| Autor: |
Jibran Sharieff, Victoria Bugg, Zachary C. W. Barrett, Kai Ding, Anil Patel, Preston Choi, Tammy Yanovitch |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Journal of Academic Ophthalmology, Vol 15, Iss 01, Pp e62-e67 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2475-4757 |
| DOI: |
10.1055/s-0043-1763280 |
| Popis: |
Purpose To compare the diagnostic ability of medical students using smartphone ophthalmoscopy (SO) with conventional direct ophthalmoscopy (DO). Methods Twenty-eight first- and second-year medical students were trained to use the SO and DO. They also attended educational seminars regarding optic nerve and retinal pathology and were given hands-on practice with each ophthalmoscopy method. Students were randomized 2:1 into one of the groups (DO or SO). Students then examined six patients and recorded their findings, ease of use, and confidence level on a questionnaire. Two attending ophthalmologists, masked to the randomization, graded the student questionnaires. A priori power calculation determined the sample size. The primary outcome measure was the percentage of correct diagnoses the students made. Two-sample t-test, Wilcoxon's rank-sum test, and Fisher's exact test were used to compare the outcomes. Results Students using the SO outperformed students using DO in terms of mean percent correct (% correct) diagnosis (smartphone: 42% vs. direct: 23%; p-value = 0.0057), mean % correct photo match (smartphone: mean = 60% vs. direct: 32%; p-value = 0.0052), and mean % correct nerve/retinal descriptors (smartphone: 72% vs. direct: 59%; p-value = 0.0048). There was not a significant difference in terms of perceived ease of use (smartphone: mean = 3.3 vs. direct: mean = 2.6; p-value = 0.0945), or subjective confidence (smartphone: mean = 2.6 vs. direct: mean = 2.1; p-value = 0.0808) between the two groups. Conclusion SO provides an alternate way for medical students to learn, diagnose, and describe ocular pathology. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
