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D. M. Blumberg, H. A. Quigley, H. R. Goldberg; A New Interactive Electronic Learning Module Effectively Teaches Diagnosis and Management of Angle Closure Glaucoma. Invest. Ophthalmol. Vis. Sci. 2007;48(13):862.
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To test a web-based skills transfer program that seeks to educate ophthalmologists in recognition of gonioscopic findings and management of angle closure glaucoma, with outcome measures for the effect on each student.
An interactive, computer-based learning module was designed to teach the performance and interpretation of gonioscopy and the management of angle closure glaucoma. It incorporates decision-making and visual recognition into a system composed of pre-test and post-test assessment (21 videos each), flanking a series of didactic material that combines aural and visual material concentrating on video-gonioscopy. From over 100 gonioscopic videos from patients in the Wilmer Glaucoma Service, a series of 15 second selections were shown to 5 glaucoma specialists. Those clips that had consensus agreement as to findings were included as representing gold standard examples. Each of 14 ophthalmologists in training viewed the module, with performance on pre-and post-test, as well as time viewing screens used as outcome measures.
Younger residents had lower pre-test scores and improved more significantly after completing the module than older residents (mean pretest number of questions correct out of 21: PGY2 = 14.3, PGY3 = 15.8, PGY4/fellow = 16.0; mean improvement: PGY2 and PGY3 = 2.75 or 13% better, PGY4/fellow 1.3 or 6.6% better). While only a glaucoma fellow performed at the level of a glaucoma specialist on the pre test (19/21 correct), 5 residents improved to this level on the post test after completing the module. Additional data on time spent viewing the module will be presented.
Computer-based learning may be used to teach concrete, problem-based glaucoma management. Our pilot shows that an effective skills transfer learning tool can improve recognition of gonioscopic findings in angle closure glaucoma. We plan implementation on an international basis via the internet of testing of this and similar modules for ophthalmic education.
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