論文

査読有り
2014年8月

Validity of direct ophthalmoscopy skill evaluation with ocular fundus examination simulators

CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
  • Yu Akaishi
  • ,
  • Junji Otaki
  • ,
  • Osamu Takahashi
  • ,
  • Raoul Breugelmans
  • ,
  • Kimiko Kojima
  • ,
  • Masayasu Seki
  • ,
  • Takayuki Komoda
  • ,
  • Shizuko Nagata-Kobayashi
  • ,
  • Miki Izumi

49
4
開始ページ
377
終了ページ
381
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jcjo.2014.06.001
出版者・発行元
CANADIAN OPHTHAL SOC

Objective: We examined how direct ophthalmoscopy (DO) skills can be evaluated in a clinical setting using a simulator, and determined the appropriate assessment criteria for the DO skills in practical tests such as the Objective Structured Clinical Examination (OSCE).
Design: Cross-sectional study.
Participants: Medical students, residents, and attending physicians (73 total participants).
Methods: We selected the following 3 factors that may indicate the ability to perform nonmydriatic direct funduscopy: (I) experience: total number of cases examined (without mydriasis); (ii) frequency: number of cases examined during the previous month; and (iii) range: viewable fundus field range. We used a fundus simulator with 3-level adjustable pupil sizes (2, 3.5. and 5 mm) and created original test slides for use in the simulator. We counted the number of correct answers of each participant for each pupil size using the simulator and test slides.
Results: There were significant differences in the median number of correct answers for pupil diameters of 2 (p = 0.008) and 3.5 mm (p = 0.007) among groups divided according to the total number of cases examined (without mydriasis). There were no significant differences among groups divided according to the viewable fundus field range (2 mm: p = 0.103, 3.5 mm: p = 0.083, 5 mm: p = 0.347).
Conclusions: The results suggest a possible relation between the surrogate indicators "experience" and "range" and DO skills using a fundus simulator. The surrogate indicator experience showed a strong relation to DO skills using a fundus simulator.

リンク情報
DOI
https://doi.org/10.1016/j.jcjo.2014.06.001
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/25103656
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000343401400021&DestApp=WOS_CPL
ID情報
  • DOI : 10.1016/j.jcjo.2014.06.001
  • ISSN : 0008-4182
  • eISSN : 1715-3360
  • PubMed ID : 25103656
  • Web of Science ID : WOS:000343401400021

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