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Emily Cole, Flavius Beca, Gerardo Ledesma Gil, Daniel Oh, Andrew Zolot, Sarwar Zahid, Ru-ik Chee, Nicole K. Scripsema, Nita Valikodath, Angelica C. Scanzera, Karyn E Jonas, Jennifer I Lim, Judy E Kim, J. Peter Campbell, Michael F Chiang, RV Paul Chan; iTeleGEN: Development of a Web-Based Diabetic Retinopathy Education Module. Invest. Ophthalmol. Vis. Sci. 2019;60(9):5307.
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Medical trainees are exposed to patients with diabetic retinopathy (DR) over the course of medical school and residency. However, medical schools do not systematically include formal education in recognizing DR. We aim to describe utility and student perceptions of a web-based educational module to improve competency in the accurate staging, diagnosis and management of DR in medical trainees.
Sixteen medical students from multiple institutions were recruited to participate in a pilot of a web-based DR training module with automatic feedback. Web-based presentations of validated sets of retinal images from the DRCR.net were used to simulate ophthalmoscopic examination and standardize data presentation to all participants. The module consisted of a pretest, posttest, and case-based learning for each stage of DR. A separate user survey was administered following the module to assess students’ perceptions of web-based DR education. Accurate identification of diabetic features (such as microaneurysms, hard exudates, neovascularization, intraretinal microvascular abnormalities (IRMA), and venous beading) and accurate staging according to the five-level ETDRS classification system were assessed.
14 of 16 students recruited completed the training module. Among the 6 of 14 students who completed the post-participation survey, all agreed that they could identify the presence or absence of DR and 83% could identify the stage of DR, if using the tutorial as a reference. Survey data showed students’ preference for the online education module over traditional textbook materials. Prior to the training module,two-thirds of students had been exposed to DR in didactic format and one-third had examined DR eyes.
Favorable survey responses suggest that this is an effective learning modality and we plan to further refine the system to maximize medical student and resident education in diabetic retinopathy, as well as perform analyses of sensitivity and specificity of identifying microvascular findings and accurate stage of DR to better identify specific areas for improvement.
This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.
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