Utility of Combining a Simulation-Based Method With a Lecture-Based Method for Fundoscopy Training in Neurology...

Area of Science:

• Medical Education
• Neurology
• Clinical Skills Training

Background:

• Fundoscopic examination is a critical neurologic skill mandated for neurology residents.
• Traditional teaching methods for fundoscopy assessment are challenging.
• Accurate fundoscopy is required for moderate- and high-level neurologic evaluations.

Purpose of the Study:

• To compare simulation-based training with lecture-based training for teaching fundoscopy to neurology residents.
• To evaluate the effectiveness of simulation in improving fundoscopy knowledge and skills.

Main Methods:

• A prospective, single-blinded study involved 48 neurology residents.
• Participants were divided into control (lecture-based) and intervention (simulation-based) groups.
• Assessments included questionnaires, surveys, and fundoscopy simulators before and after training.

Main Results:

• The simulation group showed significantly greater improvements in fundoscopy skills and total scores compared to the lecture group.
• Knowledge scores increased non-significantly in both groups.
• Skill scores increased by 2.5 (SD 2.3) in the intervention group versus 0.8 (SD 1.8) in the control group (P=.01).

Conclusions:

• Simulation-based training is an effective supplementary tool for teaching fundoscopy to neurology residents.
• This approach enhances practical skills in performing fundoscopic examinations.
• Simulation offers a valuable method for assessing and improving competence in this essential neurologic skill.