July 2019
Volume 60, Issue 9
Free
ARVO Annual Meeting Abstract  |   July 2019
iTeleGEN: Development of a Web-Based Diabetic Retinopathy Education Module
Author Affiliations & Notes
  • Emily Cole
    Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Illinois, United States
  • Flavius Beca
    University of Illinois College of Medicine, Illinois, United States
  • Gerardo Ledesma Gil
    Institute of Ophthalmology Conde de Valenciana, Mexico City, Mexico City, Mexico
  • Daniel Oh
    Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Illinois, United States
  • Andrew Zolot
    Medical College of Wisconsin, Wisconsin, United States
  • Sarwar Zahid
    Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Illinois, United States
  • Ru-ik Chee
    Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Illinois, United States
  • Nicole K. Scripsema
    Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Illinois, United States
  • Nita Valikodath
    Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Illinois, United States
  • Angelica C. Scanzera
    Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Illinois, United States
  • Karyn E Jonas
    Memorial Sloan Kettering Cancer Center, New York, New York, United States
  • Jennifer I Lim
    Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Illinois, United States
  • Judy E Kim
    Ophthalmology, University of Illinois - Chicago, Chicago, Illinois, United States
  • J. Peter Campbell
    Department of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States
  • Michael F Chiang
    Department of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States
  • RV Paul Chan
    Department of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States
  • Footnotes
    Commercial Relationships   Emily Cole, None; Flavius Beca, None; Gerardo Gil, None; Daniel Oh, None; Andrew Zolot, None; Sarwar Zahid, None; Ru-ik Chee, None; Nicole Scripsema, None; Nita Valikodath, None; Angelica Scanzera, None; Karyn Jonas, None; Jennifer Lim, None; Judy Kim, None; J. Peter Campbell, None; Michael Chiang, None; RV Paul Chan, Visunex Medical Systems (Fremont, CA) (C)
  • Footnotes
    Support  Division of Global Ophthalmology, Illinois Eye and Ear Infirmary, University of Illinois at Chicago; VitreoRetinal Surgery Foundation; Unrestricted funding from Research to Prevent Blindness (New York, NY); National Institute of Health (Bethesda, MD) P30 EY001792 and R01EY19474; National Science Foundation Grant SCH-1622679 (Arlington, VA); Grant P30EY10572 from the National Institutes of Health (Bethesda, MD)
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 5307. doi:
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    • Get Citation

      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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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : 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.

Methods : 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.

Results : 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.

Conclusions : 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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