Perceived usefulness and ease of use of fundoscopy by medical students: a randomised crossover trial of six technologies (eFOCUS 1)
Abstract Background Fundoscopy outside ophthalmology is in decline, and the technical demands of the traditional direct ophthalmoscope examination are likely contributing. Alternative fundoscopy technologies are increasingly available, yet valid comparisons between fundoscopy technologies are lackin...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-01-01
|
| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-020-02469-8 |
| _version_ | 1818613509798232064 |
|---|---|
| author | H. P. Dunn C. J. Kang S. Marks J. L. Witherow S. M. Dunn P. R. Healey A. J. White |
| author_facet | H. P. Dunn C. J. Kang S. Marks J. L. Witherow S. M. Dunn P. R. Healey A. J. White |
| author_sort | H. P. Dunn |
| collection | DOAJ |
| description | Abstract Background Fundoscopy outside ophthalmology is in decline, and the technical demands of the traditional direct ophthalmoscope examination are likely contributing. Alternative fundoscopy technologies are increasingly available, yet valid comparisons between fundoscopy technologies are lacking. We aimed to assess medical students’ perceptions of usefulness and ease of use of traditional and contemporary fundus-viewing technologies including smartphone fundoscopy. Methods One hundred forty-six second-year medical students participated in a cross-sectional, randomised, cross-over study of fundoscopy methods. Medical students completed small group training sessions using six current fundoscopy technologies including: a non-mydriatic fundus camera; two types of direct fundoscopy; and three types of smartphone fundoscopy. A novel survey of perceived usefulness and ease of use was then completed by students. Results Repeated-measures ANOVA found students rated both the perceived usefulness (p< 0.001) and ease of use (p< 0.001) of smartphone fundoscopy significantly higher than both the non-mydriatic camera and direct fundoscopy. Conclusions Smartphone fundoscopy was found to be significantly more useful and easier to use than other modalities. Educators should optimise student access to novel fundoscopy technologies such as smartphone fundoscopy which may mitigate the technical challenges of fundoscopy and reinvigorate use of this valuable clinical examination. |
| first_indexed | 2024-12-16T16:03:15Z |
| format | Article |
| id | doaj.art-5ff79577d81e425d9ad11077ebe00431 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-12-16T16:03:15Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-5ff79577d81e425d9ad11077ebe004312022-12-21T22:25:25ZengBMCBMC Medical Education1472-69202021-01-012111910.1186/s12909-020-02469-8Perceived usefulness and ease of use of fundoscopy by medical students: a randomised crossover trial of six technologies (eFOCUS 1)H. P. Dunn0C. J. Kang1S. Marks2J. L. Witherow3S. M. Dunn4P. R. Healey5A. J. White6Faculty of Medicine & Health, University of SydneyFaculty of Medicine & Health, University of SydneyFaculty of Medicine & Health, University of SydneyDiscipline of Physiotherapy, Faculty of Medicine & Health Services, Macquarie UniversityFaculty of Medicine & Health, University of SydneyFaculty of Medicine & Health, University of SydneyFaculty of Medicine & Health, University of SydneyAbstract Background Fundoscopy outside ophthalmology is in decline, and the technical demands of the traditional direct ophthalmoscope examination are likely contributing. Alternative fundoscopy technologies are increasingly available, yet valid comparisons between fundoscopy technologies are lacking. We aimed to assess medical students’ perceptions of usefulness and ease of use of traditional and contemporary fundus-viewing technologies including smartphone fundoscopy. Methods One hundred forty-six second-year medical students participated in a cross-sectional, randomised, cross-over study of fundoscopy methods. Medical students completed small group training sessions using six current fundoscopy technologies including: a non-mydriatic fundus camera; two types of direct fundoscopy; and three types of smartphone fundoscopy. A novel survey of perceived usefulness and ease of use was then completed by students. Results Repeated-measures ANOVA found students rated both the perceived usefulness (p< 0.001) and ease of use (p< 0.001) of smartphone fundoscopy significantly higher than both the non-mydriatic camera and direct fundoscopy. Conclusions Smartphone fundoscopy was found to be significantly more useful and easier to use than other modalities. Educators should optimise student access to novel fundoscopy technologies such as smartphone fundoscopy which may mitigate the technical challenges of fundoscopy and reinvigorate use of this valuable clinical examination.https://doi.org/10.1186/s12909-020-02469-8FundoscopySmartphoneEducationNon mydriatic cameraDirect ophthalmoscope |
| spellingShingle | H. P. Dunn C. J. Kang S. Marks J. L. Witherow S. M. Dunn P. R. Healey A. J. White Perceived usefulness and ease of use of fundoscopy by medical students: a randomised crossover trial of six technologies (eFOCUS 1) BMC Medical Education Fundoscopy Smartphone Education Non mydriatic camera Direct ophthalmoscope |
| title | Perceived usefulness and ease of use of fundoscopy by medical students: a randomised crossover trial of six technologies (eFOCUS 1) |
| title_full | Perceived usefulness and ease of use of fundoscopy by medical students: a randomised crossover trial of six technologies (eFOCUS 1) |
| title_fullStr | Perceived usefulness and ease of use of fundoscopy by medical students: a randomised crossover trial of six technologies (eFOCUS 1) |
| title_full_unstemmed | Perceived usefulness and ease of use of fundoscopy by medical students: a randomised crossover trial of six technologies (eFOCUS 1) |
| title_short | Perceived usefulness and ease of use of fundoscopy by medical students: a randomised crossover trial of six technologies (eFOCUS 1) |
| title_sort | perceived usefulness and ease of use of fundoscopy by medical students a randomised crossover trial of six technologies efocus 1 |
| topic | Fundoscopy Smartphone Education Non mydriatic camera Direct ophthalmoscope |
| url | https://doi.org/10.1186/s12909-020-02469-8 |
| work_keys_str_mv | AT hpdunn perceivedusefulnessandeaseofuseoffundoscopybymedicalstudentsarandomisedcrossovertrialofsixtechnologiesefocus1 AT cjkang perceivedusefulnessandeaseofuseoffundoscopybymedicalstudentsarandomisedcrossovertrialofsixtechnologiesefocus1 AT smarks perceivedusefulnessandeaseofuseoffundoscopybymedicalstudentsarandomisedcrossovertrialofsixtechnologiesefocus1 AT jlwitherow perceivedusefulnessandeaseofuseoffundoscopybymedicalstudentsarandomisedcrossovertrialofsixtechnologiesefocus1 AT smdunn perceivedusefulnessandeaseofuseoffundoscopybymedicalstudentsarandomisedcrossovertrialofsixtechnologiesefocus1 AT prhealey perceivedusefulnessandeaseofuseoffundoscopybymedicalstudentsarandomisedcrossovertrialofsixtechnologiesefocus1 AT ajwhite perceivedusefulnessandeaseofuseoffundoscopybymedicalstudentsarandomisedcrossovertrialofsixtechnologiesefocus1 |