Abstract Details

Title Video-Guided Direct Ophthalmoscopy Improves Medical Student's Skill and Self-Confidence

Topic Neurologic ��ɫ��

Presentation(s) P04 - (-)

Poster/Presentation
Number 244

Objective

Background BACKGROUND: Ophthalmoscopy is an important clinical skill; however students have great difficulty mastering this technique. We sought to discern the value of VGDO in teaching this skill.

Design/Methods DESIGN/METHODS: Forty fourth-year medical students ("observer" group) and three healthy volunteers ("patient" group) were recruited. In the first session, thirteen students watched a didactic lecture on ophthalmoscopy, followed by a clinical demonstration using the Panoptic ophthalmoscope (PO). In the second session, another thirteen students observed real-time VDGO using a specially built camera attached to the PO with concomitant oral explanation. A third session with the remaining fourteen students utilized both teaching methods. Then each student examined both eyes of one of two randomly assigned undilated volunteers. Outcomes included ophthalmologist's external evaluation, student's subjective score on the measurement of cup:disk ratio (C:D) and self-confidence level. In the third group, we evaluated teaching method preference. Statistical Package for the Social Sciences (SPSS, ver 20.0) was used for data analysis with an alpha level of 0.05 for significance.

Results RESULTS: Ophthalmologist's evaluation scores did not reach statistical difference between groups. There was a significant statistical difference between groups for the right eye skill score (p=0.004) and confidence level (p=0.01) and a trend for left eye skill score (p=0.06). Post-hoc analysis evidenced a clear disadvantage for group 1, especially when comparing the same measures with group 2 (p=0.002; p=0.01; p=0.04, respectively). The C:D level of agreement for the left eye showed a similar pattern between the three groups. In the third group, the VGDO was considered the method that most improved technique (61.5%).

Conclusions CONCLUSIONS: The use of video-guided direct ophthalmoscopy correlated with a higher level of student self-confidence and performance, when compared with traditional didactic teaching methods. This study supports the wider use of VGDO among medical students.

Authors/Disclosures
Joao M. Lemos, MD (Coimbra University Hospital Centre) PRESENTER	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
Thomas A. Berger, MD (Dept. of Neurology, Medical University of Vienna)	Prof. Berger has received personal compensation in the range of $10,000-$49,999 for serving as a speaker at scientific meetings and participant of local and international advisory boards with various companies producing and markerting treatments for multiple sclerosis (Almirall, Biogen, Biologix, Bionorica, Celgene-BMS, Merck, Novartis, Roche, Sanofi-Genzyme, TG Therapeutics, UCB).
John K. Fink, MD	No disclosure on file

��ɫ����

��ɫ����

��ɫ��

��ɫ��