（92.0%）完成了退出调查。IM 住院医师报告在几个眼科领域感到不适（9 个领域的平均评分 < 3.0），证实了这一需求。大多数（n = 21/23，91.3%）认为该工具是好/优秀的。在 145 名神经病学实习学生中，有 125 名（86.2%）和至少 88 名（60.7%）学生分别完成了预测试/退出调查。平均而言，参与者高度评价该工具，认为 20/20 SIM 与他们的教育相关[4.1（0.8）]。从 7.5 到 8.5/10.0 分（p < 0.001），参与者的平均预测试到后测试知识分数增加。在 136 名儿科学实习学生中，有 67 名（49.3%）和 51 名（37.5%）分别完成了预调查和后调查。受访者在经过研讨会的指导后，对眼科主题的舒适度提高了[3.8（0.8）]。从 1.8 到 2.0/5.0 分（p = 0.30），参与者的平均预测试到后测试知识分数呈上升趋势。总的来说，在研讨会结束后 1 个月内，有 20/139（14.4%）名退出调查的受访者访问了 www.2020sim.com。
在确定住院医师最需要的领域后，我们与核心实习课程合作，在 UME 中提供跨学科的眼科内容。我们发现，参与者对 20/20 SIM 的参与度很高，并且有增加知识的趋势。
