State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, 510060, China.
BMC Med Educ. 2024 Jul 20;24(1):783. doi: 10.1186/s12909-024-05780-w.
Non-ophthalmologists often lack sufficient operational training to use a direct ophthalmoscope proficiently, resulting in a global deficit of basic ophthalmological skills among general practitioners. This deficiency hampers the timely diagnosis, referral, and intervention of patients. Consequently, the optimization of teaching tools and methods to enhance teaching efficiency is imperative. This study explores the effectiveness of the Eyesi Direct Ophthalmoscope Simulator (Eyesi) as an innovative tool for fundus examination training.
Medical undergraduates were randomly assigned to Group A or B (n = 168). All participants completed a pre-training questionnaire. Group A received Eyesi training, while Group B underwent traditional direct ophthalmoscope (TDO) training. Subsequently, participants answered questionnaires relevant to their respective training methods. Both groups exchanged training tools and completed a summary questionnaire.
After training, 54.17% of participants believed that images presented by the Eyesi were consistent with the real fundus. Group A scored significantly higher than Group B in fundus structure recognition and self-confidence in examination. The degree of mastery over fundus theory score increased from 6.10 ± 0.13 to 7.74 ± 0.16 (P < 0.001) in Group A, but Group B did not demonstrate a significant difference. We also compared undergraduates' tendencies for different learning purposes, 75.59% of participants preferred the Eyesi to TDO as a training tool, and 88.41% of participants were receptive to introducing the Eyesi in training.
According to subjective participant feedback, Eyesi outperformed TDO in fundus observation, operational practice, and theoretical learning. It effectively equips undergraduates with fundus examination skills, potentially promoting the use of direct ophthalmoscopes in primary medical institutions.
非眼科医生通常缺乏熟练使用直接检眼镜的操作训练,导致普通医生普遍缺乏基本的眼科技能。这种缺陷阻碍了患者的及时诊断、转诊和干预。因此,优化教学工具和方法以提高教学效率势在必行。本研究探讨了 Eyesi 直接检眼镜模拟器(Eyesi)作为眼底检查培训创新工具的有效性。
将医学生随机分为 A 组或 B 组(n = 168)。所有参与者完成培训前问卷。A 组接受 Eyesi 培训,B 组接受传统直接检眼镜(TDO)培训。随后,参与者回答与各自培训方法相关的问卷。两组交换培训工具并完成总结问卷。
培训后,54.17%的参与者认为 Eyesi 呈现的图像与真实眼底一致。在眼底结构识别和检查自信心方面,A 组得分显著高于 B 组。眼底理论知识掌握程度从 A 组的 6.10 ± 0.13 增加到 7.74 ± 0.16(P < 0.001),但 B 组没有显著差异。我们还比较了医学生对不同学习目的的倾向,75.59%的参与者更喜欢 Eyesi 作为培训工具,88.41%的参与者愿意引入 Eyesi 进行培训。
根据主观的参与者反馈,Eyesi 在眼底观察、操作实践和理论学习方面优于 TDO。它有效地为医学生配备了眼底检查技能,可能会促进直接检眼镜在基层医疗机构的使用。