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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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A Novel Video-Based Skills Curriculum for Incoming Ophthalmology Residents.

Shravan V Savant1, Nisha Chadha1, Douglas Fredrick2

  • 1Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.

Seminars in Ophthalmology
|July 27, 2023
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Summary

A new video-based curriculum significantly improved ophthalmology residents' basic ophthalmic exam (BOE) skills and comfort. This standardized training is crucial for residents with limited prior exposure.

Keywords:
Medical educationclinical skillsorientation curriculumvideo library

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Area of Science:

  • Ophthalmology
  • Medical Education
  • Surgical Skills Training

Background:

  • Limited pre-residency exposure necessitates structured skill training for ophthalmology residents (PGY-2).
  • Current orientation experiences are inconsistent and lack objective skill measurement.

Purpose of the Study:

  • To develop and implement a novel video-based curriculum for standardizing ophthalmic examination skills.
  • To assess the effectiveness of this curriculum in improving resident skills and confidence.

Main Methods:

  • Created an instructional video library (VL) for ophthalmic exam skills.
  • Recorded residents performing basic ophthalmic exams (BOE) pre- and post- a 2-week orientation.
  • Utilized a 36-point checklist (based on OCEX) for video scoring and pre/post-comfort surveys.

Main Results:

  • Significant improvement in OCEX scores from 16.5 to 30.9 (p=0.0002).
  • Resident comfort with ophthalmic exams increased from 2.4 to 4.2 on a 5-point scale (p<0.0001).
  • 7/11 PGY-2 residents participated, demonstrating high engagement.

Conclusions:

  • The video library curriculum effectively enhanced resident comfort and BOE skills.
  • This approach offers a scalable solution for training ophthalmology PGY-1s, medical students, and other providers.