Needs assessment for direct ophthalmoscopy training in neurology residency
Abstract Background Assessment of the ocular fundus, traditionally by direct ophthalmoscopy (DO), is essential to evaluate many neurologic diseases. However, the status of DO training in neurology residencies is unknown. We conducted a needs assessment to determine current attitudes, curricula, and...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-024-05280-x |
| _version_ | 1827301126827933696 |
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| author | Jasmeet Saroya Noor Chahal Alice Jiang Douglas Pet Nailyn Rasool Mark Terrelonge Madeline Yung |
| author_facet | Jasmeet Saroya Noor Chahal Alice Jiang Douglas Pet Nailyn Rasool Mark Terrelonge Madeline Yung |
| author_sort | Jasmeet Saroya |
| collection | DOAJ |
| description | Abstract Background Assessment of the ocular fundus, traditionally by direct ophthalmoscopy (DO), is essential to evaluate many neurologic diseases. However, the status of DO training in neurology residencies is unknown. We conducted a needs assessment to determine current attitudes, curricula, and gaps in DO training. Methods A survey was developed and administered to residents and program directors (PDs) at ACGME accredited neurology residencies in the United States. The survey assessed factors such as current DO curricula, perceived importance of DO, confidence of skills, and need for improvement. Data analysis was performed using the Mann Whitney U test and Fisher Exact Test. Results Nineteen PDs (11.6%) and 74 (41.1%) residents responded to the survey. 97.1% of residents and 100.0% of PDs believe DO is an important skill to learn. 29.4% of PDs expected graduating residents to have completed > 10 supervised DO exams, while 0.0% of graduating fourth year residents reported doing so (p = 0.03). 35.7% of graduating residents had never correctly identified an abnormal finding on DO. The number of times residents practiced DO unsupervised correlated with increasing confidence in all components of the DO exam (p < 0.05). Residents who felt their program emphasized DO were more likely to perform DO at least once a week compared to residents who did not perceive program emphasis (61.9% vs. 35.0%, p = 0.02) and were more confident in DO (p < 0.05). 66.7% of residents and 42.1% of PDs were not satisfied with current levels of DO training. 96.7% of residents and 78.9% of PDs felt it was important to improve curriculum for DO training. Supervised practice and practice skills sessions were identified as the most helpful interventions to improve DO training. Conclusions The vast majority of neurology PDs and residents believe DO is an important skill to learn, are unsatisfied with the current level of DO training, and advocate for improvement in DO curricula. Current DO curricula have limited formal didactic training and supervised practice. The bulk of DO learning occurs through unsupervised practice, which is influenced by motivational factors such as perceived residency emphasis on DO learning. |
| first_indexed | 2024-04-24T16:17:47Z |
| format | Article |
| id | doaj.art-93dfa0ef2abd4c278f340a4ea3747415 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-04-24T16:17:47Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-93dfa0ef2abd4c278f340a4ea37474152024-03-31T11:23:40ZengBMCBMC Medical Education1472-69202024-03-0124111010.1186/s12909-024-05280-xNeeds assessment for direct ophthalmoscopy training in neurology residencyJasmeet Saroya0Noor Chahal1Alice Jiang2Douglas Pet3Nailyn Rasool4Mark Terrelonge5Madeline Yung6UCSF Department of Ophthalmology Wayne and Gladys Valley Center for VisionUCSF Department of Ophthalmology Wayne and Gladys Valley Center for VisionUCSF Department of Ophthalmology Wayne and Gladys Valley Center for VisionDepartment of Neurology, University of CaliforniaUCSF Department of Ophthalmology Wayne and Gladys Valley Center for VisionDepartment of Neurology, University of CaliforniaUCSF Department of Ophthalmology Wayne and Gladys Valley Center for VisionAbstract Background Assessment of the ocular fundus, traditionally by direct ophthalmoscopy (DO), is essential to evaluate many neurologic diseases. However, the status of DO training in neurology residencies is unknown. We conducted a needs assessment to determine current attitudes, curricula, and gaps in DO training. Methods A survey was developed and administered to residents and program directors (PDs) at ACGME accredited neurology residencies in the United States. The survey assessed factors such as current DO curricula, perceived importance of DO, confidence of skills, and need for improvement. Data analysis was performed using the Mann Whitney U test and Fisher Exact Test. Results Nineteen PDs (11.6%) and 74 (41.1%) residents responded to the survey. 97.1% of residents and 100.0% of PDs believe DO is an important skill to learn. 29.4% of PDs expected graduating residents to have completed > 10 supervised DO exams, while 0.0% of graduating fourth year residents reported doing so (p = 0.03). 35.7% of graduating residents had never correctly identified an abnormal finding on DO. The number of times residents practiced DO unsupervised correlated with increasing confidence in all components of the DO exam (p < 0.05). Residents who felt their program emphasized DO were more likely to perform DO at least once a week compared to residents who did not perceive program emphasis (61.9% vs. 35.0%, p = 0.02) and were more confident in DO (p < 0.05). 66.7% of residents and 42.1% of PDs were not satisfied with current levels of DO training. 96.7% of residents and 78.9% of PDs felt it was important to improve curriculum for DO training. Supervised practice and practice skills sessions were identified as the most helpful interventions to improve DO training. Conclusions The vast majority of neurology PDs and residents believe DO is an important skill to learn, are unsatisfied with the current level of DO training, and advocate for improvement in DO curricula. Current DO curricula have limited formal didactic training and supervised practice. The bulk of DO learning occurs through unsupervised practice, which is influenced by motivational factors such as perceived residency emphasis on DO learning.https://doi.org/10.1186/s12909-024-05280-xFundoscopyEducationResidencyNeurology |
| spellingShingle | Jasmeet Saroya Noor Chahal Alice Jiang Douglas Pet Nailyn Rasool Mark Terrelonge Madeline Yung Needs assessment for direct ophthalmoscopy training in neurology residency BMC Medical Education Fundoscopy Education Residency Neurology |
| title | Needs assessment for direct ophthalmoscopy training in neurology residency |
| title_full | Needs assessment for direct ophthalmoscopy training in neurology residency |
| title_fullStr | Needs assessment for direct ophthalmoscopy training in neurology residency |
| title_full_unstemmed | Needs assessment for direct ophthalmoscopy training in neurology residency |
| title_short | Needs assessment for direct ophthalmoscopy training in neurology residency |
| title_sort | needs assessment for direct ophthalmoscopy training in neurology residency |
| topic | Fundoscopy Education Residency Neurology |
| url | https://doi.org/10.1186/s12909-024-05280-x |
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