Durell Kevin, Hooley Arlen
Compliance Education Henry Ford Health.
Compliance Office HFPACO-Mosaic ACO.
Spartan Med Res J. 2025 Apr 30;10(1):1-11. doi: 10.51894/001c.137284. eCollection 2025.
Funduscopic examination is a critical skill for diagnosing eye-related pathologies but has witnessed a decline in proficiency over recent decades. Simulation-based training is proposed as a solution to enhance emergency medicine residents' funduscopic examination skills. We hypothesized that a combination of lecture and simulation would improve residents' diagnostic abilities, with senior residents potentially outperforming junior counterparts.
This study aimed to assess the effectiveness of simulation-based training in improving the funduscopic examination skills of emergency medicine residents and whether factors such as seniority or prior ophthalmology rotation influenced the results. Residents participated in a 10-question image-based exam, with alternating pairs viewing images and answering questions. Simulation equipment, including digital eye examination retinopathy trainers, was utilized for the study. A lecture covering possible answers was provided, followed by a second round of testing.
A total of 20 participants in this pilot study took both the pre- and post-lecture tests. Test scores significantly improved after supplemental education, indicating the effectiveness of simulation-based training in enhancing funduscopic diagnostic skills. Interestingly, resident year and prior completion of an ophthalmology rotation did not significantly impact test scores, underscoring the importance of supplemental education. Notably, participants demonstrated high accuracy in identifying Normal Fundus and several specific pathologies post-training.
Simulation-based training, supplemented by lectures, offers a promising avenue for improving funduscopic examination proficiency among emergency medicine residents. This study's findings highlight the potential for standardized training methods to benefit residents across different levels of experience. Future research could explore the long-term retention of these skills and their translation into clinical practice. In an era where technological advancements are reshaping medical education, simulation-based training offers a promising avenue for ensuring that essential clinical skills are not lost but rather strengthened among medical professionals.
眼底检查是诊断眼部相关疾病的一项关键技能，但近几十年来其熟练程度有所下降。基于模拟的培训被提议作为提高急诊医学住院医师眼底检查技能的一种解决方案。我们假设讲座与模拟相结合将提高住院医师的诊断能力，高级住院医师可能比初级住院医师表现更出色。
本研究旨在评估基于模拟的培训在提高急诊医学住院医师眼底检查技能方面的有效性，以及资历或先前的眼科轮转等因素是否会影响结果。住院医师参加了一项包含10道题的基于图像的考试，两人一组交替查看图像并回答问题。研究使用了包括数字眼科视网膜病变训练器在内的模拟设备。提供了涵盖可能答案的讲座，随后进行第二轮测试。
在这项试点研究中，共有20名参与者参加了讲座前和讲座后的测试。补充教育后测试成绩显著提高，表明基于模拟的培训在提高眼底诊断技能方面是有效的。有趣的是，住院医师的年级和先前是否完成眼科轮转对测试成绩没有显著影响，这凸显了补充教育的重要性。值得注意的是，培训后参与者在识别正常眼底和几种特定病变方面表现出很高的准确性。
以讲座为补充的基于模拟的培训为提高急诊医学住院医师的眼底检查熟练程度提供了一条有前景的途径。本研究结果凸显了标准化培训方法使不同经验水平的住院医师受益的潜力。未来的研究可以探索这些技能的长期保持情况以及它们如何转化为临床实践。在技术进步正在重塑医学教育的时代，基于模拟的培训为确保医学专业人员不会丢失而是增强基本临床技能提供了一条有前景的途径。
