La tunisie Medicale - 2021 ; Vol 99 ( n°012 ) : 1141-1147
[ 4956 times seen ]

Introduction: Simulation is emerging as an essential part of health sciences training programs as it provides safer patient care by reducing the risk of error. In the healthcare environment, simulation continues to spread in emergency specialties, but it is still underdeveloped in ophthalmology and there is a shortage of publications on this subject in Tunisia.
Objective: To evaluate the effectiveness of procedural simulation as a teaching tool for funduscopic examination training.
Methods and population studied: This was a prospective study including students who underwent procedural simulation training sessions during their ophthalmology internship. The included students were assessed at the initiation and end of each session by a pre-test and post-test. The procedure for performing the funduscopic examination was evaluated by a specific performance score.  Student satisfaction was assessed at the end of each session.
Results: During the study period, four groups of 12 students were included, for a total of 48 participants spread over 4 simulation sessions. Simulation training improved post-test.  assessment scores with an overall median delta of +4.00. It also provided specific skills for performing the funduscopic examination, with an overall median specific performance score of 5.5/8 (5/8 to 7/8). The majority of students were satisfied upon completion of the simulation session.
Conclusion: The training of fundus examination using an ophthalmoscopic simulator can improve the skills and knowledge of ophthalmic learners. This type of training can be an innovative addition to traditional learning. methods.

Key - Words
  1. 1) Holmboe ES. Faculty and the observation of trainees’ clinical skills: problems and opportunities. Acad Med. 2004;79(1):16–22. 2)Grodin MH, Johnson TM, Acree JL, Glaser BM. Ophthalmic surgical training: a curriculum to enhance surgical simulation. Retina. 2008;28(10):1509–1514 3)Ting DSW, Sim SSKP, Yau CWL, Rosman M, Aw AT, Yeo IYS. Ophthalmology simulation for undergraduate and postgraduate clinical education. Int J Ophthalmol. 2016;18;9(6):920–924. 4)Tso MOM, Parrish RK, Lightman S. Principles and Guidelines of a Curriculum for Ophthalmic Education of Medical Students. Klin Monatsbl Augenheilkd 2006;223:S3–S19. 5) Benbassat J, Polak BC, Javitt JC. Objectives of teaching direct ophthalmoscopy to medical students. Acta Ophthalmol. 2012 ;90(6) :503–507 6)Wu EH, Fagan MJ, Reinert SE, Diaz JA. Self-confidence in and perceived utility of the physical examination: a comparison of medical students, residents, and faculty internists. J Gen Intern Med. 2007;22(12): 1725–1730. 7)Hamdorf JM, Hall JC. Acquiring surgical skills. Br J Surg 2000;87:28–37. 8)Labuschagne, MJ. The role of simulation training in ophthalmology. Cont Med Educ. 2013;31(4):157–159 9)Chung KD, Watzke RC. A simple device for teaching direct ophthalmoscopy to primary care practitioners. Am J Ophthalmol. 2004;138(3):501–502. 10)Pao KY, Uhler TA, Jaeger EA. Creating THELMA - The Human Eye Learning Model Assistant. J Acad Ophthalmol. 2008;1(1):25-9. 11)Leitritz MA, Ziemssen F, Suesskind D, et al. Critical evaluation of the usability of augmented reality ophthalmoscopy for the training of inexperienced examiners. Retina. 2014;34(4):785–791. 12)Androwiki JE, Scravoni IA, Ricci LH, Fagundes DJ, Ferraz CA. Evaluation of a simulation tool in ophthalmology: application in teaching fundoscopy. Arq Bras Oftalmol. 2015;78(1):36–39. 13)Llorca G. Évaluation de l’efficacité pédagogique immédiate de deux méthodes classiques en formation médicale continue. Pédagogie Médicale 2003;4:26-32. 14)Swanson S, Ku T, Chou C. Assessment of direct ophthalmoscopy teaching using plastic canisters. Med Educ. 2011;45(5):520–521. 15)McCarthy DM, Leonard HR, Vozenilek JA. A new tool for testing and training ophthalmoscopic skills. J Grad Med Educ. 2012;4(1):92–96. 16)Larsen P, Stoddart H, Griess M. Ophthalmoscopy using an eye simulator model. Clin Teach. 2014;11(2):99–103. 17)Niles D, Sutton RM, Donoghue A, Kalsi MS, Roberts K, Boyle L, et al. “Rolling Refreshers”: a novel approach to maintain CPR psychomotor skill competence. Resuscitation 2009;80:909–12.
E-mail :
Password :
Remember Me Forgot password? Sign UP
Keywords most used
Tunisia treatment diagnosis Child surgery prognosis Children epidemiology Risk factors Crohn’s disease prevalence Breast cancer screening Cancer obesity
Sign up to receive our newsletter
E-mail :
Stay in Touch
Join Us! !