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Training Lab

The document evaluates a novel 'teaching ophthalmoscope' that allows observation of a user's view of the fundus and was tested on 55 medical students. Students taught with the teaching ophthalmoscope scored better on an assessment using the device and reported greater confidence than those taught with a conventional ophthalmoscope. Examiners also showed improved agreement in scoring competence when using the teaching ophthalmoscope compared to the conventional ophthalmoscope.

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24 views1 page

Training Lab

The document evaluates a novel 'teaching ophthalmoscope' that allows observation of a user's view of the fundus and was tested on 55 medical students. Students taught with the teaching ophthalmoscope scored better on an assessment using the device and reported greater confidence than those taught with a conventional ophthalmoscope. Examiners also showed improved agreement in scoring competence when using the teaching ophthalmoscope compared to the conventional ophthalmoscope.

Uploaded by

sightbd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Direct ophthalmoscopy is an essential skill that students struggle to learn.

A novel 'teaching
ophthalmoscope' has been developed that allows a third person to observe the user's view of the
fundus. A study has been carried out to evaluate the potential use of this device as an aid to
learning. The teaching ophthalmoscope is associated with improved confidence when compared
with a conventional direct ophthalmoscope.
Participants were randomised to be taught fundoscopy either with a conventional direct
ophthalmoscope (control) or with the teaching device (intervention). Following this teaching
session, participant competence was assessed within two separate objective structured clinical
examination (OSCE) stations: the first with the conventional ophthalmoscope and the second
with the teaching device. Each station was marked by two independent masked examiners.
Students were also asked to rate their own confidence in fundoscopy on a scale of 1-10. Scores
of competence and confidence were compared between groups. The agreement between
examiners was used as a marker for inter-rater reliability and compared between the two OSCE
stations.
Fifty-five medical students participated. The intervention group scored significantly better than
controls on station 2 (19.8 vs 17.6; P=0.01). They reported significantly greater levels of
confidence in fundoscopy (7.3 vs 4.9; P<0.001). Independent examiner scores showed
significantly improved agreement when using the teaching device during assessment of
competence, compared to the conventional ophthalmoscope (r=0.90 vs 0.67; P<0.001).
The teaching ophthalmoscope is associated with improved confidence and objective measures of
competence, when compared with a conventional direct ophthalmoscope. Used to assess
competence, the device offers greater reliability than the current standard.
Source: Eye (2016) 30, 375384

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