Reilly Grace R, Scott Adrienne W, Russell Nancy G, McIltrot Kimberly, Sisson Stephen D
Drexel University College of Medicine, Philadelphia, Pennsylvania.
Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
J Acad Ophthalmol (2017). 2023 Oct 3;15(2):e232-e236. doi: 10.1055/s-0043-1771355. eCollection 2023 Jul.
In this proof-of-concept pilot study, we aimed to increase nurse practitioner (NP) student knowledge of ophthalmology to prepare NPs for encounters in primary care settings. The Association of University Professors of Ophthalmology (AUPO) and the American Academy of Ophthalmology (AAO) endorse core knowledge that medical students should achieve. We assess the effectiveness of an innovative ophthalmologist-led curriculum based on these competencies tailored to issues NPs encounter in primary care. Johns Hopkins University NP students enrolled in a pre-post-cohort study and educational intervention. The didactic program was developed according to AUPO and AAO core ophthalmology content for medical students and was taught in-person by an ophthalmologist. Pre-post-assessments evaluated students' perceived readiness to encounter ophthalmic issues in the clinic and baseline knowledge of core competencies of ophthalmology. A total of 42 NP students were included in the analysis. NP students improved in core knowledge and readiness to encounter ophthalmology issues. After the educational event, there was a statistically significant improvement in students' ratings of preparedness to obtain a focused history, exam, perform initial management and decide the urgency of a referral for acute painless vision loss ( < 0.001), chronic vision loss ( < 0.001), or a patient with a red/painful eye ( < 0.001). Students showed a statistically significant improvement in postdidactic event core ophthalmology knowledge assessment scores ( = 0.002). Primary care NPs are increasingly the initial point of contact for patients with ophthalmic complaints, and thus, high-quality and thorough education regarding ophthalmology triage and referral for NPs is necessary. NP student comfort with and knowledge of ophthalmic complaints and triage may be improved by a brief educational intervention taught by an ophthalmologist early in the NP curriculum.
在这项概念验证性初步研究中，我们旨在增加执业护士（NP）学生的眼科知识，为其在初级保健环境中应对相关情况做好准备。眼科大学教授协会（AUPO）和美国眼科学会（AAO）认可医学生应掌握的核心知识。我们评估了一种由眼科医生主导的创新课程的有效性，该课程基于这些能力，并针对NP在初级保健中遇到的问题进行了调整。约翰·霍普金斯大学的NP学生参与了一项前后队列研究和教育干预。该教学计划是根据AUPO和AAO针对医学生的核心眼科内容制定的，并由一名眼科医生亲自授课。前后评估评估了学生在诊所应对眼科问题的自我感知准备情况以及眼科核心能力的基线知识。共有42名NP学生纳入分析。NP学生在核心知识以及应对眼科问题的准备方面有所提高。教育活动后，学生在获取重点病史、进行检查、进行初始管理以及决定急性无痛视力丧失（<0.001）、慢性视力丧失（<0.001）或眼红/眼痛患者转诊紧急程度方面的准备评分有统计学显著提高。学生在教学活动后的核心眼科知识评估分数有统计学显著提高（=0.002）。初级保健NP越来越多地成为眼科疾病患者的初始接触点，因此，有必要为NP提供关于眼科分诊和转诊的高质量、全面教育。通过在NP课程早期由眼科医生进行的简短教育干预，可能会提高NP学生对眼科疾病和分诊的熟悉程度及知识水平。
